application requirements & instructions · 2020. 8. 24. · almaty, kazakhstan, 050010 +7 727 291...

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Visit uscaef.org | Accademic Year 2021-2022 U.S.-CAEF Enterprise Student Fellowship Program Application I Attention: This application is in a fillable PDF format. Please type in your information. Deadline: 17:00, Monday, January 11 th , 2021 | Local time in representative offices The Enterprise Student Fellowship Program is an academic scholarship program of the U.S.-Central Asia Education Foundation (U.S.- CAEF) that is sponsored by the U.S. Department of State and administered by the American Councils for International Education. Through this program, the Foundation seeks to provide affordable access to Western business know-how and practices at selected institutions of higher learning in Central Asia that have adopted Western curricula and teaching methods by providing scholarships (Enterprise Student Fellowships) to qualified students who due to low family income may otherwise not be able to obtain an undergraduate university degree in business administration, economics, applied mathematics and informatics, or software engineering. The Program provides financial need-based scholarships to academically qualified students from Kazakhstan, Kyrgyzstan, Tajikistan and Uzbekistan for undergraduate levels of study at the American University of Central Asia (AUCA), Bishkek, the Kyrgyz Republic. Enterprise Student Fellowships for students commencing their studies in the academic year 2021-2022 include full tuition for four years of study, housing and living costs, travel, and academic advising and support. Fellowships are subject to annual renewal based on academic performance and other conditions. Applicants must meet all AUCA entry requirements, and be accepted as a full-time student prior to being awarded an Enterprise Student Fellowship. U.S.-CAEF considers ONLY AUCA applicants for the 1st cohort . Check the admissions deadline for Cohort 1, 2021 on the AUCA’s website. Application Requirements & Instructions ELIGIBILITY REQUIREMENTS: The Enterprise Student Fellowship does not discriminate on the basis of race, color, sex, religion, national and ethnic origin, or disability. Persons with disabilities are strongly encouraged to apply. COMPETITION IS FINANCIAL NEED-BASED WITH A STRONG MERIT-BASED COMPONENT AND OPEN TO ANYONE WHO IS: Citizen of, with permanent residency in Kazakhstan, Kyrgyzstan, Tajikistan, or Uzbekistan. Proficient in spoken and written English. Demonstrates academic excellence, financial need, and professional aptitude & leadership potential in the field of business, economics, applied mathematics and informatics, or software engineering. Able to begin the program at the start of the 2021-2022 academic year established by AUCA. Able to receive and maintain all necessary immigration documentation. Committed to returning to (or remaining in) their home country after completion of the program, to contribute to its business community and economic growth. THOSE IN THE FOLLOWING CIRCUMSTANCES ARE NOT ELIGIBLE: U.S. citizens and permanent residents of the United States, or citizens and permanent residents of countries other than the 4 participating countries. Spouses of U.S. citizens and permanent residents of the United States, or spouses of citizens of countries other than the 4 participating countries. Currently residing or working outside the 4 participating countries, with the exception of FLEX program participants. Employees of American Councils, their spouse, child, sibling, grandchild, or a person in a committed relationship with an employee. Already studies at AUCA, regardless of their major.

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  • Visit uscaef.org | Accademic Year 2021-2022 U.S.-CAEF Enterprise Student Fellowship Program Application I

    Attention: This application is in a fillable PDF format. Please type in your information.

    Deadline: 17:00, Monday, January 11th, 2021 | Local time in representative offices

    The Enterprise Student Fellowship Program is an academic scholarship program of the U.S.-Central Asia Education Foundation(U.S.- CAEF) that is sponsored by the U.S. Department of State and administered by the American Councils for International Education. Through this program, the Foundation seeks to provide affordable access to Western business know-how and practices at selected institutions of higher learning in Central Asia that have adopted Western curricula and teaching methods by providing scholarships (Enterprise Student Fellowships) to qualified students who due to low family income may otherwise not be able to obtain an undergraduate university degree in business administration, economics, applied mathematics and informatics, or software engineering.

    The Program provides financial need-based scholarships to academically qualified students from Kazakhstan, Kyrgyzstan, Tajikistan and Uzbekistan for undergraduate levels of study at the American University of Central Asia (AUCA), Bishkek, the Kyrgyz Republic. Enterprise Student Fellowships for students commencing their studies in the academic year 2021-2022 include full tuition for four years of study, housing and living costs, travel, and academic advising and support. Fellowships are subject to annual renewal based on academic performance and other conditions.

    Applicants must meet all AUCA entry requirements, and be accepted as a full-time student prior to being awarded an Enterprise Student Fellowship.

