Application Form for Visiting Scholars and Fellows

Application Deadline: February 1, 2009

Personal Information
* First Name
Middle Initial
* Last Name
* Primary Telephone
Primary Fax
* Primary Email

Permanent Address
* Street Address
* City
* State
* Country
* ZIP/Postal Code

Professional Information
* Professional Title
* Institution/Company
Proposed Length
of Stay at Harvard

Professional Address
Street Address
City
State
Country
ZIP/Postal Code

Countries of Expertise


Ctrl + left click to select multiple countries. (PC)
-or-
Apple + click to select multiple countries (MAC)

Discipline/Area of Expertise


Ctrl + left click to select multiple countries. (PC)
-or-
Apple + click to select multiple countries (MAC)

Letter of Recommendation 1 (required)
Name
Institution
Email
Delivery Method

Letter of Recommendation 2 (required)
Name
Institution
Email
Delivery Method

Curriculum Vitae
You may either attach a Microsoft Word (.doc) document or paste text into the text area provided below
Text Curriculum Vitae
Attached
Curriculum Vitae:

Proposal
A 3-4 page description of the proposed project including specific information about why you would be interested in carrying out this research project at Harvard.You may either attach a Microsoft Word (.doc) document or paste text into the text area provided below
Text Proposal
Attached
Proposal:

Have you applied to any other Harvard programs? YES NO

Would you be interested in teaching a course or seminar at Harvard? YES NO

if yes, please write a short description, including the proposed course title and department/school.

After you submit this form, you will receive an electronic version of your application via email. Please keep this copy for your records. When you submit your paper copies, please include a printed version of your application as well as hard copies of your recommendations, curriculum vitae and your proposal. Without these materials, your application will not be accepted.

Send 5 (five) copies of the application with supporting materials to:

Visiting Scholars Coordinator
David Rockefeller Center for Latin American Studies
1730 Cambridge Street, Second Floor, Cambridge, MA 02138
telephone: 617-496-2462; fax: 617-496-2802
email: drc_vsf@fas.harvard.edu
web: http://drclas.fas.harvard.edu

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