2014-2015 Application for the Fulbright Scholar Program

Advanced Research and niversit! "ecturing A#ards in the

nited States
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The flagship international educational exchange program sponsored by the U.S. government, widely known as
the Fulbright Program, is designed to increase mutual understanding between the people of the United States
and those of other countries. ith this goal as a starting point, the Fulbright Program has provided more than
!"#,$$$ participants%chosen for their leadership potential%with the opportunity to observe each other&s
political, economic and cultural institutions, exchange ideas and embark on 'oint ventures of importance to the
general welfare of the world&s inhabitants.
The Fulbright Program was established in (#)* under legislation introduced by former Senator +. illiam
Fulbright of ,rkansas. The Fulbright Program is administered by the -ureau of .ducational and /ultural
,ffairs of the United States 0epartment of State.
Since the establishment of the Program, )*,($$ Fulbright 1isiting Scholars have conducted research or taught
in U.S. universities, and more than )),)$$ Fulbright U.S. Scholars have engaged in similar activities abroad.
The Fulbright Program awards approximately 2$$ grants to 1isiting Scholars each year. /urrently, the Program
operates in approximately ()$ countries worldwide.
The primary source of funding for the Fulbright Program is an annual appropriation made by the United States
/ongress to the 0epartment of State. Participating governments and host institutions in foreign countries and in
the United States also contribute financially through cost3sharing and indirect support, such as salary
supplements, tuition waivers and university housing.
The J. William Fulbright Foreign Scholarship Board (FSB), composed of (! educational and public leaders
appointed by the President of the United States, formulates policy for the administration of the Program,
establishes criteria for the selection of candidates and approves candidates nominated for awards.
The United States Department of State, Bureau of ducational and !ultural "ffairs, develops policies to
assure fulfillment of the purposes of the Program and administers it with the assistance of binational
educational commissions and foundations in some 4$ countries that have executive agreements with the United
States for continuing exchange programs, United States embassies in #$ other countries and a number of
cooperating agencies in the United States.
Binational commissions and foundations propose the annual program plan for exchanges, in consultation
with participating universities and organi5ations in the host country. They also screen, interview, and
recommend to the FS- 6ualified candidates for student and faculty grants under their exchange programs. 7n a
country without a commission or foundation, the Public ,ffairs Section of the U.S. .mbassy develops the
program and supervises it locally.
The !ouncil for #nternational $change of Scholars (!#S), under a cooperative agreement with the
0epartment of State, administers the Fulbright Scholar Program for faculty and professionals. /7.S is a
division of the 7nstitute of 7nternational .ducation 877.9 and has close working relationships with the ma'or
disciplinary bodies in the humanities, social sciences and natural sciences. 0uring the terms of their grants in
the United States, Fulbright lecturers and researchers are assisted by /7.S.
:arch !$$#
!ouncil for #nternational $change of Scholars
;$$" Tilden Street, <, Suite 4=, ashington, 0/ !$$$23;$$#
eb site> www.cies.org % .3mail> scholars?cies.iie.org


