IIAS Fellowship Application Form 2011
IIAS Fellowship Application Form
|2. Requested start date of the fellowship: ____ ____ ______ (dd-mm-yyyy) |
|(Please take into account that if you must apply for a visa, this can take several months). |
|3. Duration of the fellowship |
| |
|How many months would you like to stay? |
| |
|[ ] Not self-funded …..…… months (please indicate a time period from 1 to 10 months). |
| |
| |
|[ ] Self-funded …………… weeks/months (maximum 10 months). |
| |
|Means of funding: |
|[ ] A) Existing salary; |
|[ ] B) Other(s), please specify: |
| |
|If self-funded: enclose official letter(s) indicating funding source, and, in case of a fellowship of 3 months or more, please provide |
|details on the amount. |
| |
|If partly self-funded: please indicate the specific circumstances below (intended duration of stay in Leiden; funds available; funds |
|required from IIAS): |
| |
| |
| |
|4. Have you tried to apply for funds from other organisations? |
| |
|5. Description of research project (max. 1000 words) and timetable: |
| |
|6. Expected output (e.g. publications, conferences, collaborative grant proposal, etc.) |
| |
|7. Reason for undertaking research in the Netherlands. In what way do you think the IIAS fellowship will contribute to your academic and |
|personal developments? (max. 250 words) |
| |
|8. Have you already established contacts in the Netherlands? Are there any researchers, institutions, organisations in the Netherlands and |
|Europe with whom you would like to connect? |
| |
|9. How do you see your presence at IIAS contribute to the Institute, its community of scholars and staff and its vision of interconnected |
|studies? (max. 300 words) |
| |
|10. Do you wish to stay an extra two months at the Collège d’études mondiales / Fondation Maison des sciences de l’homme (CEM-FMSH) in |
|Paris, on top of your planned stay at IIAS in Leiden? |
|If so, please consult the CEM-FMSH website (fmsh.fr/fr/college-etudesmondiales/chaires) and indicate: |
|- how you think your stay in Paris will contribute to your research; |
|- which CEM-FMSH scholar(s) you would like to work with; |
|- how CEM-FMSH may benefit from your stay (max. 300 words) |
| |
|11. References |
|Name |Position |
| | |
| | |
| | |
|12. Is this the first time you have applied for an IIAS fellowship? |
| |
|[ ] Yes |
| |
|[ ] No, please give date of any previous application: |
| |
| |
|13. How did you come to know about the IIAS fellowship? |
|[ ] IIAS Newsletter |
|[ ] Website |
|[ ] Other: …………………………………………………………………………………………….. |
After completion, please return this form with all required information to:
International Institute for Asian Studies
Visiting address: Postal address:
Rapenburg 59 P.O. Box 9500
2311GJ Leiden 2300 RA Leiden
the Netherlands the Netherlands
T +31-71-527 2227
F +31-71-527 4162
E iiasfellowships@iias.nl
Please make sure to enclose all the required information (where applicable):
• CV & a separate list of publications
• Letters from at least two referees
• Official letter(s) of funding (self-funded applicants only)
-----------------------
1. Applicant details
|Surname | |
|First name(s) | |Sex: M/F |
|Title of research project | |
|To which cluster does your |[ ] Asian Cities |
|research relate? |[ ] Asian Heritages |
| |[ ] Global Asia |
| |[ ] Open category |
|Permanent home address* | |
|City | |
|Country | |
|Telephone | |
|Fax | |
|E-mail | |
|Institutional address* | |
|City | |
|Country | |
|Telephone | |
|Fax | |
|E-mail | |
|* Address for correspondence is: A) my home address B) my institutional address |
|Date of birth | |
|Place of birth | |
|Nationality | |
|Profession | |
|PhD obtained on (date, topic and title) | |
| | |
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