THE ENTERPRISE STUDENT FELLOWSHIP PROGRAM
APPLICATION INSTRUCTIONS AMERICAN COUNCILS REPRESENTATIVE OFFICES KAZAKHSTAN
4 floor, 20A Kazybek Bi Street Almaty, Kazakhstan, 050010 +7 727 291 9226 +7 727 291 9235 +7 727 291 9259
[email protected]
KYRGYZ REPUBLIC
187 Sydykov St., Office # 29 Bishkek, Kyrgyzstan, 720001 +996 312 910 987 +996 312 910 988 +996 312 910 989
[email protected]
TAJIKISTAN
86 Tolstoy Street Dushanbe, Tajikistan, 734003 +992 37 221 1795 +992 37 221 2103 +992 37 224 1457
[email protected]
ACADEMIC YEAR: 2015-2016
PROGRAM DESCRIPTION The Enterprise Student Fellowship Program is an academic scholarship program of the U.S.-Central Asia Education Foundation (the Foundation) that is administered by the American Councils for International Education (American Councils). Through this program, the Foundation seeks to provide affordable access to Western business know-how and practices at selected institutions of higher learning in Central Asia that have adopted Western curricula and teaching methods by providing scholarships (Enterprise Student Fellowships) to qualified students who due to low family income may otherwise not be able to obtain an undergraduate university degree in business administration or, in a limited number of circumstances, in economics. The Enterprise Student Fellowship program provides financial needbased scholarships to academically qualified students of Central Asia for undergraduate level studies in business administration at the American University of Central Asia (AUCA), Bishkek, Kyrgyz Republic and KIMEP University, Almaty, Kazakhstan and in economics (in a limited number of cases) at AUCA. Enterprise Student Fellowships for students commencing their studies in academic year 2015-2016 include full tuition and varying levels of support for living and travel expenses. Fellowships are awarded for the full four-year term of undergraduate study, but are subject to annual renewal based on academic performance and other conditions. Applicants for an Enterprise Student Fellowship must meet all entry requirements for the university they wish to attend, and be accepted as a full-time student prior to being awarded an Enterprise Student Fellowship.
ALL APPLICATION MATERIAL IS FREE OF CHARGE & MAY BE COPIED/ DOWNLOAD AT: WWW.US-CAEF.AMERICANCOUNCILSNETWORK.ORG
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ELIGIBILITY REQUIREMENTS The Enterprise Student Fellowship does not discriminate on the basis of race, color, sex, religion, national and ethnic origin, or disability. Persons with disabilities are strongly encouraged to apply. Competition is financial need-based with a strong merit-based component and open to anyone who is: • A citizen of, with permanent residency in Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan or Uzbekistan. • Proficient in spoken and written English at the time of application. • Able to demonstrate academic excellence, financial need, and professional aptitude & leadership potential in the field of business. • Able to begin the academic program at the start of the 2015-2016 academic year established by the university. • Able to receive and maintain all necessary immigration documentation. • Committed to returning to (or remaining in) their home country or region after completion of the program, to contribute to its business community and economic growth. INDIVIDUALS IN THE FOLLOWING CIRCUMSTANCES ARE NOT ELIGIBLE: • U.S. citizens and permanent residents of the United States, or citizens and permanent residents of countries other than the 5 participating countries. • Spouses of U.S. citizens and permanent residents of the United States, or spouses of citizens of countries other than the 5 participating countries. • Individuals currently residing or working outside the 5 participating countries, with the exception of FLEX program participants. • Employees, officers, or directors of the U.S. – Central Asia Education Foundation, or American Councils for International Education: ACTR/ACCELS, their spouse, children, sibling, parent (and in-law), grandparent (and in-law), or grandchild, or a person in a committed relationship with a director, officer or employee. • Individuals who are already enrolled at KIMEP University or AUCA, regardless of their major. Note to applicants from Turkmenistan or Uzbekistan: Citizens of turkmenistan and uzbekistan are eligible only for study at kimep university. Kimep university admissions requirements are changing to comply with legislation regarding secondary school requirements. Please contact the university directly to confirm your eligibility for admission. Students from uzbekistan & turkmenistan should apply through the almaty office of american councils.
