Professional Documents
Culture Documents
%. Cit!
,. Countr!
-. Contact Person Name )include prefi./ e.g. Dr./ 0r./ 0s./ etc.+
2
1". Contact Person $lternate 5mail
1%. 6e*site
1. Discipline Requested
". 8t4er Fields of Interest or 5.pertise Requested )if t4is is an interdisciplinar! request+
%. Project $cti(ities
Describe the proposed activities and how the Fellow would be involved. )9imit: &33 ;ords+
3
'. Project Impact
Please comment on the expected outcomes in both the immediate and long-term (within five years for the project,
including impact and outcomes for the host institution, the fellow and the fellow!s home institution.
Please also comment on how your institution will evaluate and measure the project!s impact. )9imit: &33 ;ords+
III. Timeframe
Instructions:
(ligible pro ects #ill involve a visit of bet#een t#o #ee%s and one semester by the "ello# to your institution' The pro ect visit may begin as early as ,une -./0' Scholars and their institutions in the United States, &anada and Africa #ho participate in the program are encouraged to find #ays to continue collaborations'
2. $cademic 2itle
". 2elep4one
%. 5mail $ddress
11. Name and 2itle of $dministrator Pro(iding 9etter of #upport "he administrator supporting this project should hold the position of dean or higher at the host institution. "he letter of support should be signed by the administrator and be on university letterhead. "he letter will be submitted separately through the online project re#uest system.
1. Candidate of Interest Name )include prefi./ e.g. Dr./ 0r. 0s./ etc.+
2. $cademic 2itle
-. Candidate 2elep4one
1. 5mail
12. Please descri*e an! pre(ious ;orAing relations4ip or colla*oration ;it4 t4e sc4olar)s+ or sc4olar