2016 HGH HBI Scholar-in-Residence Program – Summer or Fall Semester

Helen Gartner Hammer Scholar in Residence Program - Summer or Fall 2016 - APPLICATION
To Apply

Please provide all of the information requested below as well as three (3) professional letters of reference; letters may be attached to the end of this form, or sent via email directly to dolins@brandeis.edu. Emailed references should have your name in the subject line.

A HARD COPY of all attachments should be sent to:

Debby Olins
HBI -MS 079
Brandeis University
Waltham, MA 02454

Deadline for proposals: Thursday, January 28, 2016
Note: Information cannot be saved or stored on the form for submission at a later date. To submit at a later date, applicants should complete their responses in another program, i.e. Word, and cut and paste their comments into the appropriate boxes at the time of submission.
Applicant Information
Full Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
E-mail *
Phone Number *

Area Code Phone Number
Introduction
Semester for which you are applying? *

Summer 2016 Fall 2016
Letter of introduction. Include your preferred dates of residence. *

0/500
Proposal
Project Abstract *
Project Description *
A Literature Review and/or Bibliography is required for all research projects. It may be attached at the end of this form.
Additional Information
Three (3) suggested topics for a public and/or academic lecture (Note: Topics are tentative and may be changed if deemed appropriate by both the HBI and the scholar.) *
Statement explaining where you learned about this opportunity. *
Please list below the names of at least three individuals who will provide a professional reference on your behalf. Specify whether the reference is attached to this form or emailed to dolins@brandeis.edu. Note: Your application will not be complete until all references have been received. *
Additional comments about your proposal?
Attachments
References.

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Literature Review / Bibliography (if required)

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CV *

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Writing Sample *

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Helen Gartner Hammer Scholar in Residence Program - Summer or Fall 2016 - APPLICATION