Новини

Програма дослідницьких стипендій Карнегі для вчених-гуманітаріїв з Азербайджану, Вірменії, Білорусі, Грузії, Молдови, України та окремих регіонів Російської Федерації.
Програму адмініструє Національна Рада євразійських і східно-європейських досліджень (NCEEER) (США) та Американські Ради з міжнародної освіти (ACTR / ACCELS) (США). Грант на проведення даної програми надано корпорацією Карнегі в Нью-Йорку (США).
Крайній термін подання заявок: 30 квітня 2010 р. (початок програми - вересень 2010 р.)

Короткий опис програми:

Програма Карнегі підтримує проекти вчених-гуманітаріїв і надає їм можливість проведення досліджень в американських університетах протягом одного семестру. Учасники програми відбираються на конкурсній основі.

Учасникам програми надається квиток в обидва кінці (від свого міста до американського університету), орієнтаційний семінар у Вашингтоні або Сіетлі, щомісячна стипендія, одноразова допомога, медична страховка, поліс страхування життя, науковий керівник в університеті, доступ до бібліотек та архівів, фінансування з фонду професійного розвитку, за необхідності місячний курс англійської мови перед поїздкою в США, а також можливість участі у заходах по закінченні програми Карнегі як випускника.

Критерії, обов'язкові для участі в програмі:

1. Громадянство однієї з семи названих країн. Для російських учасників - проживання у Калінінградській або Ростовській областях.

2. Тема дослідження, відповідна темі того регіону, в якому проживає учасник (для Україны - Social Transformations in the Western Eurasia Border Region -- Belarus, Moldova, and Ukraine )

3. Останній рік навчання в аспірантурі, початковий етап викладацької та дослідницької роботи у вузі, або ж значний досвід наукової роботи, але відсутність можливості працювати в американських університетах у попередні роки.

4. Рівень письмової та усної англійської мови, достатній для проведення незалежного дослідження і спілкування зі своїми колегами в США.

5. Публікації за своєю тематикою. Аспіранти можуть вказувати виступи на конференціях.

6. Відсутність перешкод для отримання американської візи J-1.

Додаткову інформацію та форму заявки можна отримати на сайті http://www.nceeer.org та за alexei@nceeer.org (Харламов Олексій)

вул. Мельникова, 63
Київ, 04050
Україна
тел: +38 (044) 4832532, 4839138
факс: +38 (044) 4820220
www.nceeer.org


CARNEGIE RESEARCH FELLOWSHIP PROGRAM

RESEARCH OPPORTUNITIES IN THE UNITED STATES
FOR SCHOLARS IN THE HUMANITIES AND SOCIAL SCIENCES

A Program of the
National Council for Eurasian and East European Research (NCEEER)
In conjunction with the
American Councils for International Education: ACTR/ACCELS
And
The Caucasus Research Resource Centers (CRRC)
Supported by a Grant from
Carnegie Corporation of New York

PROGRAM DESCRIPTION:
The National Council for Eurasian and East European Research is pleased to announce the competition for the Carnegie Research Fellowship Program in the United States for the 2010-2011 academic year. Scholars of the humanities and social sciences from eligible regions may apply for individual, non-degree research opportunities at universities and institutes in the United States. This competition selects university faculty, researchers, advanced graduate students, and scholars in the social sciences and humanities from Armenia, Azerbaijan, Belarus, Georgia, Moldova, Russia (Kaliningrad and Rostov-na-Donu and their respective oblasts only), and Ukraine. All fellows will conduct research on specific topics in the social sciences and humanities, write a 15 to 30 page academic paper upon the fellow’s return home, and deliver lectures with the goal of contributing to the further development of higher education and scholarship in their regions. The Carnegie Research Fellowship Program (CRFP) is administered by the National Council for Eurasian and East European Research (NCEEER) in collaboration with the American Councils for International Education: ACTR/ACCELS (American Councils) and the Caucasus Research Resource Centers (CRRC). Participants in the CRFP will conduct research in the United States for four months.
Participants in the CRFP will receive the following: 1) round-trip airfare from their home cities to their host universities in the United States; 2) a pre-departure orientation, and an orientation program in either Seattle or Washington D.C.; 3) a monthly stipend; 4) health insurance; and 5) access to libraries and archives, and alumni activities. Additionally, all CRFP scholars will be eligible for a scholar development fund to aid in purchasing books, technology, and other research tools, or to attend a conference and become affiliated with professional groups in the United States.