ALL APPLICATION MATERIAL IS FREE OF CHARGE & MAY BE COPIED/ DOWNLOAD AT: WWW.US-CAEF.AMERICANCOUNCILSNETWORK.ORG
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APPLICATION STEPS 1 2 3 4 5
Read general application instructions carefully before you start to fill out this application. Specific instructions are included in each section of the application.
In case of divorce, single parenthood or death of one/ both parents, a document certifying such facts must be submitted. If there is a physically disabled family member, the medical certificate should be submitted.
Fill out all sections of the application and sign it
If parents/guardians are unemployed, a document from Labor and Social Care Office certifying their social status must be submitted.
* THE DOCUMENT CAN BE SIGNED BY A PARENT/GUARDIAN IF THE APPLICANT IS RESIDING OUTSIDE OF THEIR HOME COUNTRY AT THE TIME OF THE APPLICATION
Write your general essay and financial aid statement. Prepare two recommendation letters and transcripts.
Document from accounting office of the parents’ or spouse’s or guardians’ workplace certifying the income for the period of one year.
Gather all required supporting documents for financial aid.
If parent(s)/guardian/spouse have their own business, the following documents should be submitted: document certifying their registration in Tax Committee; Income Declaration for the period of one year.
PLEASE NOTE THAT APPLICANTS NEED TO MAIL ALL SUPPORTING FINANCIAL DOCUMENTS.
Document from Real Estate Agency certifying availability/absence of any real estate for all adult family members/guardians.
Assemble all required documents in the order indicated below. Please remember that a complete application consists of all following documents:
Statement from a real estate agency or a bank with indication of current market value of all real estate owned by any family member/guardians, if applicable.
COMPLETED & SIGNED APPLICATION FORM ONE PASSPORT SIZE PHOTO
Document from Traffic Authorities certifying the availability/absence of the transportation means (car, truck, motorcycle etc...) owned by any adult family members/ guardians.
TRANSCRIPT(S) AND COPIES OF ALL DIPLOMAS YOU HAVE RECEIVED (SEE PAGE 3 FOR DETAILS)
Document with indication of current market value of transportation means owned by any family member/ guardians, if applicable.
GENERAL ESSAY (SEE PAGE 6 FOR DETAILS ) FINANCIAL AID STATEMENT (SEE PAGE 7 FOR DETAILS) TWO RECOMMENDATION LETTERS PLEASE USE THE FORMS PROVIDED ON PAGES 8-11. IF A RECOMMENDATION IS WRITTEN IN THE NATIVE LANGUAGE, IT MUST BE ACCOMPANIED BY AN ENGLISH TRANSLATION.
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Make a copy of each document, including your completed & signed application and all supporting documents listed in Step 5.
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Bring or mail TWO sets of documents—one original & one copy each in the exact order indicated in Step 5-to the American Councils office in your home country. The addresses of the offices are indicated in the table on page I. The citizens of Uzbekistan and Turkmenistan must mail their documents to Almaty, Kazakhstan.
TOEFL OR SAT SCORE REPORTS (IF TAKEN PREVIOUSLY) FINACIAL AID DOCUMENTS: Document identifying the list of family members. If parents are pensioners, please provide an official document that shows the pension payments they have received for one year.
