Application for the World Affairs International Journalism Fellowships

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The World Affairs International Journalism Fellowships - Application

Click here to download this application form in Microsoft Word.

Application deadline: March 9, 2007

APPLICATION SUMMARY SHEET

Name:*
Brief Project Description (2-3 sentences): *
Expected Duration of Overseas Trip (1-3 weeks): *

In applying for a World Affairs Journalism Fellowship, I agree to all conditions set forth in the enclosed application information and understand that, if I am selected, my fellowship may be terminated at any time for cause, as determined by the program administrator. Date:*Signature: *

Expected Departure Date (approximate): *

APPLICATION FORM FOR FELLOWS

Your application should include:

- The completed application form,
- Two confidential letters of recommendation sent directly to ICFJ�
- A proposed project description (less than 800 words)�
- A separate resume (Agreement with employing organization will be required after selection of applicant)

I - PERSONAL DATAName:*Date and Country of Birth:*Citizenship/Passport Number:*Social Security Number:*Current Employer*Current Position:*Business Address:*Business Phone:*Business Fax:*Business Email:*Home Address:*Home Phone:*Home Email:*Please Indicate Address We Should Use For Correspondence:*Health (Do You Have Any Health Conditions or Dietary Needs That Could Affect Your Ability to Participate Fully in This Program or to Travel Abroad?)*How did you hear about the program?From information sent to me or to my newspaper by mailFrom information sent to me or to my newspaper by electronic mailFrom ICFJ fellowship alumniFrom ICFJ newslettersICFJ Website or IJNetOther*

II - EMPLOYMENT EXPERIENCE

LIST PRESENT POSITION FIRST. PLEASE ATTACH A RESUME IN ADDITION TO PROVIDING THE FOLLOWING INFORMATION.

Organization (I)*
Position*
Dates*
Organization (II)
Position
Dates
Organization (III)
Position
Dates
Briefly elaborate on your duties and responsibilities at your newspaper and how they will make you a strong candidate for this fellowship.*

III - EDUCATION Briefly list any higher education degrees, institutions and dates.*

IV - INTERNATIONAL EXPERIENCEBriefly list any overseas work or travel you have completed in the past 10 years.*

V - LANGUAGE SKILLS

Please indicate your proficiency, if any, in languages other than English.

Language: *SPEAKING: COMPREHENSION:READING: LanguageSPEAKING: COMPREHENSION:READING: LanguageSPEAKING: COMPREHENSION:READING:

VI - REASONS FOR APPLYING

Please attach a description of no more than 800 words of your project proposal. (See guidelines for project proposal on the fellowship information guide.)

VII - PROFESSIONAL RECOMMENDATIONS

Applicants for this fellowship are required to have two confidential letters of recommendation sent to the advisory committee by March 1, 2005. The letters should comment on the applicant� his/her journalistic or media qualifications as well as his/her suitability for an overseas fellowship.

VIII - PERSONAL REFERENCES

Please list below those associates and/or acquaintances who may be contacted for reference purposes. These references should include the names of persons other than those who will submit confidential letters of recommendation in section vii.

Name (I)*
Title*
Organization*
Contact information*
Name (II)*
Title*
Orginazation*
Contact information*

NOTE:

Completed forms and letters of recommendation must be submitted on or before March 1 to: World Affairs Journalism Fellowship Program International Center for Journalists 1616 H Street, NW Third Floor Washington, DC 20006 USA Tel: (202) 737-3700 / Fax: (202) 737-0530 E-mail: wajf@icfj.org Web Sites: www.icfj.org/worldaffairs.html

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