,ontents
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III Overview of the Fulbright Scholar Program
III Nature of Grants
IV Eligibility Requirements
V !!lication an" Review Process
V rrangements for ffiliation #ith a $%S% &ost Institution
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VI First Ste!s
VI General !!lication Gui"elines
VI Instructions for 'om!leting the !!lication Form
I( )he Pro*ect Statement
(I )he 'urriculum Vitae
(II Su!!lemental +aterials
(II Reference Re!orts
APP"(,A$(*- F*R+S
!!lication 'over Sheet
, Program-Professional Information
' Institutional ffiliation Preferences
. Personal Information
E Reference Forms
$he Fulbright Program and )eneral Re0uirements
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The mission of the Fulbright Scholar Program is to increase mutual understanding between the people
of the United States and people of other countries. 7t aims to provide educational exchange
experiences to a maximum number of individuals not previously afforded such an opportunity. The
experience should be of intrinsic value to the scholar, the recipient&s home institution, its faculty and
its students, as well as to the U.S. host institution. Fulbright Scholars serve as cultural ambassadors
and should be prepared to speak about their countries, cultures and research to academic and
community groups.
The Program has provided thousands of scholars with the opportunity to establish professional
contacts in their field and make long3lasting friendships with colleagues in the United States@ to
develop collaborative research relationships with U.S. scholars@ and to enhance their scholarly
publications and other contributions with research conducted in the United States. Finally, for many
faculty, the Fulbright Program offers an opportunity to pursue scholarly work without interruption.
-y doing research, guest lecturing, and pursuing other scholarly interests in a completely different
environment, scholars return home personally invigorated and professionally stimulated.
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Arant benefits vary according to the provisions of the program in each participating country. ,ll
Fulbright grants include limited accident and sickness benefits. :ost awards provide international
travel for the grantee to and from the host institution in the United States. ,bout "$ percent of
Fulbright grantees also receive maintenance grants provided by the U.S. 0epartment of State or
binational Fulbright /ommissions and Foundations. Bther scholars receive financial support from
host institutions in the United States, private foundations or their home institutions or governments.
Some also use personal funds to supplement their grants.
:ost grants are awarded for a period of three to ($ months. Arants should not be for periods of less
than three months or more than (! months, including extensions. Particular country or regional
programs may have specific guidelines concerning the duration of grants and other special criteria
that applicants should consider in their applications.
, grant may be revoked, terminated, or suspended. Arounds for revocation or termination include,
but are not limited to> 8(9 violation of any law of the United States or the home country@ 8!9 any act
likely to give offense to the United States@ 8;9 failure to observe satisfactory academic or professional
standards@ 8)9 physical or mental incapacitation@ 849 engaging in any unauthori5ed income3producing
activity@ 8*9 failure to comply with the grant&s terms and conditions@ 8"9 material misrepresentation
made by any grantee in the application form or grant document@ 829 conduct which may have the
effect of bringing the U.S. 0epartment of State or the Fulbright Program into disrepute@ and 8#9
violation of the policies of the +. illiam Fulbright Foreign Scholarship -oard 8FS-9.
, grant may be suspended if 8(9 the grantee ceases to carry out the pro'ect or academic program
during the grant period or 8!9 the grantee leaves the United States for more than two weeks without
authori5ation of the Fulbright /ommissionCU.S. .mbassy or supervising agency.
III
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Dou must possess all of the following 6ualifications in order to be eligible unless specific exemptions
are stated by the Fulbright /ommission or Public ,ffairs Section of the U.S. .mbassy 8heretofore
called EFulbright organi5ationF9 from which you received this application.
G !iti&enship or permanent resident status 'ualif(ing (ou to hold a )alid passport issued
in the countr( in *hich the application is made. Persons selected for a Fulbright grant will
be re6uired to submit a copy of their passport data page to the Fulbright organi5ation. Persons
applying for or holding permanent residence in the United States are not eligible. Persons
who are citi5ens of both a partner country and the United States are also ineligible. Fulbright
Scholars enter the United States on an .xchange 1isitor 8+3(9 visa under a U.S. 0epartment
of State program and are sub'ect to the two3year home3country residency re6uirement
associated with the +3( visa. <BT.> Scholars and their dependents who have held + visas
with sponsorship of more than six months are not eligible to reenter as +3( researchers or
lecturers for (! months following departure from the United States. 7n addition, scholars who
have previously held a + visa in the professor or research scholar category are not eligible for
sponsorship again in those two categories for a period of !) months following the program
sponsorship end date.
G Doctoral degree or e'ui)alent professional training or e$perience at the time of
application. For professionals and artists outside academe, recogni5ed professional standing
and substantial professional accomplishment is expected.
G " detailed statement of proposed acti)it( for research or lecturing at a U.S. institution.
The proposed pro'ect should contribute to the development of knowledge in your field and
must be effectively investigated within a period of three to (! months in the United States
8ask your local Fulbright organi5ation about standard grant lengths they recommend9.
G +roficienc( in nglish appropriate to the proposed lecturing or research pro,ect to be
carried out in the United States. Dou may be re6uired to take an .nglish proficiency
examination at the U.S. .mbassy.
G Sound ph(sical and mental health. Those selected for a Fulbright grant are re6uired to
submit a :edical History and .xamination Ieport before their grants can be finali5ed.
7n addition you should note the following conditions affecting review and selection of candidates>
G ,pplicants will be considered without regard to race, religion, sex, age, andCor physical
impairment.
G Preference is given to those without recent experience in the United States.
G ,pplicants who have previously received a scholar grant under the Fulbright Program of
more than two months are ineligible to apply for another grant within five years from the date
of termination of the previous grant, unless an exception has been granted.