IMPORTANT:
Two sets of application documents (one original and one copy) must be submitted to the American Councils office in your home country by 17:00, February 13th, 2015 (local time in the representative office of American Councils where you are required to submit your documents). Incomplete applications and applications received after the deadline will not be considered. Each copy of your application must include all required attachments in the exact order indicated in Step 5. Applications will not be returned to the applicants after the competition has concluded. American Councils reserves the right to verify all of the information indicated in any application. In the event that there is a discrepancy, or information is found to be false, the application will be declared invalid, and the applicant ineligible. ALL APPLICATION MATERIAL IS FREE OF CHARGE & MAY BE COPIED/ DOWNLOAD AT: WWW.US-CAEF.AMERICANCOUNCILSNETWORK.ORG
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APPLICANT: (last name, first name)
APPLICATION 2015
THE ENTERPRISE STUDENT FELLOWSHIP PROGRAM
PERSONAL INFORMATION
• PLEASE TYPE OR PRINT NEATLY IN ENGLISH
Last (Family) Name FIRST Name
M
Date of Birth
Patronymic
F
Gender
Marital Status
Country of Citizenship
Children
Hometown
Do you have a disability?
Yes
if yes, describe
No
CONTACT INFORMATION
EMERGENCY CONTACT INFORMATION
Street Address
Last (Family) Name
Building
Apartment#
City
Country
Home Phone
cell Phone
First Name Postal Code
Relationship to You Telephone
Personal Email
Email
PASSPORT INFORMATION Do you have an internationally recognized passport? Yes
No
Full Name: (spell your name exactly as it is in your passport) Passport Number
Expiration Date: (mm/dd/yyyy)
UNIVERSITY OPTIONS & FIELD OF STUDY Please select the university to which you intend to apply (select one only) & indicate the field of study you intend to pursue at the university of your choice. AUCA - BISHKEK, KYRGYZSTAN
KIMEP - ALMATY, KAZAKHSTAN
Business Administration
Accounting & Audit Finance Management Marketing
KIMEP UNIVERSITY
AMERICAN UNIVERSITY OF CENTRAL ASIA
Economics
*Note: strong preference will be Given to those applying in the field of business administration
STANDARDIZED TESTS TOEFL :
Yes
No
Date:
TOTAL Score:
Essay Rating:
OTHER: ______________
Yes
No
Date:
Total Score:
MATH SCORE (IF APPLICABLE):
ALL APPLICATION MATERIAL IS FREE OF CHARGE & MAY BE COPIED/ DOWNLOAD AT: WWW.US-CAEF.AMERICANCOUNCILSNETWORK.ORG
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APPLICANT: (last name, first name)
EDUCATIONAL INFORMATION
(SECONDARY SCHOOL, INSTITUTE, UNIVERSITY, ETC.)
CURRENT INSTITUTION
PREVIOUS INSTITUTION
Name of institution
Name of institution
Major (if currently a university student)
Major (if currently a university student)
Start Date
Start Date
End Date
End Date
Degree or Diploma
Degree or Diploma
INTERNATIONAL EDUCATIONAL EXPERIENCE
Enter any international educational experience starting with the most recent. Please do not list any locations visited for tourism.
Date:
Date:
Name of the Program:
Name of the Program:
PROFESSIONAL EXPERIENCE Most Recent Employer:
Is This Your Current Employer?