Awards for this program are contingent upon the availability of funding from the Carnegie Corporation of New York.

DEADLINE FOR SUBMISSION OF APPLICATIONS:
April 30, 2010

ELIGIBILITY:

Individuals who are eligible to participate in CRFP:
• Citizens of Armenia, Azerbaijan, Belarus, Georgia, Moldova, Russia (only if residing, working, or studying in the cities of Kaliningrad and Rostov-na-Donu, and their respective regions), and Ukraine.
• Applicants whose proposals relate to the themes chosen by one of the Centers for Advanced Study and Education (CASE) in their region or country:

• The theme for Kaliningrad applicants:
Kaliningrad CASE at the Kaliningrad State University - Russia and Europe: Past, Present, Future

• The theme for Rostov applicants:
Rostov CASE at the Rostov State University – Russia’s Modernization Problems

• The theme for applicants from Belarus, Moldova, and Ukraine:
CASE at the European Humanities University - Social Transformations in the Western Eurasia Border Region -- Belarus, Moldova, and Ukraine.

• Caucasus Research Resource Centers (Baku, Erevan, Tbilisi). The South Caucasus Region: Armenia, Azerbaijan, and Georgia.


• Advanced graduate students, university faculty and scholars at any stage in their careers who have not recently conducted research projects at U.S. institutions.
• Scholars who hold a “Kandidatskaya” degree or higher, or who are working towards a “Kandidatskaya” degree at the time of application.
• Scholars who have a level of proficiency in written and spoken English that is sufficient to conduct independent research and engage colleagues.
• Scholars who have publications (advanced graduate students may cite papers presented at academic conferences) in a particular field.
• Scholars who are able to receive and maintain a United States J-1 visa.
Scholars who are able to begin the CRFP in the United States in September, 2010.
NCEEER, the American Councils, and the CRRC do not discriminate on the basis of race, color, sex, religion, national or ethnic origin, handicap or disability.

Individuals NOT eligible:

• Spouses of U.S. citizens or spouses of citizens of countries other than the countries specified.

• Individuals who have applied for an immigrant visa to any country, or who have requested political asylum in any country (this includes individuals who hold or have applied for a U.S. “green card” or who have applied to the U.S. Diversity Immigrant Visa Lottery).
• Employees of NCEEER, the American Councils, and the CRRC, their spouses, children, and grandchildren are not eligible to participate in any NCEEER/American Councils/CRRC-administered competition.

The CRFP provides no financial support for the family members or dependents of program participants.

All CRFP participants may be required to return to their home countries for at least two (2) calendar years upon completion of the program in the United States. No requests for visa extensions, waivers, or transfers will be granted under any circumstances.


CARNEGIE CORPORATION OF NEW YORK:

The Carnegie Corporation of New York was created by Andrew Carnegie in 1911 to promote "the advancement and diffusion of knowledge and understanding." As a grant making foundation, the Corporation seeks to carry out Carnegie's vision of philanthropy, which he said should aim "to do real and permanent good in this world." The focal areas of the Corporation's work have evolved over time, adapting to changing circumstances. Current program directions have been designed to correspond with the Corporation's historic mission and legacy. Currently, the Corporation makes grants in the areas of education, international peace and security, international development and in strengthening U.S. democracy.

ADMINISTERING ORGANIZATIONS:

National Council for Eurasian and East European Research (NCEEER)

Founded in 1978, the National Council for Eurasian and East European Research is a not-for-profit academic body whose purpose is to encourage and sustain high-quality research on Eastern Europe and the NIS in the social sciences and the humanities. Over the past twenty years, NCEEER has awarded grants and research contracts to thousands of U.S. scholars and institutions working at the forefront of academic research on the region. NCEEER’s outstanding network of scholars and institutions within the academic and social science community will enhance opportunities for Russian scholars and researchers to identify and engage the “best and the brightest” among American colleagues within their disciplines.

The American Councils for International Education: ACTR/ACCELS
Founded in 1974, The American Councils for International Education: ACTR/ACCELS is a private, not-for-profit professional association and exchange organization dedicated to academic cooperation with the NIS in the areas of research, faculty training, language study, and curriculum and materials development. American Councils programs offer U.S. and foreign students and faculty opportunities for serious research and study in the former Soviet Union.