G ,pplicants should be representative and responsible citi5ens who can contribute to a full and
fair picture of the culture of their own countries and thereby contribute to understanding
between the people of the United States and their country. They should also demonstrate the
cross3cultural sensitivity and flexibility needed to ad'ust successfully to life in the United States.
-rants are not for the principal purpose of
G attending conferences,
G completing doctoral dissertations,
G travel and consultation at multiple institutions, or
G clinical medical research involving patient contact.J
KJ.ote to medical doctors> The U.S. 0epartment of State has designated the .ducational /ommission for
Foreign :edical Araduates 8./F:A9 as the sole agency authori5ed to sponsor alien physicians for internship,
residency and speciali5ed clinical training in the United States. Fulbright grantees cannot simultaneously be
sponsored by ./F:A@ therefore, proposals for medical research involving clinical training, patient care or
patient contact cannot be approved under the Fulbright Program.L
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G ,lthough most grants available to foreign scholars are for research, you should consult with the
Fulbright organi5ation representatives to determine the kinds of grants available for your country.
G Iefer to E,dditional 7nformation for ,pplicants From Sub3Saharan ,fricaF for essential information
on award categories and the review process, provided only if you are from this world area.
G Dou must submit your application by the deadline set by the Fulbright organi5ation in your
home country.
G 7nitial screening and endorsement of a scholar&s application are done by the Fulbright organi5ation
in your home country. ,pplications from ,frican scholars also undergo an academic review
conducted by /7.S.
G The application is then forwarded to /7.S and the U.S. 0epartment of State by the Fulbright
organi5ation in your home country. Final selection of all grants is made by the +. illiam
Fulbright Foreign Scholarship -oard.
G Dou will be notified by the Fulbright organi5ation in your home country if you are selected,
based on the timeline set by that organi5ation. -efore a grant can be confirmed, a :edical
History and .xamination Ieport is re6uired and will be reviewed by appropriate personnel.
G 7t is the policy of the +. illiam Fulbright Foreign Scholarship -oard not to give to individual
applicants, to others in6uiring on their behalf, or to the public generally, the specific reasons for
selection or non3selection of applicants for awards under the program, to the extent not re6uired
to do so as a matter of law.
G For scholars from many world areas, /7.S arranges or confirms affiliation with appropriate U.S.
institutions. Scholars from some binational commission countries arrange their own affiliations.
/onsult with the Fulbright organi5ation in your home country to find out affiliation re6uirements.
G Dou should not plan to arrive any earlier than late ,ugust of the year you are notified. Dou must
complete pro'ects on or before 0ecember ;( of the year following notification of selection.
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Bne of the most important components of the Fulbright Scholar Program is a formal affiliation at a
U.S. university or research institution. 7n many cases, applicants are in contact with colleagues at
U.S. institutions and have made preliminary plans for their own placements by securing a letter of
invitation from the prospective host institution. However, if you are unable to make these preliminary
contacts, you are strongly encouraged to identify two or three institutions that have appropriate
facilities for the kind of pro'ect you wish to undertake and faculty speciali5ed in your research
interests. Please indicate the rationale for your preferences.
hen determining which institutions to include on your preferred list, do not limit yourself to only
large research institutes and the most well3known U.S. universities. /onsider listing other institutions
such as community colleges, regional universities or :inority3Serving 7nstitutions 8which include
Historically -lack /olleges and Universities, Hispanic3Serving 7nstitutions and Tribal /olleges and
Universities9. These schools are often engaged in many dynamic areas of teaching and research.
Though many U.S. institutions may not have an international reputation, they often do have
appropriate facilities for scholars to conduct research. Scholars placed in these smaller and less
renowned institutions often are given greater attention than their colleagues who are affiliated with
larger and more well3known universities.
7f you have studied previously in the United States, you should avoid seeking affiliation at your U.S.
alma mater. This is to ensure that you expand your contacts within the U.S. academic community.
The task of affiliation is substantially facilitated if you have a pro'ect that is clearly defined and well
written, as prospective host institutions also want to be assured that you can conduct research in .nglish.
V
Preparing the Application
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+lanning ahead/,dvance planning will give you as much time as possible to put together a
thoughtful and compelling application. ,pplicant review and final selection are based upon the actual
application and accompanying materials. Dour U.S. institutional affiliation will also be conducted
based on the application and accompanying pro'ect statement.
!onsulting *ith colleagues/Dou are encouraged to consult with current or former Fulbright
Scholars from your own country or the United States. Fulbright alumni and current participants can
provide valuable guidance in formulating a competitive pro'ect statement.
)&-&RA" APP"(,A$(*- )(.&"(-&S
,t the time of application, you must submit the follo*ing0 (a) application form1 (b) detailed
pro,ect statement1 (c) detailed curriculum )itae1 (d) three references and (e) letter of in)itation,
if applicable.
To ensure correct completion of the application, read carefull( the detailed instructions provided in
these guidelines.
,ll items must be in nglish.
The entire application must be t(ped or computer2generated. Use ($3point or larger type on all parts
of the application. Handwritten applications will not be accepted.
Iesponses to 6uestions on the four3page application must fit on the pages on which the 6uestions
originally appear. Do not attach additional pages to answer these 6uestions.
/ontact the local Fulbright organi5ation from which you received this application to re'uest an
electronic )ersion (3icrosoft Word) of the application. 7f using an electronic version of the
application, do not change the format of the forms, the pagination, the fonts or the type si5e.
Proofread the entire application before submitting it to your local Fulbright organi5ation. The
application should be free of grammatical and spelling errors.
Treat the application as a unitar( *hole, *ith all parts reinforcing the pro,ect statement. The