Yes
No
Job Title: Employment Started:
Employment Stopped:
Number of Hours per Week:
ACADEMIC & CAREER GOALS (200-250 WORDS)
Using the space below, please write what you intend to study at the university & how this will help you achieve your career aspirations:
ALL APPLICATION MATERIAL IS FREE OF CHARGE & MAY BE COPIED/ DOWNLOAD AT: WWW.US-CAEF.AMERICANCOUNCILSNETWORK.ORG
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APPLICANT: (last name, first name)
SCHOOL TRANSCRIPTS & DIPLOMAS Official copies of all school transcripts and diplomas from each institution attended in the language(s) in which they were issued must be attached. If you are currently in your last year of high school, please enclose your transcripts for the last two years. If you have completed your high school or another institution, please provide your high school diploma (“attestat”). If you are currently enrolled in another institution or preparatory courses, please provide your current transcript. FLEX applicants must provide transcripts from their U.S. schools. For the purposes of this program, a transcript is a listing of every course you took to receive your diploma and the grade you received in each course. An English translation is required for all transcripts. Please use a template below for the translation. All transcripts should be signed and stamped by your school’s director or deputy director. APPLICANT Last (Family) Name
FIRST Name
PATRONYMIC
ACADEMIC YEAR | SUBJECT NAME
Signature:
| GRADE
Stamp:
ALL APPLICATION MATERIAL IS FREE OF CHARGE & MAY BE COPIED/ DOWNLOAD AT: WWW.US-CAEF.AMERICANCOUNCILSNETWORK.ORG
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APPLICANT: (last name, first name)
ACADEMIC ACHIEVEMENTS/ACCOMPLISHMENTS Please list and describe any awards or honors you have received for the last three years: DATE
| DESCRIPTION
NON-ACADEMIC ACHIEVEMENTS/LEADERSHIP POSITIONS Please indicate any awards or accomplishments outside of the classroom for the last three years. (For example, a civic award given to you by the mayor). DATE
| DESCRIPTION
ALL APPLICATION MATERIAL IS FREE OF CHARGE & MAY BE COPIED/ DOWNLOAD AT: WWW.US-CAEF.AMERICANCOUNCILSNETWORK.ORG
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APPLICANT: (last name, first name)
AEXTRACURRICULAR/VOLUNTEER ACTIVITIES/INTERESTS Please list your extracurricular activities you have been involved in during the last three years & indicate how many hours per week on average you devote to the activity. HOURS
| DESCRIPTION
ACHIEVEMENTS ESSAY (ABOUT 200-250 WORDS)
Please describe in 200-250 words in the space below which of the academic & non-academic achievements listed above you are especially proud of & why.
ALL APPLICATION MATERIAL IS FREE OF CHARGE & MAY BE COPIED/ DOWNLOAD AT: WWW.US-CAEF.AMERICANCOUNCILSNETWORK.ORG
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APPLICANT: (last name, first name)
GENERAL ESSAY (MAXIMUM 600 WORDS) PLEASE WRITE AN ESSAY ADDRESSING 2 QUESTIONS BELOW:
• Explain how your background, education, and employment have prepared you to study at one of the participating universities.
• How will your future work contribute to the development of a vibrant economy in Central Asia?
Your essay should be one page long, typed or may be hand written neatly.
ALL APPLICATION MATERIAL IS FREE OF CHARGE & MAY BE COPIED/ DOWNLOAD AT: WWW.US-CAEF.AMERICANCOUNCILSNETWORK.ORG
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APPLICANT: (last name, first name)
FINANCIAL AID STATEMENT (300-400 WORDS)
Scholarships will be awarded to those candidates with clear and demonstrable financial need. Please write a clear and detailed description of your current financial status and why you believe you financially qualify for an Enterprise Student Fellowship.
ALL APPLICATION MATERIAL IS FREE OF CHARGE & MAY BE COPIED/ DOWNLOAD AT: WWW.US-CAEF.AMERICANCOUNCILSNETWORK.ORG
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APPLICANT: (last name, first name)
LETTER OF RECOMMENDATION 1
РЕКОМЕНДАТЕЛЬНОЕ ПИСЬМО 1 Форма должна быть заполнена учителем, директором школы или другим лицом, который знает кандидата, но НЕ состоит с ним в личных отношениях.
To be completed by a teacher, school director, or other individual who is familiar with the applicant. NOT to be completed by someone who is related to the applicant.
APPLICANT Last (Family) Name | Фамилия КАНДИДАТА
FIRST Name | Имя
PATRONYMIC | Отчество
Field of Study
Предполагаемая сфера обучения в университете
In what capacity, & for how long, have you known the applicant?
В каком качестве и как долго вы знаете кандидата?
Please evaluate the applicant in the following categories (check the appropriate boxes). Пожалуйста, оцените кандидата по следующим категориям (сделайте соответствующие отметки в квадратах).