    U.S.-CAEF considers ONLY AUCAapplicants for the 1st cohort . Check the admissions deadline for Cohort 1, 2021 on the AUCA’s website.

    Application Requirements & InstructionsELIGIBILITY REQUIREMENTS: The Enterprise Student Fellowship does not discriminate on the basis of race, color, sex, religion, national and ethnic origin, or disability. Persons with disabilities are strongly encouraged to apply.

    COMPETITION IS FINANCIAL NEED-BASED WITH A STRONG MERIT-BASED COMPONENT AND OPEN TO ANYONE WHO IS:

    Citizen of, with permanent residency in Kazakhstan, Kyrgyzstan, Tajikistan, or Uzbekistan.

    Proficient in spoken and written English.

    Demonstrates academic excellence, financial need, and professional aptitude & leadership potential in the field of business, economics, applied mathematics and informatics, or software engineering.

    Able to begin the program at the start of the 2021-2022 academic year established by AUCA.

    Able to receive and maintain all necessary immigration documentation.

    Committed to returning to (or remaining in) their home country after completion of the program, to contribute to its business community and economic growth.

    THOSE IN THE FOLLOWING CIRCUMSTANCES ARE NOT ELIGIBLE:

    U.S. citizens and permanent residents of the United States, or citizens and permanent residents of countries other than the 4 participating countries.

    Spouses of U.S. citizens and permanent residents of the United States, or spouses of citizens of countries other than the 4 participating countries.

    Currently residing or working outside the 4 participating countries, with the exception of FLEX program participants.

    Employees of American Councils, their spouse, child, sibling, grandchild, or a person in a committed relationship with an employee.

    Already studies at AUCA, regardless of their major.

    https://www.auca.kg/en/undergrad/https://www.auca.kg/en/undergrad/

  • Visit uscaef.org | Accademic Year 2021-2022 U.S.-CAEF Enterprise Student Fellowship Program Application II

    Attention: This application is in a fillable PDF format. Please type in your information.

    Application StepsAssemble all required documents in the exact order indicated below using the following checklist:STEP 1

    Completed and signed application form (p. 1-16) with a passport size photo

    Official transcripts and copies of all diplomas (follow the requirements on p. 4)

    TWO letters of recommendation (follow the requirements on p.12)

    TOEFL/IELTS and/or SAT/ACT (math and essay) score reports, if taken previously

    A copy of PASSPORT or ID

    Make a photocopy of all documents listed above.STEP 2

    Bring or mail TWO sets of your application (one original and one photocopy) to the American Councils office in your home country by 17:00, January 11, 2021.

    The addresses of American Councils representative offices are are indicated below:

    STEP 3

    KAZAKHSTAN20A Kazybek Bi St., Almaty, Kazakhstan, 050010+7 727 291 [email protected]

    KYRGYZ REPUBLIC187 Sydykov St., Office # 29, Bishkek, Kyrgyz Republic, 720001+996 312 910 [email protected]

    TAJIKISTAN127 Rudaki Ave., Dushanbe, Tajikistan, 734003+992 44 [email protected]

    UZBEKISTAN12 Shota Rustaveli St., Tashkent, Uzbekistan, 100070+998 78 150 71 [email protected]

    IMPORTANT: Incomplete applications as well as applications received after the deadline will not be considered. Applications will not be returned to the applicants. American Councils reserves the right to verify all of the information indicated in any application. In the event that there is a discrepancy, or information is found to be false, the application will be declared invalid, and the applicant ineligible.

  • uscaef.org | AY 2021-2022 | U.S.-CAEF Enterprise Student Fellowship Program Application | Deadline: 17:00, Monday, January 11, 2021

    P/1Applicant: (last name, first name):

    Attention: This application is in a fillable PDF format. Please type in your information. Print two copies.

    Applicant Profile Personal Information

    I confirm that I am applying for the U.S-CAEF scholarship to study at AUCA, Bishkek, Kyrgyzstan. I understand that the application for AUCA is a separate process and I am fully responsible for applying for the first round of the university’s admissions cycle.

    ATTACH PASSPORTSIZE PHOTO HERE

    *THIS IMAGE WILL BE ATTACHED TO YOUR

    EVALUATION PROFILE IN OUR SECURE DATABASE

    AND BE USED FOR AUTHENTICATION PURPOSES ONLY.

    LAST (FAMILY) NAME FIRST NAME

    *Your name should be spelled exactly as it appears in your official documents.