flow should be orderly> your capabilities should be listed in the application, further documented in the
curriculum vitae and confirmed in the references. Use the pro'ect statement to make the parts interact
by referring to items in the curriculum vitae or research bibliography. ithout being redundant or
simplistic, you should make it easier for the reviewer to find the key pieces of information you wish
to convey.
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Please read the instructions carefully before completing each item.
#tem 4. Category of Grant
/heck the appropriate box for the type of grant you are seeking> lecturing 8=9, research 8I9, or
lecturingCresearch 8=CI9.
8=9> 7f the primary purpose of your pro'ect is to teach or team3teach at least one full semester
course. 8<ote> Dou will be re6uired to submit course syllabi along with a confirmed invitation
to lecture.9
8I9> 7f the primary purpose of your pro'ect is to conduct research. 8<ote> Dou will be re6uired
to submit a research bibliography.9
8=CI9> 7f your pro'ect will include significant portions of both lecturing and research as defined
above 8<ote> Dou will be re6uired to submit two pro'ect statements, course syllabi and a research
bibliography.9
VI
#tem 5. Full Name
-i)e (our name e$actl( as it appears on (our passport. This spelling will be used on all
documents related to your grant and immigration paperwork.
#tem 6. U.S. Permanent Residency
7f you have or are applying for U.S. permanent residency, you are ineligible for the Fulbright
Program.
#tem 7. Date of Birth (MonthDay!ear"
rite out the name of the month 8for example, February (, (#4"9, rather than the numerical
figure.
#tem 88. Current Position and Start Date# De$artment%ffice# &nstitution
=ist the name of your department or office and home institution in nglish.
#tem 84. 'cademic Credentials
State the degree earned and its e6uivalency in .nglish 8:asters, 0octorate, etc.9.
#tem 89. Significant Professional 'ccom$lishments and Pu(lications
Professional accomplishments may include teaching and research awards, compositions and
exhibitions, etc.
0o not write ESee curriculum vitae.F =ist accomplishments and publications as instructed below.
=ist up to three principal publications with the title, publication date and publisher&s name. 8,
complete listing of all publications should be included in your curriculum vitae.9 Use the
following format for bibliographic citation and distinguish between books and articles> for books,
give title 8underlined9, publisher and date@ for articles, give title 8in 6uotation marks9, 'ournal or
collection 8underlined9 and date.
=imit your list to a maximum of five accomplishments and publications that can be listed within
the space provided. 0o not attach additional pages.
For space consideration, separate each item with a semicolon or number rather than beginning a
new line.
#tem 85. Pro)ect *itle
The pro'ect title should succinctly describe the focus of the award activity 8for example,
E.valuating Fundamental Tax Ieforms in a Alobali5ing orldF or E/rashworthiness and
Iollover Stability of Heavy30uty Tanker TrucksF9. For lecturingCresearch awards, distinguish
between both components, separating them with a semicolon.
#tem 8:. Summary of Pro)ect Statement
7n a few sentences, provide a concise overview that easily allows non3specialists to appreciate the
significance of the pro'ect and any potential contributions to the field.
The summary of your proposed research andCor lecturing activities should fit +ithin the s$ace
$ro,ided. 0o not attach additional pages.
This abstract is meant to serve as a (rief summary of the more detailed pro'ect statement.
#tem 8;. Pro$osed Program -ength and Dates
/onsult with the Fulbright organi5ation in your country regarding country3specific minimum and
maximum grant lengths.
7ndicate as precisely as possible the period during which you intend to carry out your proposed
program in the United States. 7t is recommended that you plan your program during the U.S.
academic year 8September through :ay9, when your U.S. colleagues are more likely to be
available.
VII
VII
VII
#tem 86. Ma)or 'cademic Disci$line
Select one discipline from the list below that best describes your general area of expertise, and
enter it exactly as it appears in the list.
,griculture 0ance :athematics
,merican History .conomics :edical Sciences
,merican =iterature .ducation :usic
,merican Studies .ngineering Philosophy
,nthropology .nvironmental Sciences PhysicsC,stronomy
,rchaeology Film Studies Political Science
,rchitecture Aeography Psychology
,rt Aeology Public ,dministration
,rt History History 8non3U.S.9 PublicCAlobal Health
-iological Sciences 7nformation Sciences Ieligious Studies
-usiness ,dministration +ournalism Social ork
/hemistry =anguageC=iterature 8non3U.S.9 Sociology
/ommunications =aw T.F=C,pplied =inguistics
/omputer Science =ibrary Science Theater
/reative riting =inguistics Urban Planning
#tem 87. S$eciali.ation(s"
=ist subfields within the broad academic discipline in which you speciali5e 8for example,
environmental law, history of modern cinema, class and ethnicity in politics, women and social
policies in ,frican societies, /hinese religion and philosophy9.
#tem 4<. Professional *ra,el andor Residence '(road During the -ast Fi,e !ears
=ist the most relevant professional travel andCor residence abroad during the last five years.
-e sure to include residence in the United States during the last five years. 7f you entered the United
States on a + visa, please indicate the + category 8professor, research scholar, student, specialist,
short3term scholar, etc.9 and provide copies of your previous 0S3!$(# or 7,P3**, if available.
#tem 44. &dentification of Referees
=ist the names and contact information of three persons from whom you have re6uested a
letter of reference.
See EIeference IeportsF on page M77 for more detailed information.
#tem 49. Self/'ssessment of 0nglish Proficiency
7ndicate your personal assessment of your level of competence in .nglish.
,n .nglish proficiency test should be conducted by the Fulbright organi5ation representative if
you are from a non3.nglish3speaking country. The results of this test should be attached to the
application by the Fulbright organi5ation.
#tem 4=. Preferred 1ost &nstitution(s"
7f you have already made arrangements with a U.S. host institution, you must attach a copy of
your letter of appointment to your application. <on3academic affiliations, while sometimes
possible, re6uire additional FS- review, and approval is not always granted.
7f you are expecting a letter of invitation that has not yet arrived, note the date you expect it to
arrive. Upon receipt, forward the invitation to your local Fulbright organi5ation immediately.
7f arrangements for an appointment or affiliation have not been confirmed, list any preferences
you have in order of priority including detailed reasons for your choice 8for example, prior
ac6uaintance or correspondence with a U.S. scholar@ relevance of the U.S. scholar&s work to your