The Caucasus Research Resource Centers: CRRC

The Caucasus Research Resource Centers program (CRRC) is a network of resource and training centers established in the capital cities of Armenia, Azerbaijan and Georgia with the goal of strengthening social science research and public policy analysis in the South Caucasus.

A partnership between the Carnegie Corporation of New York and the Eurasia Partnership Foundation (EPF), the program's outcomes are to increase the accessibility of high-quality research resources, to strengthen capacity and, to increase the dialogue and collaboration between social science researchers and policy practitioners.

Since the opening of the Centers in 2003, CRRC has become a nexus of activity for the South Caucasus social science community by providing open access to fundamental literature, data, and professional training for social science researchers. The centers will make it easier for researchers to pursue original work, to base their research on actual transition data, and to participate in the growing domestic policy research community.

Direct and indirect CRRC beneficiaries include social science researchers, faculty members from academic institutions, policy practitioners and other professionals from non-governmental, private and public sectors.

SUBMISSION OF APPLICATIONS AND PROJECT TIMELINE:

All applicants from Belarus, Moldova, Russia and Ukraine must submit an original and three copies of completed applications and all supporting materials to the American Councils/NCEEER office in Kyiv (see address below) by the deadline date of April 30th, 2010. All applicants from Armenia, Azerbaijan and Georgia are encouraged to submit their applications online through the CRRC website, http://www.crrccenters.org/, or by mail (original, and three copies) to the address below, by April 30th, 2010. Scholars should also retain a copy of the application for their records, as applications will not be returned. Faxed or emailed copies of applications will not be accepted. Successful applicants will be notified and in-person interviews conducted in Kyiv and Tbilisi in early June 2010 by multi-national committees. The semi-finalists will be notified by telephone and/or by mail by NCEEER/the American Councils about their interviews. All applicants will be notified of the results in due course.

All applications to the CRFP will be reviewed and evaluated by a multi-national group of specialists in the field who will provide written assessments of each proposal’s viability, need for access to U.S. resources, and potential contribution to the discipline in the applicant’s home country. A multi-national committee will interview each semi-finalist in English in order to discuss each applicant’s research project and how that project will benefit the applicant’s profession in his or her home country after returning from the United States, including possible benefits to the CASEs in which applicants have participated. Based on the evaluation of the written application and the results of the interview, finalists and alternate candidates will be selected by a panel of American specialists in the United States. Fellows will begin their programs in the United States in September, 2010 or January, 2011. Dates for fellowships will be determined by NCEEER or ACTR/ACCELS.

Note: No application will be returned to the applicant after the end of the competition. CRFP reserves the right to verify all of the information indicated in the application. In the event that there is a discrepancy, or information is found to be false, the application will immediately be declared invalid, and the applicant ineligible.


GENERAL INSTRUCTIONS

Please read all instructions and information carefully before completing the application.

FORMS: All forms must be completed in English and must be typewritten or hand-printed in black ink. All sections of the application must be completed; incomplete applications will not be considered. Write your full name on the upper right corner of each page of the application.

FAMILY: There are no provisions for family members to accompany scholars. No financial support, visas, or letters of support will be provided to accommodate the travel of family members of program participants.

MEDICAL FORMS: Finalists in the Carnegie Research Fellowship Program will be required to have a doctor complete a full medical form certifying that they are in good health. Medical forms are in English and will be sent to finalists together with the acceptance letter. Finalists who cannot provide completed medical forms certifying that they are in good health will not be awarded a grant.

SELECTION/PLACEMENT: All written applications will be reviewed and evaluated in the United States by selection panels of leading American scholars. NCEEER or American Councils will select semi-finalists. Multi-national committees will interview semi-finalists in Kyiv and Tbilisi. Placement will be arranged by NCEEER or the American Councils at U.S. institutions and universities that are appropriate for each scholar’s proposed research project.

RECOMMENDATIONS: Letters of recommendation will assist the U.S. selection committee in evaluating applications. Each applicant must submit two (2) letters of recommendation from colleagues, professors, or other qualified persons who are familiar with the applicant's work. Each letter should be signed by the recommender and carry an official stamp. All recommendations not in English must be accompanied by an English translation. The translator should sign and print his/her name at the end of the translation. Confidentiality of letters of recommendation cannot be guaranteed.

