LOWN SCHOLARS PROGRAM
HARVARD SCHOOL OF PUBLIC HEALTH
665 Huntington Avenue, Boston, Massachusetts, 02115, USA
SENIOR SCHOLAR APPLICATION 2016-2017
(Please Print)
Name in Full:
(Ms./Mr/Dr.) (Last) (First) (Middle)
Please indicate where you would like correspondence to be sent: Home: Office:
Home Address: Office Address:
Country: Country:
Telephone: Telephone:
Fax:
Email:
Current Position and Organization:
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Title of Proposed Research:
How did you hear about the Lown Scholars Program?
HSPH Collaborators: Please list the name and title of your primary collaborator, as well as any additional people with whom you plan to work. Please email us if you would like to be introduced to a potential collaborator.
Sources of Supplementary Funds: Please list the name and contact person of any organization from which you have received funding for this research proposal, or to which you have applied or intend to apply for funding.
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Please attach the following two documents to your application:
  1. Statement of professional goals: Please be as specific as possible about your professional and academic interests, and explain why participation in the program would advance these interests. Please limit this statement to 800 words (not including references).
  2. Research preproposal: Please describe the research you wish to complete during the fellowship. Include your background, overall goal, specific aims and hypotheses, study population and research team. Please limit this document to 1000 words (not including references).

Please note that the Lown Program is designed to train scholars who are living and working in a developing country as defined by the UN here. People who plan to stay in a developed country should not apply to the program.
Please return this form with completed application materials to: and

A complete application consists of the following:

Completed application form

Statement of professional goals

Research preproposal

Curriculum vitae

The application deadline is 5PM Eastern US Time on March 1st 2016.

For inquiries, please contact:

E-mail: and
Website:
Telephone:(617) 432-5722
Fax:(617) 432-6733

E-mail submissions are preferred. You may also send your application to the following address:

Program Coordinator
Lown Scholars Program
665 Huntington Avenue, Bldg. 1-11th floor, Room 1107

Boston, MA 02115-6021, U.S.A
Harvard University does not discriminate among applicants on the basis of race, religion, sex, sexual orientation, national origin, color, handicap, or age.