Application Form: Study of the United States Institutes ...



Study of the U.S. Institutes for Student Leaders (Comparative Public Policymaking) Program

FY 2021 Application Form

Important Note: The 2021 summer program may be conducted in-person at the host institution, the University of Massachusetts, in the United States OR as a virtual program with all lectures and activities designed for online synchronous and asynchronous learning due to COVID-19 travel restrictions. Please know that even if you’re selected for the 2021 cohort, you may not be able to participate in the in-person program. If you are willing to apply for the program (whether in-person or virtual), please fill in the form below and send it to us as explained in the announcement.

Question before you start filling the form:

We are working with our office in Washington on the placements. Did you receive selection offer during April/May 2020 for possible inclusion in the 2021 program? Please state “Yes” or “No” below.

|Yes |  |No |  |

A. Current Academic Institution and City Name

Institution and City Name:      

B. Candidate’s Full Name, exactly as it appears on passport

Prefix:      

Last Name:      

First Name:      

C. Gender

Male:      

Female:      

D. Date of Birth (please spell out Month, Day, Year)

     

E. City of Birth:      

F. Country of Birth:      

G. Citizenship:

Primary:      

Secondary, if applicable:      

H. Country of Residence:      

I. Medical, Physical, Dietary or other Personal Considerations

     

J. Contact information

Address:      

City:      

Home State or Province:      

Home Country :      

Residence Phone no:      

Mobile No:      

Email:      

K. Emergency Contact

Name and Relationship:      

Phone number:      

E.mail address:      

L. About Family

|Parent or Guardian |Name |Occupation |

|Father |      |      |

|Mother |      |      |

Address (if different from yours):      

Telephone:      

Email:      

Brothers/Sisters

|Name |Gender |Age |Occupation |

|      |      |      |      |

|      |      |      |      |

|      |      |      |      |

|      |      |      |      |

|      |      |      |      |

|      |      |      |      |

|      |      |      |      |

|      |      |      |      |

List of siblings/relatives who have attended SUSI or any other US Government funded exchange program in previous years:

|Name |Gender |Name of the program and |Your relation with them |Their current Address and |

| | |year in which they attended|(e.g., Brother, Sister, |Occupation |

| | |e.g., SUSI 2016 or UGRAD |Cousin etc.) | |

| | |2017 etc.) | | |

|      |      |      |      |      |

|      |      |      |      |      |

|      |      |      |      |      |

|      |      |      |      |      |

M. Education

Current

Education, Academic and Professional Training, including degree earned and fields of specialization

|Degree |Year in School |Specialization/ Institution|City |Expected Graduation Date |Grade/GPA |

|      |      |      |      |      |      |

Previous

|Degree Earned |Year Earned |Specialization/ Institution |City |Grade/GPA |

|      |      |      |      |      |

|      |      |      |      |      |

|      |      |      |      |      |

|      |      |      |      |      |

|      |      |      |      |      |

|      |      |      |      |      |

N. Scholarship

Are you currently on or have you ever earned any kind of scholarship (if yes, please provide details) :

     

O. Work and Volunteer Experience:

     

P. Memberships in Associations, Clubs, etc:

     

Q. Previous experience in the United States: Please list any and all trips the candidate has made to the United States and include approximate dates and the reason for travel.

|Purpose |Travel Dates |State/City |Description |

|      |      |      |      |

|      |      |      |      |

R. Previous experience in any other county abroad: Please list any and all trips the candidate has made to any contry outside Pakistan and include approximate dates and the reason for travel.

|Purpose |Travel Dates |State/City |Description |

|      |      |      |      |

|      |      |      |      |

S. Family Residing in the United States: Please list any immediate family members (parents and siblings if unmarried/spouse and children if married) who are currently residing in the United States, including city and state.

|Name |Relationship |State/City |Occupation |

|      |      |      |      |

|      |      |      |      |

|      |      |      |      |

|      |      |      |      |

T. Have you or any of your family relatives (parents and/or siblings) ever applied for immigration to the U.S.? If yes, which year was the petition filed? Was it approved?

     

U. Personal Statement (Please structure your essay in paragraphs and limit your response to 250 words, single-spaced. Essays that exceed the word limit are penalized in the scoring.)

Tell us about yourself and your goals including the following:

• Why do you think your background and/or interests make you competitive for this particular institute (please be as specific as possible)?

• What will you contribute to the group?

• How do you expect this experience will affect your future academic and professional career?

     

V. Short answer questions

The short answer questions are an essential part of the selection process. Please structure your response using paragraphs and limit your response to 150-250 words.

1) How essential is the policy to the success of a country? On a government level, how does the policymaking sector work in Pakistan?

     

2) Imagine yourself as a policymaker in the Government sector of Pakistan. As a young, energetic leader, how would you address potential consequences of having an outdated policy?

     

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