RESEARCH PROPOSAL: All proposals must be typed or printed in English and must be four (4) to five (5) pages in length. The most important part of this application is the description of your proposed research.

In your research proposal, you should:

• State your hypothesis concisely and completely.
• Describe your research objectives and how you plan to achieve them in the United States.
• Describe research work you have already conducted in this area and how it is related to the research you plan to undertake in the United States.
• Describe how you will use this research for the benefit of your field in your home country.
• Describe how you will share this research with colleagues in your home country, with particular emphasis on how you will inform one of the Centers for Advanced Study and Education of the nature and content of your work.
• Cite published research on your topic and colleagues whose research is in the same area.
• Indicate important U.S. colleagues, archives, libraries, and other resources you wish to use while in the United States.
• Clearly outline materials you need for your research that are not available in your home country.

RESUME: Please include a copy of your curriculum vitae (preferred) or resume in English.

In your resume, you should:

• Include your contact information (address, phone, e-mail address, if any).
• Provide your educational background.
• List your professional and research experience.
• Indicate significant honors and accomplishments.
• Describe your skills and language knowledge.

PRIVACY POLICY: Please sign and include the NCEEER privacy policy agreement. By submitting this application, you are agreeing to the terms of this privacy policy and authorizing NCEEER to utilize and distribute information in the manner described herein.

Please contact the American Councils/NCEEER office, if you have questions regarding the form of your letters of recommendation, research proposal, and resume.

NOTE: Please detach the application and submit the required number of copies with the required materials, as listed on the checklist on the last page of the application, to the NCEEER/American Councils office in Kyiv, or the CRRC office in Tbilisi. Keep the program description, eligibility requirements, and instruction information, along with a copy of all your application documents, for your records.


ADDRESSES:

Kyiv

Alexei Kharlamov
The American Councils for International Education: ACTR/ACCELS
vul. Melnykova 63
Kyiv 04050

Tel: (+ 38-044) 483-2532 / 483-9138
Fax: (+38-044) 482-0220

E-mail: alexei@nceeer.org
Website: http:www.nceeer.org

Tbilisi

CRRC/Eurasia Partnership Foundation
3 Kavsadze Street
Tbilisi 0179
Georgia

Tel: (995 32) 22 32 64
Fax: (995 32) 25 39 42/43

E-mail: nana@crrccenters.org
Website: http://www.crrccenters.org


U.S.

NCEEER
University of Washington
Box 353650
Seattle, WA 98195

Tel: (206) 543-1666
Fax: (206) 221-0885

E-mail: dana@nceeer.org
Website: http://www.nceeer.org


Carnegie Research Fellowship Program
APPLICATION
A Program of the National Council for Eurasian and East European Research (NCEEER), administered in conjunction with the American Councils for International Education: ACTR/ACCELS, and. supported by a Grant from the Carnegie Corporation of New York.

This application must be completed in English, except where specified. Applications should be typewritten whenever possible, otherwise please PRINT legibly, in black ink.

Applications must be submitted by April 30th, 2010.

Applicants from Belarus, Moldova, or Ukraine should submit their applications to NCEEER’s Kyiv office, care of Program Officer Alexei Kharlamov:

The American Councils for International Education: ACTR/ACCELS
vul. Melnykova 63
Kyiv, Ukraine 04050
tel.: (+ 38-044) 483-2532
fax: (+38-044) 482-0220

Applicants from Armenia, Azerbaijan, or Georgia should submit their applications online via the CRRC website: http://www.crrc.ge. Applications may also be submitted by mail to the CRRC Tbilisi office:

The Caucasus Research Resource Center
16, Zandukeli str. (ISET building)
0108, Tbilisi, Georgia
tel: (995 32) 50 52 90


Please e-mail NCEEER Senior Program Officers Dana Ponte, dana@nceeer.org, or Alexei Kharlamov, alexei@nceeer.org with any questions.

THIS APPLICATION MAY BE DUPLICATED AND IS FREE OF CHARGE.

1. NAME Please print your name in Latin letters (as it appears on your international passport if you have one). Do not translate. .