own research@ reputation of the academic department or research center9. 7nsofar as possible, your
preferences will be followed, although no assurance can be given of placement at the institutions
you suggest.
+>"S .?T0 /7.S can make affiliation arrangements only for scholars from certain countries.
/onsult with your local Fulbright organi5ation to determine arrangements for your country.
/7.S strongly encourages affiliating with one institution for the duration of your grant period.
7f the academic program you propose re6uires affiliation with more than one institution, please
'ustify and indicate the approximate length of time needed at each. /7.S advises against dual or
multiple affiliations unless absolutely necessary.
VIII
#tem 4;. Marital Status
/hoose from the following options> divorced, engaged, married, separated, single or widowed.
#tem 46. De$endents
Please list all dependents 8defined as spouse and unmarried children under the age of !(9 who
will accompany you on your grant. >ist names as the( appear on their passports. 7f you intend
to have family members 'oin you for part of your grant, but you are not yet sure if they will
accompany you, please list them on the application and keep the Fulbright organi5ation informed
of any changes. Those selected for a Fulbright grant will be re6uired to submit copies of
accompanying dependent&s passport data pages and information about any residence in the
United States for the (! months immediately preceding the grant start date to their local Fulbright
organi5ation in order to confirm eligibility and facilitate the issuance of forms re6uired for visa
application. 0ependents who are U.S. citi5ens will not be issued +3! visas and must travel on a
U.S. passport.
<ote> 1isa eligibility alone does not guarantee that a visa will be issued. That decision is made by
the /onsular ,ffairs Section of the U.S. .mbassy.
#tem 47. 'lternate Funding
Please list all non3Fulbright funding you expect to receive during your grant 8sabbatical funding
or other paid leave from your university, other grants, etc.9. Please list funding amounts in U.S.
dollars and attach supporting documentation.
$%& PR*5&,$ S$A$&+&-$
The pro'ect statement is the most important component of the Fulbright application. Scholars with the
most compelling, theoretically sound, well3written, feasible proposals are generally recommended for
awards. Sometimes those with outstanding professional achievements assume that a brief, general
pro'ect statement will be sufficient. 7t is not. To ensure a competitive application, your proposed
pro'ect, as well as the strategy for completing it, should be thoroughly explained in three to five
single3sided pages.
Submit a typed, detailed pro'ect statement of no more than five single3spaced pages 8;,4$$ words9 on
plain, white paper with each page numbered. 7n addition, attach a select bibliography of no more than
three pages 8!,($$ words9, if appropriate, to your proposed research. For a lecturing proposal, attach
sample course syllabi of no more than ($ pages for courses you propose to teach or have taught.
Format
The pro'ect statement itself must be three to five single3spaced typed pages. Do not e$ceed the
page limit of the proposal. 7ncluding irrelevant or extraneous material may divert attention from
the pro'ect statement.
-egin the pro'ect statement with your name, country and the pro'ect title at the top of page one.
,t the top of each subse6uent page, type your name and country.
Brgani5e your proposal in order of the following points, which appear in bold print, and use
them as headings for sections of text in your statement.
F*R A R&S&AR,% *R PR*)RA+ A-. ,RR(,"+ .&1&"*P+&-$ PR*5&,$
Bac@ground0 7ntroduce the research topic. Place the pro'ect in academic or professional context
by referring to ma'or works by others on the sub'ect.
?b,ecti)es0 /learly define the aims of the pro'ect.
3ethodolog(0 0escribe the pro'ect. .xplain the approach, methods and plan you will use 8for
example, interviews, library or archival research, or laboratory experiments9. 7ndicate whether the
proposed research is 6uantitative or 6ualitative.
IX
Significance0 .xplain the importance of the pro'ect for the field, your home country and your own
professional development. 7ndicate what effect you expect the opportunity to have on your
teaching or professional work in your home country. 8For example> new approaches to curriculum
planning, student advising or pedagogy@ expanding knowledge in the field through collaboration
with U.S. colleagues9. 0escribe briefly the expected impact of your participation on your home
institution, community or professional field.
)aluation and Dissemination0 0escribe plans for assessment and distribution of research results
in your home country and elsewhere.
Justification for Aesidence in the United States for the +roposed +ro,ect0 7ndicate why it is
necessary for the accomplishment of the pro'ect to conduct research in the United States.
Duration0 .xplain how the pro'ect can be completed within the time period proposed.
nglish +roficienc(0 0escribe your schooling in .nglish, use of .nglish and level of competence
in speaking, reading and writing.
?ther0 7f applicable, indicate the 6uantity, format and transportation re6uirements for any botanical,
5oological or mineral samples that you will need to bring to the United States for analysis.
F*R A "&,$R(-) PR*P*SA"
Teaching $perience0 0escribe the range of courses you have taught, including the teaching
methods used. 7ndicate your involvement, if any, in curriculum planning, thesis guidance and
administrative responsibilities. .xplain how your experience will be relevant to your proposed
teaching in the United States.
+roposed Teaching0 .xplain what you propose to teach in the United States.
nglish +roficienc(0 0escribe your schooling in .nglish, use of .nglish and level of competence
in lecturing and speaking, reading and writing.
$pected ?utcomes0 7ndicate what effect you expect the opportunity to have on your teaching or
professional work in your home country 8for example, new approaches to curriculum planning,
student advising or pedagogy@ expanding knowledge in the field through collaboration with U.S.
colleagues9. 0escribe briefly the expected impact of your participation on your home institution,
community or professional field.
,ontent
7n addition to following the format carefully, the following advice has been passed on from former
Fulbright Scholars, review committees and /7.S staff that can assist you in preparing a more
competitive and ultimately successful Fulbright application.
Type a clear and complete pro'ect statement that introduces you professionally to your colleagues
in the United States. The best applications are those that reflect the applicant&s purpose and intent.
:ake sure that your 6ualifications and expertise match the ob'ectives in your pro'ect statement.
Dou should be able to show that you are 6ualified to accomplish what you are proposing to do.
.mphasi5e how your pro'ect will benefit the host institution or other scholars in your field both in
