WORLD BANK INSTITUTE

Promoting knowledge and learning for a better world

Joint Japan/World Bank Graduate Scholarship Program (JJ/WBGSP) Regular Program

2009 Application Form

THE WORLD BANK

Joint Japan/World Bank Graduate Scholarship Program1818 H Street N.W., MSN-J-204, Washington, D.C. 20433

Joint Japan/World Bank Graduate Scholarship Program

APPLICATION GUIDELINES

Applicants are encouraged to apply online through the website: http://www.worldbank.org/scholarships Application forms for the 2009 selection cycle of the regular JJ/WBGSP can also be downloaded from the Program website (in English, French, Spanish and Portuguese). Please note that applicants are encouraged to seek admissions in institutions listed in the website under Universities to Study in 2009-2010. Paper copies of completed applications and required documents as listed in Annex 2 should be sent to:

The World Bank Joint Japan/World Bank Graduate Scholarship Program 1818 H Street, NW - MSN J2-204 Washington, DC 20433 USA Applications sent by fax or email are not accepted. The application together with ALL supporting documentation must be received in the Scholarship Program Office by the deadline of March 31, 2009. Applicants should make the necessary provision to ensure receipt of their application package before the deadline. The programSecretariatisnotresponsibleofanypossibledelayinmaildelivery. Due to the large volume of paperwork handled by the JJ/WBGSP Secretariat, it is not possible to respond to telephone or mail requests regarding the status of applications. APPLICANTS WILL BE NOTIFIED OF RESULTS BY THE END OF JULY . This application form is not valid for the JJ/WBGSP Partnership Programs. information about the Partnership Programs, please visit the Program website: http://www.worldbank.org/scholarships For more

Joint Japan/World Bank Graduate Scholarship Program1818 H Street N.W., MSN-J-204, Washington, D.C. 20433

Joint Japan/World Bank Graduate Scholarship Program

Application Form for 2009

PLEASE TYPE OR PRINT ALL RESPONSES LEGIBLY IN BLACK INK

PERSONAL DATA
Name:
FAMILY/LAST NAME (First Name)

Male Female

(as in your passport) Date of Birth: /19 MONTH/DD/YYYY

Permanent address:

COUNTRY OF CITIZENSHIP/NATIONALITY:
Country Name

Mailing address (if different)

Phone/Cell phone: Home Fax : Personal Email:

Office Phone: Office Fax: Office E-mail:

Highest level of education completed by: Father: No Education Primary Secondary University Unknown Mother: No Education Primary Secondary University Unknown

Parents occupation: Father Mother

Do you have any relatives or in-laws who are employed by the World Bank Group in any capacity, including consulting? Yes No

Joint Japan/World Bank Graduate Scholarship Program1818 H Street N.W., MSN-J-204, Washington, D.C. 20433

-2Name:
FAMILY/LAST NAME (First Name) (Middle Name)

EDUCATION
Bachelors Degree (please complete the following): Have you earned a Bachelors Degree? Institution, Country: Degree Name: Graduation Date (mm/yyyy): Number of years of full-time employment after first university degree: Less than two years More than two years Have you completed any graduate studies? Institution Country Yes Degree Name No Start Date
(mm/dd/yyyy)

Yes

No

End Date
(mm/dd/yyyy)

Have you taken any other courses outside your country in the last 3 years? Start Date Institution Country Degree Name
(mm/dd/yyyy)

End Date
(mm/dd/yyyy)

Joint Japan/World Bank Graduate Scholarship Program1818 H Street N.W.Washington, D.C. 20433

-3Name:
FAMILY/LAST NAME (First Name) (Middle Name)

UNIVERSITY STUDY PROGRAM

First choice University Admission: University: ________________________________________________________________ Degree Name: _____________________________________________________________
Start Date (mm/yyyy): __________________________ End Date (mm/yyyy): _________________________

Contact Person: ___________________________________________________________

(Family/Last Name) (First Name) Title: _____________________________________________________________________________ Office Telephone: ____________________ Fax: ______________________________________

Email: ____________________________________________________________________________

Second choice University Admission: University: ________________________________________________________________ Degree Name: _____________________________________________________________

Start Date (mm/yyyy): __________________________ End Date (mm/yyyy): _________________________

Contact Person: ___________________________________________________________

(Family/Last Name) (First Name) Title: _____________________________________________________________________________ Office Telephone: ____________________ Fax: ______________________________________

Email: ____________________________________________________________________________

Please note that candidates are encouraged to seek admissions in institutions listed in the website under Universities to Study in 2009-2010. In case you have two admissions, please put your first choice in the upper box.