____________________________________________________________________________________________________
Last Name First Name Middle Name or Patronymic

2. GENDER (please circle one): Male Female

3. CITIZENSHIP ___________________________________

Attach recent photo
4. AGE _______ 5. DATE OF BIRTH_____/______/________
Month Day Year

6. PLACE OF BIRTH
city: _____________________¬¬¬ country:___________________

7. MAILING ADDRESS (the address at which you receive your mail) ____________________________________________________________________________________________________
Country City Postal Index
____________________________________________________________________________________________________
Street Name House/Apartment Number
(_________) _______________ _______________________ _____________________________________
City code Telephone (home) Another contact telephone E-mail address

8. DISABILITY ___YES ___NO
Information for statistical and logistic purposes only; answer will not affect the outcome of your application. If yes, please describe your disability (i.e. hearing impaired, visually impaired, etc.)
_________________________________________________________________________________________
_________________________________________________________________________________________

9. INTERNATIONAL PASSPORT NUMBER (if applicable)
_________________________________________________________________
10. CURRENT WORK ADDRESS IN ENGLISH

_________________________________________________________________________________________________________
Name of Institute or Organization Type of Organization
_________________________________________________________________________________________________________
Professional Title Department
_________________________________________________________________________________________________________
Country City Postal Index
(_________) _________________ _______________________ __________________________________________
City code Telephone (work) Fax E-mail address

11. YOUR SPECIALIZATION OR SUBFIELD _______________________________________________________________________________________

12. TITLE OF PROPOSAL
Please be as descriptive and specific as possible. If selected, the title of your proposal will be extremely important in arranging your placement.
_________________________________________________________________________________________

__________________________________________________________________________________________________________

13. PROVIDE A BRIEF SUMMARY OF YOUR RESEARCH PROPOSAL
Please limit your summary to 30 words or less. Your full five to seven page proposal should be attached to this application.
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________

14. PROPOSED U.S. UNIVERSITY/ORGANIZATION AFFILIATION
Please list universities in order of preference. Please list contact information (professor’s name, phone and e-mail address) whenever possible. We cannot guarantee your preference for placement.

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________


15. CARNEGIE RESEARCH FELLOWS ARE OFTEN ASKED BY THEIR HOST UNIVERSITIES TO TAKE PART IN DISCUSSIONS, SUCH AS GRADUATE SEMINARS, RELATED TO THEIR FIELDS. FROM TIME TO TIME, THEY ARE ALSO ASKED TO SPEAK ABOUT CURRENT SOCIAL, POLITICAL AND ECONOMIC SITUATION IN RUSSIA, RUSSIAN VIEWS OF AMERICA, AND SIMILAR MORE GENERAL TOPICS. ARE YOU WILLING TO TAKE PART IN ACTIVITIES SUCH AS THESE? ARE THERE PARTICULAR ISSUES OR SUBJECTS THAT YOU WOULD BE INTERESTED IN SPEAKING ABOUT? ___YES ___NO

If yes, please name them.

____________________________________________________________________________________________________________________________________________________________________________________
16. EDUCATIONAL BACKGROUND
Please list all institutions attended after school. Do not translate degree titles.

University Name and Location Field of Study Dates Degree & Date Received
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
17. PROVIDE YOUR EMPLOYMENT HISTORY IN REVERSE CHRONOLOGICAL ORDER
Include the past ten years.

Job Title Employer Name Address Dates

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________


18. LIST COURSES TAUGHT OR CURRENTLY TEACHING, AND APPROXIMATE NUMBER OF STUDENTS THAT YOU
TEACH EACH YEAR
____________________________________________________________________________________

____________________________________________________________________________________


19. LIST PUBLICATIONS IN SCHOLARLY JOURNALS/PERIODICALS IN REVERSE CHRONOLOGICAL ORDER
Do not translate titles.
Article or Monograph Title Publisher & City Year

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

20. INDICATE ANY ACADEMIC OR PROFESSIONAL HONORS RECEIVED, INCLUDING DATES
____________________________________________________________________________________

____________________________________________________________________________________

21. LIST PROFESSIONAL ACTIVITIES
Please include affiliations, significant honors, and accomplishments.

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

22. KNOWLEDGE OF ENGLISH AND OTHER LANGUAGES


Native Language: _________________________

Beginning with English, list all languages you know and rate your reading, writing, listening, and speaking skills in each language, using Excellent, Good, Fair, and Poor.