EXCELLENT ОТЛИЧНО
| GOOD | FAIR | | ХОРОШО | УДОВЛЕТВОРИТЕЛЬНО |
POOR | ПЛОХО |
UNABLE TO JUDGE НЕ МОГУ ОЦЕНИТЬ
ABILITY TO ADAPT TO NEW SITUATIONS Способность адаптироваться к новым ситуациям ABILITY TO INTERACT WITH OTHERS Способность взаимодействовать с другими MATURITY Зрелость RESPONSIBILITY Чувство ответственности ACADEMIC PERFORMANCE Академическая успеваемость INTELLECTUAL CURIOSITY Любознательность MOTIVATION Мотивация
Please cite a concrete example of a specific accomplishment the applicant has made in school or extracurricular activities.
Пожалуйста, приведите пример конкретного достижения кандидата из академической или внешкольной сферы.
ALL APPLICATION MATERIAL IS FREE OF CHARGE & MAY BE COPIED/ DOWNLOAD AT: WWW.US-CAEF.AMERICANCOUNCILSNETWORK.ORG
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APPLICANT: (last name, first name)
PLEASE DESCRIBE THIS APPLICANT’S POTENTIAL FOR LEADERSHIP OR SUCCESS IN THE FIELD OF BUSINESS (OR ECONOMICS IF THE APPLICANT IS APPLYING FOR A SCHOLARSHIP FOR THE STUDY OF ECONOMICS).
How has the applicant’s background prepared him/her for study in the selected academic discipline?
ПОЖАЛУЙСТА, ДАЙТЕ ОЦЕНКУ ЛИДЕРСКОГО ПОТЕНЦИАЛА КАНДИДАТА ИЛИ ЕГО/ЕЕ СПОСОБНОСТИ ДОСТИЧЬ УСПЕХА В ОБЛАСТИ БИЗНЕСА (ИЛИ ЭКОНОМИКИ, ЕСЛИ КАНДИДАТ ПОДАЕТ АНКЕТУ НА СТИПЕНДИЮ ДЛЯ ИЗУЧЕНИЯ ЭКОНОМИКИ).
Как Вы оцените уровень подготовки кандидата для выбранной академической программы?
Name & Title (please print) / Имя и должность рекомендателя (печатными буквами) Place of Employment or Academic Affiliation / Место работы или академическое учреждение Address (Street) / Адрес (улица) Work Telephone / Рабочий телефон Signature / Подпись
TRANSLATOR’S STATEMENT
This section must be filled out by the translator if the original recommendation is not in English. I hereby certify that the above English translation is a true and accurate rendering of the original text.
Email Address / Адрес электронной почты Date / Дата
УТВЕРЖДЕНИЕ ПЕРЕВОДА
Этот раздел должен быть заполнен переводчиком, если рекомендация написана не на английском языке. Настоящим подтверждаю, что выше-изложенное является достоверным и точным переводом оригинального текста на английский язык.
Last (Family) Name / Фамилия
FIRST Name / Имя
PATRONYMIC / Отчество
Signature/ Подпись
Date / Дата
ALL APPLICATION MATERIAL IS FREE OF CHARGE & MAY BE COPIED/ DOWNLOAD AT: WWW.US-CAEF.AMERICANCOUNCILSNETWORK.ORG
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APPLICANT: (last name, first name)
LETTER OF RECOMMENDATION 2
РЕКОМЕНДАТЕЛЬНОЕ ПИСЬМО 2 Форма должна быть заполнена учителем, директором школы или другим лицом, который знает кандидата, но НЕ состоит с ним в личных отношениях.
To be completed by a teacher, school director, or other individual who is familiar with the applicant. NOT to be completed by someone who is related to the applicant.
APPLICANT Last (Family) Name | Фамилия КАНДИДАТА
FIRST Name | Имя
PATRONYMIC | Отчество
Field of Study
Предполагаемая сфера обучения в университете
In what capacity, & for how long, have you known the applicant?
В каком качестве и как долго вы знаете кандидата?
Please evaluate the applicant in the following categories (check the appropriate boxes). Пожалуйста, оцените кандидата по следующим категориям (сделайте соответствующие отметки в квадратах).