your country and in the United States. ,ddress in your pro'ect statement the ways in which you
will use the experience upon your return. hat is the likely impact of your experience abroadN
To whomN How will you use what you learned upon your return, professionally and personallyN
0iscuss any preparatory steps you have taken or will take before starting your grant. For
example, if you plan to bring samples of plants, chemicals, human tissue, etc., indicate that
you have discussed your plans with the U.S. .mbassy and your prospective host, if known,
in order to determine what clearance and approval processes are needed.
/onnect your past experience to what you are preparing to do if you receive an award. .xplain
the pro'ect&s significance and its importance to the field. Focus on what can be reasonably
accomplished during the period of the grant.
X
0o not assume that your suitability for the endeavor is self3evident. Dour standing in your field
may not be well known to reviewers. Dou need to make a case for yourself based on your past
experience and current scholarly endeavors. .xplain the significance of your pro'ect in language
that will be understood by reviewers from outside your field.
0o not stress how a Fulbright grant will benefit only you or your career. Iemember that the
program is intended to foster mutual understanding between cultures and nations.
-e specific in describing your previous work and in laying out the nature of your proposed
Fulbright activity. , fre6uent failing in applications is that the proposal is underdeveloped or
too imprecise to give reviewers a clear sense of the endeavor.
St!le
.xpress what you can bring to the program clearly and succinctly. Think of the basic 6uestions
that need to be answered> hy should 7 apply for a Fulbright award to come to the United StatesN
7f selected, what will 7 do and how will 7 do itN hat preparations have 7 made to complete the
pro'ectN hat can 7 contribute to the Fulbright ProgramN hat will the results of my
participation beN 7nclude only the most pertinent information in forming your responses so as not
to exceed the page restrictions. ,t the same time, you should avoid writing a proposal so brief
that it will be difficult for the reviewer to understand the pro'ect.
.mphasi5e key points in the first paragraph of the proposal. Ieviewers examine many Fulbright
applications, and having to search for the main points of the proposed activity is not helpful. Dou
should grab the reviewer&s attention 6uickly and state clearly what you want to do, why it is
important and how you will do it. Dou should use the rest of the proposal to support your
statements in the opening paragraphs.
Pay attention to style in your proposal. Dou may want to use the first person, but you should
avoid flooding your proposal with E7&sF or referring to yourself in the third person.
Oeep your proposal simple and straightforward so that an educated reader from another discipline
can understand it.
$%& ,RR(,"+ 1($A&
The curriculum vitae describes academic credentials and demonstrates a record of scholarly
achievements. hen composing a curriculum vitae, it is important to include>
education 8universities attended, degrees earned and dates received9
positions held
courses taught and other services provided to students and the home institution
publications 8provide full citations and list them starting with the most recent9
other professional activities, such as workshops, seminars and consultations
membership and activities in professional associations
professional honors, awards and fellowships
community service
The application asks for similar information, but provides limited space for answers. 7n the
curriculum vitae, you should expand upon these topics to display more completely your
accomplishments.
<ote> /opies of diplomas are not re6uired.
XI
XI
SPP"&+&-$A" +A$&R(A"S
"etters of (nvitation
=etters of invitation should be typed on institutional letterhead and signed.
7nvitations do not ensure selection for an award.
7f an invitation arrives after the application deadline, contact the Fulbright organi5ation in your
home country to arrange for its late submission.
'ibliograph!
For research proposals, provide a list of one to three pages of references relevant to the proposed
research.
,ourse S!llabi
For lecturing proposals, provide up to ($ pages of sample syllabi for courses you propose to teach or
have taught.
R&F&R&-,& R&P*R$S
/andid, frank reference reports or letters of reference help reviewers place your research or lecturing
proposal within your home institution&s current conditions and plans for growth. Ieferences also
provide evidence of your reputation within your discipline. The Ieference Ieport Form in the
application packet suggests 6ualifications that your referees should address.
Dou must submit one reference in this preliminary form of application. Three references will be
re6uired if you are selected.
, copy of the pro'ect statement should be given to the referee.
Ieferences should be from people 6ualified to evaluate your professional work@ the abilities you
bring to the proposed pro'ect@ your ability to adapt to another country and culture@ and the merits
of the pro'ect itself.
Ieferences can come from your home institution, but at least one of the references should be
from a colleague in your field outside your home institution.
7f you have recently moved to a new home institution, one of the reference letters should be
from your previous institution.
/hoose your referees carefully and contact them early. The letters of recommendation need to
accompany the application as it could otherwise be weakened by an insufficient number of
references.
0o not ask someone for a letter of reference unless the person is well ac6uainted with your
6ualifications. , pro forma letter from a well3known scholar, a contact abroad or a prominent
government official will carry less weight than a realistic assessment of your abilities from
someone who knows you and your work well.
Ieferences must be written in or translated into .nglish.
Ieference letters should be attached to the Ieference Ieport Forms provided for this purpose
and should be sent by the evaluators directly to the Fulbright organi5ation in your home country.
7t is your responsibility to ensure that reference reports are submitted by the deadline.
XII
Fulbright Scholar Program
2016-14 1isiting Scholar Application Form
(Use 23/$oint or larger ty$e# and do not hand +rite. 'ns+ers must fit in the s$ace $ro,ided."
(. Home country> !. /ategory of grant> = I =CI
;. Title (chec4 one"> 0r. :r. :rs. :s. ). Aender> Male Female
4. Family name> First> :iddle>
*. /ountry8ies9 of citi5enship>
". /ountry of legal residence>
2. 0o you have or are you applying for U.S. permanent residency 8i.e.# a green card9N Des <o
#. 0ate of birth> ($. Place of birth>
month# day# year city# country
((. /urrent position and start date>
)o( title of current $osition start date of current $osition (monthyear"
0epartmentCoffice, institution (your com$lete mailing address# tele$hone# fa5 and e/mail">




