INTERNATIONAL RESEARCH INTERNSHIP APPLICATION FORM

Application Checklist

Your application must include ALL the following documents in order to be considered.

All documents must be received by February 28

¨ Completed application form

¨ A three-page letter written by you describing your background, motivation for applying, Research expertise and interest, learning objectives and a brief description of a research Project you want to develop during the internship

¨ Curriculum Vitae

¨ Copies of most recent qualifications (photocopies or scan)

¨ Two written References (professional) (Note: You are responsible for providing your referees with the Form for Referees and ensuring they submit the form directly to the Internship coordinator (not to you) before the deadline.

Name:

Date of Birth:

Nationality:

Permanent Mailing Address:

Emergency Contact in Your Home Country :

Please include Name, Relationship to you, address,phone,fax, and email

Your employer:

Please include name of institution, position and years of service

English Language Fluency:

(tick appropriate answer)

Computer Skills:

(select appropriate answer)

	Yes	No
Do you have daily access to a computer?
Do you have daily access to the internet on this computer?

Title of Project:

(proposal/program of research or manuscript) you plan to develop during the internship.)

	Excellent	Good	Fair	None
Speaking
Writing
Reading

	Basic	Advance
Word Processing
Internet (to search for relevant research resources)
Email (for regular communication)