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2017 Congressional Research Fellowship Program (CRFP) Application form Personal details Last name: First name: Date of birth (dd/mm/yyyy): Address: Contact number: Email address: I confirm that I am an Australian citizen Emergency contact Full name: Relationship to you: Contact number: Email address: Academic details If you are a current Group of Eight Universities honours student or Group of Eight Universities graduate student, what is your degree program and major? OR If you are a former Group of Eight Universities honours student or Group of Eight Universities graduate, what is your most recent degree program and major?

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Page 1: crawford.anu.edu.au  · Web viewGroup of Eight Universities honours student or Group of Eight Universities graduate, what is your most recent degree program and major?

2017 Congressional Research Fellowship Program (CRFP)

Application form

Personal details

Last name:

First name:

Date of birth(dd/mm/yyyy):Address:

Contact number:

Email address:

☐ I confirm that I am an Australian citizen

Emergency contact

Full name:

Relationship to you:

Contact number:

Email address:

Academic details

If you are a current Group of Eight Universities honours student or Group of Eight Universities graduate student, what is your degree program and major? OR If you are a former Group of Eight Universities honours student or Group of Eight Universities graduate, what is your most recent degree program and major?

Page 2: crawford.anu.edu.au  · Web viewGroup of Eight Universities honours student or Group of Eight Universities graduate, what is your most recent degree program and major?

Academic referees

Please list the details of two academic referees below:

Academic referees will not be contacted unless you are shortlisted for an interview

Full name:

Position:

Contact number:

Email address:

Full name:

Position:

Contact number:

Email address:

Statement of purpose

Please write a brief statement of purpose detailing your reasons for applying for the CRFP. This should include what area(s) of foreign policy legislation interest(s) you the most and why, what you hope to gain from a placement with a Senator on the US Senate Committee on Foreign Relations or Armed Services, and the relevance of the CRFP to your present course of study and professional aims.

(750 words maximum)

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Page 3: crawford.anu.edu.au  · Web viewGroup of Eight Universities honours student or Group of Eight Universities graduate, what is your most recent degree program and major?

Other information

Please list other experience and/or extra-curricular involvement that may be relevant to your application (e.g. work experience, volunteer activities, community involvement, sporting/cultural achievements)

(300 words maximum)

Proposed research topic

Title of proposed research topic (25 words maximum)

Please outline your proposed research topic. Highlight the relevance and importance of your proposed topic and how your time in Washington DC will inform research for the topic.

(100 words maximum)

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Page 4: crawford.anu.edu.au  · Web viewGroup of Eight Universities honours student or Group of Eight Universities graduate, what is your most recent degree program and major?

Attachment checklist

☐ Academic transcript (please provide transcripts for all current and previous tertiary study)

☐ Short piece of policy-focused writing (this may be an extract from an academic paper (800 words or less).

☐ Your resume (2 pages maximum)

Declaration

☐ I have attached an official copy of my academic transcript (please provide transcripts for all current and previous tertiary study)

☐ I understand the requirements of the program, as outlined in the CRFP Information for Applicants Document

☐ CRFP may contact the two academic referees listed above

☐ I am a currently enrolled honours or postgraduate student at The Australian National University, or am expected to be enrolled by Semester 1, 2016. OR I am a former honours or graduate student at The Australian National University, and I graduated after December 2014

☐ I have at least a Distinction average

☐ I am able to meet the criteria for a US (J-1 Summer Work Travel Program) visa

☐ I hold an Australian passport that has at least six months validity

☐ I confirm I understand and am available to participate in the CRFP at the specified time and for the full duration of the program

Signature: _________________________________

Printed name:

Date:

Submit your application

Applications are to be submitted electronically as a single Adobe Acrobat PDF file (including the signed Application form and requested attachments) in an e-mail to: [email protected]

All applications must be received at 5pm, Monday, 29 August 2016.

While The Australian National University (ANU) has used all reasonable endeavours to ensure the information contained in this flyer is as accurate as possible at the time of publication, ANU reserves the right to vary the material or information contained in this publication or any associated linked sites at any time without notice(s).

CRICOS# 00120C

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