邢唷> hkg欹 鳵點bjbj鱘鱘4l攰攰 ,,uuuuubV|$U!Quuum uu`酺&_ 0"""u", ;: FOX INTERNATIONAL FELLOWSHIP 2015-2016 (From partner institutions)Nomination From: FORMCHECKBOX Berlin FORMCHECKBOX Cambridge FORMCHECKBOX Cape Town FORMCHECKBOX Delhi FORMCHECKBOX Istanbul FORMCHECKBOX Mexico City FORMCHECKBOX Moscow FORMCHECKBOX Paris FORMCHECKBOX Shanghai FORMCHECKBOX Sao Paulo FORMCHECKBOX Tel Aviv FORMCHECKBOX Tokyo FORMCHECKBOX GhanaApplicant Information:Last Name:  FORMTEXT       First Name:  FORMTEXT      Middle Name:  FORMTEXT      E-mail:  FORMTEXT      Telephone Number:  FORMTEXT      Permanent Mailing Address:  FORMTEXT       City and Country of Birth:  FORMTEXT       Date of Birth (Month/Day/Year):  FORMTEXT      Country of Citizenship:  FORMTEXT       Gender (M/F):  FORMTEXT    University StatusDepartment:  FORMTEXT      Current Year of Study :  FORMTEXT      Degree Sought:  FORMTEXT      Expected Graduation Date:  FORMTEXT      Career Plans After Graduation:  FORMTEXT       Project InformationProposed Project Title:  FORMTEXT       Level of English Language Proficiency (TOEFL or IELTS scores):  FORMTEXT       Briefly summarize the links between the proposed project and your academic program:  FORMTEXT       DependentsPlease list any dependents (immediate family members) who will be accompanying you, include name and date of birth:  FORMTEXT       (Note: The Fox !%&'CDUVWefg滾滾滾硐硐擴梾s^M5^/jh;h麿CJOJQJU^JaJ h;h麿CJOJQJ^JaJ)jh;h麿CJOJQJU^JaJ#h;h;j5丆JOJQJ^JaJ#h;h;j5丆JOJQJ^JaJ#hyhe5丆JOJQJ^JaJ,hy;he5丅*CJOJQJ^JaJphh|5丆JOJQJ^JaJh鏹5丆JOJQJ^JaJhy5丆JOJQJ^JaJ#hyh!5丆JOJQJ^JaJ'CDUVnqhhhhhh $Ifgd!zkd$$If杔$h%  t 柑0644 lap 柑yt $$Ifa$gd{a3$a$gd! 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A copy of this application cover sheet. 2. A written research proposal of 3-5 pages describing the topic and method of research, the facilities you will need (e.g. specific libraries, archives, institutes and/or scholars) and how the research fits your academic program and/or career plans, and the goal of the Fox International Fellowship Program. The proposal should address your career aspirations. Note that preference will be given to the topics of contemporary, applied and/or institutional relevance to enhancing the world s peace and prosperity. 3. A 1-2 page narrative addressing your leadership potential (include information on any leadership roles you have undertaken) and commitment to being a  citizen ambassador. 4. Official TOEFL or IELTS scores (if applicable) 5. Two letters of recommendation from faculty members. 6. Your curriculum vitae. 7. 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