EXCELLENT ОТЛИЧНО
| GOOD | FAIR | | ХОРОШО | УДОВЛЕТВОРИТЕЛЬНО |
POOR | ПЛОХО |
UNABLE TO JUDGE НЕ МОГУ ОЦЕНИТЬ
ABILITY TO ADAPT TO NEW SITUATIONS Способность адаптироваться к новым ситуациям ABILITY TO INTERACT WITH OTHERS Способность взаимодействовать с другими MATURITY Зрелость RESPONSIBILITY Чувство ответственности ACADEMIC PERFORMANCE Академическая успеваемость INTELLECTUAL CURIOSITY Любознательность MOTIVATION Мотивация
Please cite a concrete example of a specific accomplishment the applicant has made in school or extracurricular activities.
Пожалуйста, приведите пример конкретного достижения кандидата из академической или внешкольной сферы.
ALL APPLICATION MATERIAL IS FREE OF CHARGE & MAY BE COPIED/ DOWNLOAD AT: WWW.US-CAEF.AMERICANCOUNCILSNETWORK.ORG
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APPLICANT: (last name, first name)
PLEASE DESCRIBE THIS APPLICANT’S POTENTIAL FOR LEADERSHIP OR SUCCESS IN THE FIELD OF BUSINESS (OR ECONOMICS IF THE APPLICANT IS APPLYING FOR A SCHOLARSHIP FOR THE STUDY OF ECONOMICS).
How has the applicant’s background prepared him/her for study in the selected academic discipline?
ПОЖАЛУЙСТА, ДАЙТЕ ОЦЕНКУ ЛИДЕРСКОГО ПОТЕНЦИАЛА КАНДИДАТА ИЛИ ЕГО/ЕЕ СПОСОБНОСТИ ДОСТИЧЬ УСПЕХА В ОБЛАСТИ БИЗНЕСА (ИЛИ ЭКОНОМИКИ, ЕСЛИ КАНДИДАТ ПОДАЕТ АНКЕТУ НА СТИПЕНДИЮ ДЛЯ ИЗУЧЕНИЯ ЭКОНОМИКИ).
Как Вы оцените уровень подготовки кандидата для выбранной академической программы?
Name & Title (please print) / Имя и должность рекомендателя (печатными буквами) Place of Employment or Academic Affiliation / Место работы или академическое учреждение Address (Street) / Адрес (улица) Work Telephone / Рабочий телефон Signature / Подпись
TRANSLATOR’S STATEMENT
This section must be filled out by the translator if the original recommendation is not in English. I hereby certify that the above English translation is a true and accurate rendering of the original text.
Email Address / Адрес электронной почты Date / Дата
УТВЕРЖДЕНИЕ ПЕРЕВОДА
Этот раздел должен быть заполнен переводчиком, если рекомендация написана не на английском языке. Настоящим подтверждаю, что выше-изложенное является достоверным и точным переводом оригинального текста на английский язык.
Last (Family) Name / Фамилия
FIRST Name / Имя
PATRONYMIC / Отчество
Signature/ Подпись
Date / Дата
ALL APPLICATION MATERIAL IS FREE OF CHARGE & MAY BE COPIED/ DOWNLOAD AT: WWW.US-CAEF.AMERICANCOUNCILSNETWORK.ORG
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APPLICANT: (last name, first name)
LIST OF FAMILY MEMBERS When applicable, please attach stamped or notarized copies of the required financial documents to your application packet. You do not need to translate these documents into English. Please list the immediate family members currently living with you. Please include any other relatives or nonrelatives who live with you or are supported by your family. NAME
| RELATIONSHIP TO APPLICANT
| AGE
| PROFESSION/OCCUPATION
FAMILY STATUS Are your parents divorced/separated?
Is your mother or father deceased?
Yes No
Do you have a physically or mentally disabled family member?
Mother deceased Father deceased No
PLEASE INDICATE THE HIGHEST LEVEL OF EDUCATION COMPLETED BY YOUR FATHER (IF APPLICABLE):
Yes No
*if yes, please attach a certificate attesting to the medical condition.