Joint Japan/World Bank Graduate Scholarship Program1818 H Street N.W.Washington, D.C. 20433

-4Name:
FAMILY/LAST NAME (First Name) (Middle Name)

Type of organization you currently work for:

Central Government Regional/Local government Financial Institutions (Banks, Insurance, Micro-credit), etc. Public Services/Utility Providers (Health Care, Education, Waste Management, etc.) Academic/Research Institutions International/Regional Organizations Not-for-profit Non-Governmental Organizations (NGO) Private Sector Other

If other, please specify: _________________________________________________________

EMPLOYMENT RECORDS:
The applicant must have at least two years of recent full-time professional experience acquired after the completion of a university degree. List below the information for the full-time positions you have held (most recent first).

Organization/ Company Name

Start Date Department Position

(mm/dd/yyyy)

End Date
(mm/dd/yyyy)

Joint Japan/World Bank Graduate Scholarship Program1818 H Street N.W.Washington, D.C. 20433

-5(a)Name:
FAMILY/LAST NAME (First Name) (Middle Name)

STATEMENT OF PURPOSE
Please respond carefully to all the following questions. Your statements to the questions below play an important role in the evaluation of your application. Try to be concise and precise. 1. Community involvement and other relevant activities (please indicate the dates). (Limit to 150 words or less).

2. Describe the most significant professional achievement and your reasons for viewing it as such. (Limit to 150 words or less).

Joint Japan/World Bank Graduate Scholarship Program1818 H Street N.W.Washington, D.C. 20433

-5(b)Name:
FAMILY/LAST NAME (First Name) (Middle Name)

STATEMENT OF PURPOSE (CONTINUED)

3. Why, at this particular juncture in your career, do you feel it is important to pursue additional study? (Limit to 150 words or less).

4. How will you use the knowledge and skills acquired through your course of study to address the development needs of your country? What are your future career plans? Where do you see yourself in 5 years, 10 years? (Limit to 150 words or less).

Joint Japan/World Bank Graduate Scholarship Program1818 H Street N.W.Washington, D.C. 20433

-6Name:
FAMILY/LAST NAME (First Name) (Middle Name)

Signature Page
1. I certify that: the information in my application is accurate, complete and honestly presented; any information submitted on my behalf, including letters of recommendation, is authentic; I have written the statement of purpose without their being edited or translated by anyone else; I understand and agree that any offer of scholarship will be rescinded if any misrepresentation or material omission in the information provided in this application is discovered at a later date; and I am in good health.

2. I authorize universities I have attended or may attend in the future under a JJ/WBGSP scholarship to release my academic records to the JJ/WBGSP Secretariat, including but not limited to transcripts and admission letters. 3. I acknowledge that in accepting the JJ/WBGSP scholarship, I commit myself to return to and work in my home country after completion of my study program. 4. I consent to the employment restriction policy of the JJ/WBGSP and acknowledge that I will not be able to work at the World Bank Group or IMF for three years after completion of my academic program.

Name: ______________________________________

Signature: ___________________________________

Date: _______________________________________

Joint Japan/World Bank Graduate Scholarship Program1818 H Street N.W.Washington, D.C. 20433

Annex 1
LIST AND ADDRESSES OF YOUR RECOMMENDERS PLEASE USE MODELS IN ANNEXES 1(A) AND 1(B) FOR THE RECOMMENDATION LETTERS. ACADEMIC RECOMMENDATIONS ARE EXPECTED TO BE PROVIDED BY FORMER PROFESSORS OR ACADEMIC SUPERVISORS.
PROFESSIONAL RECOMMENDATIONS ARE EXPECTED TO BE PROVIDED BY FORMER DIRECT OR INDIRECT SUPERVISORS.

Academic Recommender (1)

Name: _________________________________________________________________________________ Position: _______________________________________________________________________________ Organization: _______________________________ Department: ________________________________ For how long has the Recommender known you? _____________________________________________ In what capacity has the Recommender interacted with you? ____________________________________

___________________________________________________________________________________ _ Academic Recommender (2)

Name: _________________________________________________________________________________ Position: _______________________________________________________________________________ Organization: _______________________________ Department: ________________________________ For how long has the Recommender known you? _____________________________________________ In what capacity has the Recommender interacted with you? ____________________________________

Professional Recommender (1)

Name: _________________________________________________________________________________ Position: _______________________________________________________________________________ Organization: _______________________________ Department: ________________________________ For how long has the Recommender known you? _____________________________________________ In what capacity has the Recommender interacted with you? ____________________________________

___________________________________________________________________________________ _ Professional Recommender (1)

Name: _________________________________________________________________________________ Position: _______________________________________________________________________________ Organization: _______________________________ Department: ________________________________ For how long has the Recommender known you? _____________________________________________ In what capacity has the Recommender interacted with you? ____________________________________

Joint Japan/World Bank Graduate Scholarship Program1818 H Street N.W.Washington, D.C. 20433

