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Arthur F. Burns Fellowship
Application Form for Fellows
Arthur F. Burns Fellowship Program 2007
July 24 - September 30, 2007
Application deadline: March 1, 2007
I. PERSONAL DATA
Name:
*
Date of Birth:
*
Citizenship:
*
Current Employer:
*
Current Position:
*
Business Address:
*
Business Phone:
*
Business Fax:
*
Business E-mail:
*
Home Address:
*
Home Phone:
*
Home Email:
*
II. EMPLOYMENT EXPERIENCE
(begin with present position)
Organization (I):
*
Position and Duties:
*
Dates:
*
Organization (II):
*
Position and Duties:
*
Dates:
*
Organization (III):
Position and Duties:
Dates:
III. EDUCATION
(Briefly list any higher education degrees, institutions and dates)
*
IV. INTERNATIONAL EXPERIENCE
(Briefly describe any overseas work or travel, including all previous travel to Germany)
*
V. GERMAN LANGUAGE SKILLS
(Please note: Applicants are not required to be proficient in the German language but those with German language proficiency sufficient enough to work as a journalist in a German newsroom are given preference. Please choose one of the following for each category below: none, beginner, proficient, fluent)
Reading:
None
Beginner
Proficient
Fluent
*
Writing:
None
Beginner
Proficient
Fluent
*
Speaking:
None
Beginner
Proficient
Fluent
*
Listening:
None
Beginner
Proficient
Fluent
*
VI. PROFESSIONAL & PERSONAL GOALS AND INTERESTS
(Briefly describe any special issues or topics you particularly wish to explore during this program)
*
VII. AGREEMENT TO PROGRAM CONDITIONS
There is a great deal of opportunity for individual initiative in this fellowship program, but there are several minimum expectations to which participants are asked to adhere. If you wish to be considered for this program, please read and acknowledge the agreement below. If selected to be an Arthur F. Burns Fellow: I agree to foster and endorse the overall goals of the program, which are to increase awareness and knowledge of Germany and to promote closer and lasting personal contacts with my professional counterparts in Germany. I understand that this is a professional training program in which work is required. If selected for this fellowship, while I am affiliated with a German news organization selected by the sponsors, I agree to work for approximately half of the time on news coverage for my home news organization. Furthermore, I agree to work and/or observe journalism practices in Germany for approximately half of the time at the host news organization, serving in effect, as a temporary staff member. I understand that, although I may want to work in a particular region or city in Germany, my preferences will be considered but not guaranteed. I agree to participate in a group orientation in Washington, D.C., beginning on July 24, 2007, prior to my departure for Germany. I agree to provide, by November 1, 2007, a written report to the Fellowship administrators about my European experience. I understand that the program administrators will provide me with a stipend in the amount of $4,000 and a Continental Airlines travel voucher to cover my international and domestic program travel and basic living expenses during my fellowship. In addition, I may require some German language instruction prior to the fellowship to increase my proficiency, the sponsors will help fund such instruction, up $500. Because the purpose of the program is to enhance understanding between journalists in the United States and Germany, all travel, personal and professional, undertaken during the fellowship time frame is restricted to Germany unless approval has been granted in advance by program administrators. I agree to state my qualifications accurately in the application process, particularly in regard to proficiency in the German language. I HAVE READ AND AGREED TO ADHERE TO THE ABOVE GUIDELINES IF I AM SELECTED FOR THE 2007 ARTHUR F. BURNS FELLOWSHIP.
Applicant's name:
*
Date:
*
HOW DID YOU HEAR ABOUT THIS FELLOWSHIP PROGRAM?
*
NOTE:
Send your application package to The Arthur F. Burns Fellowship c/o International Center for Journalists. Please include five copies each of: * A letter explaining why you should be selected for this fellowship * An up-to-date curriculum vitae * Three samples of recent work as they appeared in print or were broadcast (home-use audio cassette, NTSC videotape, or CD formats only please) *A letter of recommendation from your direct supervisor
The Arthur F. Burns Fellowship, c/o International Center for Journalists, 1616 H Street, N.W., Third Floor; Washington, D.C. 20006; Tel: 202/737-3700; Fax: 202/737-0530; E-mail: burns@icfj.org
©2007 International Center For Journalists