PLEASE INDICATE THE HIGHEST LEVEL OF EDUCATION COMPLETED BY YOUR MOTHER (IF APPLICABLE):
Not applicable/did not attend school
Not applicable/did not attend school
Attended school but did not finish
Attended school but did not finish
Secondary School
Secondary School
Technical or Vocational School
Technical or Vocational School
University or Institute
University or Institute (for example, Specialist’s Diploma)
Post-Graduate School (for example, Kandidat or Doktor nauk)
Post-Graduate School (for example, Kandidat or Doktor nauk)
EMPLOYMENT Is either of your
parents/guardians unemployed? Yes (father)
Yes (mother) No
*If yes, please submit documentation certifying this status.
Is your mother
currently employed? Yes No
*If yes, please indicate her monthly salary (in USD):
Is your father
currently employed? Yes No
*If yes, please indicate his monthly salary (in USD):
Do any other family
Overall, how much
your monthly house-
family will be able to
members contribute to hold income? Yes No
do you estimate your contribute each month toward your studies?
*If yes, please indicate the amount of their contribution:
If you answered yes to any of the questions regarding employment, please include documents from the accounting department of the place of employment verifying the monthly salary over the period of one year up to the present time, including income from pension. If you are unable to obtain this document (for example, if you are self-employed, please include a signed letter explaining why you are unable to submit official documentation & indicate the monthly income). ALL APPLICATION MATERIAL IS FREE OF CHARGE & MAY BE COPIED/ DOWNLOAD AT: WWW.US-CAEF.AMERICANCOUNCILSNETWORK.ORG
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APPLICANT: (last name, first name)
HOUSING & PROPERTY Do your parents own a house/apartment? Yes
Did your family secure a
Do your parents live
to purchase your home?
house/ apartment?
mortgage loan from a bank
No
* If yes, please indicate the estimated market value of the house/apartment:
Yes
in a government-provided Yes
No
Does your family own a car? Yes No
*If yes, please indicate the make/ model of the car, year & estimated market value (in USD):
No
* If yes, please indicate the amount in USD of the monthly payment:
PLEASE NOTE: U.S.-CAEF reserves the right to verify the financial information provided in this application. Applicants who provide false or misleading information will be disqualified. In addition, American Councils conducts periodic inquiries into Fellows’ financial status once they are on program to verify the information reported in this application. If American Councils learns that a U.S.-CAEF Fellow has provided false information in his/her application, the Fellowship will be terminated immediately.
RECRUITMENT INFORMATION Provide information about how you heard about the U.S.-CAEF program. This information will not be used in the evaluation of your application. It will help the program administrators plan the advertising and recruiting campaign for next year.
American Councils Office
Television, Station:
Friend Radio, Station:
U.S. Embassy American Corner
Internet, Site Address:
US Educational Advising Center Your Workplace
Other, Please Describe:
Your School Presentation by American Councils o r the Foundation Newspaper/Journal Name:
IMPORTANT Please review this document, sign it and submit the original and one copy of the application and all supporting documents in the exact order indicated in the section “Application Steps” on page III to the American Councils office in your home country by 17:00, February 13th, 2015. I certify that the information given in this application is complete and accurate to the best of my knowledge. The U.S.-CAEF reserves the right to verify all of the information indicated in this application. In the event that there is a discrepancy, or information is found to be false, the application will be declared invalid and the application ineligible.
Signature: Date:
IF AN APPLICANT IS NOT CURRENTLY IN HIS/HER HOME COUNTRY (e. g. a FLEX participant) a relative or a guardian can sign the application at the direction & on behalf of the applicant in the area below:
Last (Family) Name
FIRST Name
Signed at the direction & on behalf of Applicant by
Relation to the Applicant
Date
ALL APPLICATION MATERIAL IS FREE OF CHARGE & MAY BE COPIED/ DOWNLOAD AT: WWW.US-CAEF.AMERICANCOUNCILSNETWORK.ORG
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