Annex 1 (a)
Name of Applicant:
FAMILY/LAST NAME (First Name) (Middle Name)

LETTER OF RECOMMENDATION ACADEMIC (2 recommendation letters are required) Recommenders Name: ____________________________________________________________ Title: ___________________________________________________________________________ Institution: ______________________________________________________________________ Address: _______________________________________________________________________ Telephone: Email: __________________________________ FAX: _____________________________

Recommenders Signature

Date

To the Recommender: The information you are providing concerning the above-named applicant is an important part of the Scholarship Programs review process. The questions posed below suggest the kind of information which the reviewers find useful, but you are welcome to give us your assessment of the applicant in whatever format you think suitable. The letter of recommendation is confidential; please return the completed recommendation letter to the applicant in a sealed envelope with your signature across the flap. The deadline for receipt of application materials in our Program office is March 31, 2009.
1. ON THIS SCALE, PLEASE RATE THIS SCHOLAR RELATIVE TO HIS/HER CLASSMATES:
AVERAGE ACADEMIC PERFORMANCE INTELLECTUAL PERFORMANCE CREATIVITY AND ORIGINALITY TOP 25% TOP 10% TOP 5% TOP 2%

PLEASE ANSWER THE FOLLOWING QUESTIONS (add pages as needed):

2.

How long have you known the applicant and in what capacity?

3. What is your assessment of the applicants intellectual strengths and academic achievements? Please provide details about any specific academic honors and awards.

4. What is your assessment of the applicants academic potential and ability to handle a graduate study program and advanced research work in a competitive international environment?

Joint Japan/World Bank Graduate Scholarship Program1818 H Street N.W.Washington, D.C. 20433

Annex 1(b)
Name of Applicant:
FAMILY/LAST NAME (First Name) (Middle Name)

LETTER OF RECOMMENDATION PROFESSIONAL (2 recommendation letters are required)

Recommenders Name: _____________________________________________________________________ Title: ____________________________________________________________________________________ Organization: _____________________________________________________________________________ Address: ________________________________________________________________________________ Telephone: Email: __________________________________ FAX: _________________________________

Recommenders Signature

Date

To the Recommender: The information you are providing concerning the above-named applicant is an important part of the Scholarship Programs review process. The questions posed below suggest the kind of information which the reviewers find useful, but you are welcome to give us additional assessment of the applicant in whatever format you think suitable. The letter of recommendation is confidential. Please return the completed recommendation letter to the applicant in a sealed envelope with your signature across the flap. The deadline for receipt of application materials in our Program office is March 31, 2009.
PLEASE ANSWER THE FOLLOWING QUESTIONS (add pages as needed):

1. How long have you known the applicant and in what capacity? And what characteristics or attributes best describe the applicant?

2. Please describe the applicants professional strengths and achievements. We would also be interested in details about the applicants participation in development projects and professional recognition and awards.

Joint Japan/World Bank Graduate Scholarship Program1818 H Street N.W.Washington, D.C. 20433

Annex 2
Checklist Application Package
You must submit all of the items below or your application will not be processed. Please arrange your materials in the order below without any staples, bindings, sleeves, or tabs. (a) (b) (c) your completed application form with signature page (you must sign); a current curriculum vitae (C.V.) not exceeding two pages; current admission letter(s) to a development-related masters degree program; please note that applicants are encouraged to seek admissions in the institutions listed in the website under Universities to Study in 2009-1010 proof of employment for each of the employment records listed in page 4; two professional and two academic recommendation letters (Annexes 1(a) and 1(b)); certified copies of all your university degrees and corresponding transcripts of grades; and proof of nationality and date of birth (e.g., copy of passport or birth certificate)

(d) (e) (f)

(g)

All certificates must be translated into English, French, Spanish or Portuguese. Documents cannot be returned. Therefore, copies of all supporting documentation and not the originals should be sent. Please note: originals may be requested at a later date if needed. Applications are not held over to the following year. Incomplete applications are not processed.

The application together with ALL supporting documentation as enumerated above must be received in the Scholarship Program Office in ONE PACKAGE by the deadline of March 31, 2009. Applications must reach the Scholarship Program Office at the following address:

Joint Japan/World Bank Graduate Scholarship Program 1818 H Street, N.W. MSN-J2-204 Washington D.C. 20433 USA

Joint Japan/World Bank Graduate Scholarship Program1818 H Street N.W.Washington, D.C. 20433

Joint Japan/World Bank Graduate Scholarship Program Phone: (202) 473-6849 Fax: (202) 522-4036 Website: http://www.worldbank.org/scholarships

The World Bank 1818 H. Street, NW MSN J2-204 Washington, DC 20433, USA THE WORLD BANK

www.worldbank.org/wbi

Joint Japan/World Bank Graduate Scholarship Program1818 H Street N.W.Washington, D.C. 20433