Language Reading Writing Listening Speaking

1. ENGLISH __________________________________________________________________________________

2.____________________________________________________________________________________________

3.____________________________________________________________________________________________

4.____________________________________________________________________________________________

23. TOEFL TESTING. If you have taken the Test of English as a Foreign Language (TOEFL), please give the date and location where you took the examination, and your scores. If you have a copy of the test scores, please attach a photocopy of your score reports to this application. (The TOEFL is NOT required for applicants to the CRFP.)

______________________________________________________________________________________________

______________________________________________________________________________________________

24. CURRENT ENGLISH TRAINING (OPTIONAL): Describe what you are doing now or plan to do to increase your English-language proficiency.

______________________________________________________________________________________________

______________________________________________________________________________________________


25. TRAVEL ABROAD FOR THE LAST FIVE YEARS (Please give year and place)

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________


26. U.S. TAX INFORMATION

a. If you have ever received a Social Security number or Tax Identification Number from the U.S. government, please list:
________ - _____ - ________

b. If you have neither of the aforementioned numbers, please provide the following information for tax purposes:

________________________________________________________________________
Mother’s maiden (before marriage) last name, first name, middle name or patronymic.

________________________________________________________________________
Father’s last name, first name, middle name or patronymic.


CERTIFICATION: I certify that the information given in this application is complete and accurate. I certify that I completed this application myself, without any aid or assistance. If selected, I agree to comply with all regulations of the Carnegie Research Fellowship Program and to return to my home country upon completion of my research program. I understand that my program may be terminated for giving false information, for general misconduct, or for any other reason. I understand that this program excludes accompanying spouse and/or children.


__________________________________________________________________________________________
Signature of applicant Date



Privacy policy of the National Council for Eurasian and East European Research (NCEEER) on information concerning candidates and participants in its programs


Information on program candidates and participants is essential to NCEEER in order to carry out its programs and evaluate their quality and effectiveness, as well as for the development of new programs.

NCEEER strictly observes the confidentiality of information obtained from the candidates and participants in its programs and uses this information in accordance with the principles outlined in this document. The principles in this document apply only to NCEEER. Other organizations involved in the administration of these programs may adhere to similar or different policies in working with information on program candidates or participants.

1. Type of information and means of information collection
Information on program candidates and participants consists of the testimony obtained from them in filling out their application forms, the conducting of interviews, and the process of completing the program, as well as data pertaining to program administration. This information, along with contact information, and information on education, professional experience, and work place, may also include personal information.
NCEEER preserves this requested information in both written and electronic forms. Some data—for example, contact information—will be continually updated, in order for representatives of NCEEER to maintain connections with participants, with the goal of sharing information on new programs and projects, and also for the evaluation by participants of program effectiveness.
2. Use of Information

Information is used:

• In the evaluation of your candidacy by the selections committee
• For presentation to the organizations which finance this program
• For presentation to potential participating schools, universities, or other organizations, with the goal of future participation in their academic and professional programs, and also in host families
• For the evaluation of the effectiveness of your participation in the program and your compliance with norms and rules outlined by the program
• For the timely notification of program graduates of forthcoming meetings and new programs and projects in which they can take part
• For data collection in evaluating the effectiveness of the programs being conducted
• For conveying to financial establishments and organizations invited by NCEEER to evaluate the effectiveness of the programs being conducted
• For conveying to participants and graduates of programs, financed by the United States government, with the goal of creating connections between graduates
• For conveying to non-profit organizations with the goal of cooperating in program graduates’ professional development

Information about the individuals—candidates and program participants—also may be used by NCEEER, financial organizations, or their representatives, for government statistics and evaluation of program research. The data analyzed in these activities may be published only as part of statistical data. Personal data will not be published. Exceptions are contact information, details relating to academic programs, professional placements (location where the program took place; schools, universities, and other host organizations; discipline; and research theme) and to attract graduates to future post-program activities (participation in meetings for graduates and small grant programs), and also those materials, which participants or program graduates present to NCEEER (provided they are not copyrighted).
By signing this document, you indicate your agreement to the collection, use, storage, and dissemination of information about you in accordance with the conditions laid out above.


______________________________ __________________
Signature Date


___________________________________________

Full Name (printed)


Application Checklist

Have you included:

One original and three copies of:

 Your completed application? (Be sure to keep a copy for your records.)

 Two letters of recommendation (with official stamp)?

 Your five to seven page research proposal?

 Your curriculum vitae or resume?

 Privacy Policy Agreement?