(!. ,cademic credentials (degrees%list three highest degrees">
<ameC=ocation of 7nstitutionCeb site Field of Study <ame of 0iploma or 0egree 0ate Ieceived



(;. :ost significant professional accomplishments, honors and awards and up to three significant publications>

(). Previous Fulbright grants (&f yes# list most recent first6 s$ecify +hether student or scholar grant and dates">

(4. Pro'ect title>

(*. -rief summary of pro'ect statement (Please use only the s$ace $ro,ided. Do not attach additional $ages.">

A
PPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPP
<ame (-ast# First# Middle"
PR*)RA+7PR*F&SS(*-A" (-F*R+A$(*-
(". <umber of months re6uired for pro'ect>
0ate (monthdayyear" you expect to a. -egin your pro'ect>
b. .nd your pro'ect>
(2. :a'or academic discipline (must select from list on $age 7&&& of instructions">
(#. Speciali5ation8s9 (list su(/fields +ithin the academic disci$line6 for lecturing a+ards# list to$ics on +hich you
+ould (e +illing to lecture">

!$. Professional travel andCor residence abroad during the last five years (list countries# dates and $ur$ose of acti,ity".
&f you ha,e entered the United States on a 8/2 or 8/9 ,isa# $lease list the 8 category of s$onsorshi$ ($rofessor# research
scholar# student# s$ecialist# short/term scholar# etc." and $ro,ide co$ies of your $re,ious DS/932: or &'P/;; forms#
if a,aila(le.>

!(. /ultural, educational and professional societies of which you are a member>

!!. 7dentification of referees> (-ist the name# title# mailing and e/mail addresses and tele$hone and fa5 num(ers of
three $ersons from +hom you ha,e re<uested a letter of reference. *hese colleagues should 4no+ your +or4# and
at least one should (e from outside your home institution."
8(9



