Public Policy Scholar Application Form (February – May 2018)

The Hindu Centre for Politics and Public Policy

Kasturi Buildings, 859 & 860 Anna Salai,

Chennai – 600002. Tamil Nadu, India

Application Form for Public Policy Scholarships

(Please complete this application form and email it to and )

Covering Letter

(Please complete your covering letter within one page)

Title of Research Proposal:

Aim:

Method:

Outcome:

Section 1: Personal Information

Name:

Date of Birth:

Address:

Email address:

Phone (mobile):

Phone (landline):

Section 2: Academic History

Please list the institutions of higher education (undergraduate and graduate) that you attended.

Institution:

Degree obtained :

Field of study:

Years attended:

Institution:

Degree obtained :

Field of study:

Years attended:

Institution:

Degree obtained :

Field of study:

Years attended:

Institution:

Degree obtained :

Field of study:

Years attended:

Section 3: Academic Achievements and Past Fellowships

Please list all academic honours that you have received including fellowships won

Section 4: Publications

Please list your publications, if any, starting with those relevant to your current proposal

Date:

Name of the Publication:

Title:

National / International:

Date:

Name of the Publication:

Title:

National / International:

Date:

Name of the Publication:

Title:

National / International:

Section 5: Current Professional Information

Job title (if any):

Duration in current job:

Job description:

Section 6: Past Professional Information

Job title (if any):

Duration in current job:

Job description:

Job title (if any):

Duration in current job:

Job description:

Job title (if any):

Duration in current job:

Job description:

Job title (if any):

Duration in current job:

Job description:

Section 7: List of Referees

Please list the names of two referees who are familiar with your work. Please include their contact details (addresses, phone numbers and emails).

Name:

Designation:

Organisation:

E-mail:

Phone No.:

Name:

Designation:

Organisation:

E-mail:

Phone No.:

Section 8: Statement of Purpose(Attach in a separate sheet, not more than 1,000 words)

Section 9: Research Proposal(Attach in a separate sheet, not more than 3,000 words, excluding Bibliography)

Section 10: Tentative Budget

Section 11: Timeline for Completion
[Please note that if your completed Report is not submitted you will be liable to refund the stipend, and other expenses incurred by us on you during your period of scholarship at The Hindu Centre for Politics and Public Policy.]

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