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Solmsen Fellowship Application PLEASE SUBMIT THREE COPIES OF YOUR APPLICATION THE INSTITUTE FOR RESEARCH IN THE HUMANITIES 1. Name: _____________________________________________________________ 2. Present Address:_____________________________________________________ _____________________________________________________________________ Valid until: ____________________ e-mail address:____________________ Telephone ______________________________________________________ A permanent address: ___________________________________________________________________ 3. Date of birth _________________ Place of birth _________________________ Citizenship _____________________ 4. Present rank or title ______________________________ Institution ___________________________________________________________ 5. Department ________________________________________________________ Field of Specialization __________________________________________________ 6. Title of your project: _____________________________________________________________________ 7. Representative list of publications (not more than 5 in this space). Include title, date of publication, name of publisher or journal and number of pages. Attach a vita, on which you include a full list of publications.
8. Give a summary of your education.
9. Title of doctoral dissertation:
10. Give a list of the grants or fellowships you have previously held or now hold, giving in each case the dates and amounts of awards.
In what foreign countries have you done research in the last five years?
11. Positions held (professional, teaching, administrative): (Begin at the present and work backwards.)
12. List the foreign languages you can use, indicating proficiency in reading, speaking and writing.
13. Give the names, titles and addresses of 3 or 4 persons familiar with your work and proposed research. Have supporting letters from your referees sent directly to the Institute. (Dossiers from educational placement bureaus do not meet our needs.) A. _______________________________________________________ _______________________________________________________ B. _______________________________________________________ _______________________________________________________ C. _______________________________________________________ _______________________________________________________ D. _______________________________________________________ _______________________________________________________ 14. Are you applying elsewhere for financial aid for
the same project and period? (Specify, including where possible,
amounts requested.) 15. Attach a description of your project in not more than 1200 words. Address the significance of the project and your plan to research. Make clear the relationship of the project to your previous research and your future professional development. |