8!9



8;9



!;. Self3assessment of .nglish proficiency (e5cellent# good or fair">
Ieading> riting> Speaking>
'
PPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPP
<ame (-ast# First# Middle"
(-S$($$(*-A" AFF("(A$(*- PR&F&R&-,&S
!). Preferred host institution8s9> 8&f you ha,e made arrangements for affiliation +ith a U.S. host institution# $ro,ide
the follo+ing information and attach your letter of in,itation. &f you ha,e not made arrangements for affiliation,
you are strongly encouraged to identify three $references in order of priority. Be sure to gi,e detailed reasons for
each choice# and confirm that these uni,ersities offer $rograms in your field of interest."
8(9 Professor, 0epartment, Telephone, Fax and .3mail 7nstitution and 7nstitutional ,ddress





7s a letter of invitation attachedN Des <o
7f you have not obtained a letter of invitation, provide reasons for suggested affiliation>




7nitial contact made> 8date 9 =etter of invitation expected> 8by date> 9 <o contact has been made>
8!9 Professor, 0epartment, Telephone, Fax and .3mail 7nstitution and 7nstitutional ,ddress





7s a letter of invitation attachedN Des <o
7f you have not obtained a letter of invitation, provide reasons for suggested affiliation>




7nitial contact made> 8date 9 =etter of invitation expected> 8by date> 9 <o contact has been made>
8;9 Professor, 0epartment, Telephone, Fax and .3mail 7nstitution and 7nstitutional ,ddress





7s a letter of invitation attachedN Des <o
7f you have not obtained a letter of invitation, provide reasons for suggested affiliation>




7nitial contact made> 8date 9 =etter of invitation expected> 8by date> 9 <o contact has been made>
'
,
PPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPP
<ame (-ast# First# Middle"
P&RS*-A" (-F*R+A$(*-
!4. Home mailing address, telephone, fax and e3mail>




!*. <ame, mailing address, telephone, fax and e3mail of person to be notified in case of emergency and hisCher
relationship to you>




!". :arital Status (di,orced# engaged# married# se$arated# single# or +ido+ed"=
!2. <ames of dependents who may accompany you to the United States. =ist each separately, and provide the
following information (includes s$ouse and any unmarried children under the age of 92">

Country of Citi.enshi$ B -ength of Stay
Name Relationshi$ Date of Birth City > Country of Birth Country of -egal Perm. Res. in the U.S.












!#. 0o you expect to receive sabbatical pay, paid leave of absence or other sources of financial support during your
Fulbright grantN Des <o
7f you answered Des, please specify source8s9 and amount8s9 in U.S. dollars 8please attach supporting documentation9>



;$. Physical impairment ($lease descri(e# if any"=
Note= *his information is gathered for statistical $ur$oses and to ensure a$$ro$riate $lacement and accommodations. *he
Ful(right Scholar Program does not discriminate on the (asis of race# color# religion# se5# age# national origin or $hysical
im$airment.



B( m( signature belo*, # certif( that to the best of m( @no*ledge, the information pro)ided in all parts of m(
application is accurate and complete. # understand that final appro)al of m( application is dependent upon m(
eligibilit( for a J )isa to the United States. # agree to return to m( home countr( upon the e$piration of m(
authori&ed sta( in the United States.
Signature> 0ate>
.
Fulbright Scholar Program
Reference Report
"pplicant should complete +arts # and ### and then gi)e this form to the referee *ith the pro,ect statement.
PAR$ (
<ame of ,pplicant <ame of Ieferee

Position Position

0epartment 0epartment

7nstitution 7nstitution

/ityC/ountry /ityC/ountry

<umber of :onths Ie6uired for Pro'ect>
PR*5&,$ S++AR3
80etailed pro'ect statement should be given to the referee before Part 77 is completed.9

PAR$ ((
The referee should attach a typed letter on institutional letterhead addressing the items below and return it with this form
to the local Fulbright organi5ation at the address provided. The reference must be written in or translated into .nglish and
must be received by the deadline indicated below. ,pplications cannot be reviewed without reference reports.
(. How long and in what capacity have you known the applicantN
!. Please discuss the applicant&s 6ualifications and the merits of the proposal by commenting on the following>
8a9 applicant&s credentials, potential and record of academic or professional accomplishments
8b9 significance of proposal to the field
8c9 importance of pro'ect to home country
8d9 relevance of applicant&s previous research and training to proposed pro'ect
;. Please address the applicant&s cross3cultural adaptability and flexibility.

Signature of Ieferee :onthC0ayCDear
PAR$ (((
ATUA. !?3+>TD A+?AT T?

.? >"TA TC". .
&
Fulbright Scholar +rogram
S$onsored (y the United States De$artment of State# Bureau of 0ducational and Cultural 'ffairs
,dministered in the United States by>
/ouncil for 7nternational .xchange of Scholars 8/7.S9
For more information# $lease contact=
,merican 7ndonesian .xchange Foundation 8,:7<.F9
e3mail> #.F?FU>BA#-CTD#.DE"3#.F.?A.#D