    Male

    Female

    DATE OF BIRTH (MM/DD/YYYY)

    GENDER EMAIL

    HOME PHONE CELL PHONE

    DO YOU HAVE A DISABILITY?IF YES, DESCRIBE:

    Passport Information Your Address Emergency Contact

    Local Passport or IDInternational PassportBoth Passport & IDNone

    *Remember to attach a copy of your passport or ID

    STREET NAME LAST (FAMILY) NAME

    BUILDING APT# POSTAL CODE FIRST NAME

    CITY RELATIONSHIP TO YOU

    KazakhstanThe Kyrgyz RepublicTajikistanUzbekistan

    PASSPORT NUMBER EMAIL

    EXPIRATION DATE: (MM/DD/YYYY) PHONE

    Field of Study: Please select the field of study you intended to pursue at AUCA.

    BUSINESS ADMINISTRATION ECONOMICS

    APPLIED MATHEMATICS & INFORMATICS

    SOFTWARE ENGINEERING

    IDENTIFICATION TYPE:

    COUNTRY:

    This application is in a fillable PDF format. Please TYPE in your information.

    ATTACH PASSPORT SIZE PHOTO HERE:

    !

  • uscaef.org | AY 2021-2022 | U.S.-CAEF Enterprise Student Fellowship Program Application | Deadline: 17:00, Monday, January 11, 2021

    P/2Applicant: (last name, first name):

    Attention: This application is in a fillable PDF format. Please type in your information. Print two copies.

    Academic Records Standardized Tests:

    I certify that the information given in the second part of the application is complete and accurate to the best of my knowledge. U.S.-CAEF reserves the right to verify all of the information indicated in this application. In the event that there is a discrepancy, or information is found to be false, the application will be declared invalid.

    FILL OUT THIS SECTION IF YOU HAVE TAKEN ANY TESTS BELOW: TEST DATE: (MM/DD/YYYY)

    TOEFL TOTAL SCORE: DATE:

    IELTS TOTAL SCORE: DATE:

    SAT MATH SCORE: ESSAY SCORE: DATE:

    ACT MATH SCORE: ESSAY SCORE: DATE:

    Schools Attended (secondary school, institute, university, etc.)

    List all schools, colleges & universities you have attended for the past three years, with the most recent listed first:

    INSTITUTION: MAJOR/SPECIALIZATION (IF APPLICABLE): DEGREE/DIPLOMA RECEIVED OR EXPECTED:

    DATE ATTENDED: CITY: COUNTRY:

    DATE ATTENDED: CITY: COUNTRY:

    DATE ATTENDED: CITY: COUNTRY:

    DATE ATTENDED: CITY: COUNTRY:

    DATE ATTENDED: CITY: COUNTRY:

    1

    2

    3

    4

    5

  • uscaef.org | AY 2021-2022 | U.S.-CAEF Enterprise Student Fellowship Program Application | Deadline: 17:00, Monday, January 11, 2021

    P/3Applicant: (last name, first name):

    Attention: This application is in a fillable PDF format. Please type in your information. Print two copies.

    Academic Records Types of schools attended

    International School Did you receive a scholarship to attend the school?Please check one of the options:

    Full Scholarship

    Partial Scholarship

    None

    If not full, how much was the annual tuition in US dollars paid by your family?

    Private High School

    Public High School

    Technical School/College

    University Prospective first-generation student

    Vocational School If both of your parents have not completed a 4-year university degree, you are considered a prospective first-generation student , even if your siblings are pursuing higher education. Check the box, if you define yourself as a prospective first-generation student. Other

    Additional academic programs, preparatory or professional development courses

    In the table below, please list all other academic programs/preparatory courses you have taken in the past three years.

    NAME OF THE PROGRAM/COURSE ORGANIZATION, CITY, COUNTRY DATE ATTENDED

  • uscaef.org | AY 2021-2022 | U.S.-CAEF Enterprise Student Fellowship Program Application | Deadline: 17:00, Monday, January 11, 2021

    P/4Applicant: (last name, first name):

    Attention: This application is in a fillable PDF format. Please type in your information. Print two copies.

    Transcripts & Diplomas School Transcripts and Diplomas

    For the purposes of this program, a transcript is a listing of every course you took to receive your diploma and the grade you received in each course. Official copies of all school transcripts and diplomas from each institution attended in the past two or three years (in some cases) in the language(s) in which they were issued must be attached. All transcripts should be signed and stamped by your school’s director or deputy director.

    • If you are currently in your last year of high school,please enclose your final grades for your junior year, and your most recent transcript in your senior year.

    • If you have completed high school or another institution, please provide your high school final transcript for your junior year and your diplomashowing all your final high school grades (“attestat”).

    • If you are currently enrolled in another institution or preparatory courses, please provide your final transcript for your junior year, your high school diploma and your most recent transcript from your current institution.

    • FLEX participants and alumni or other applicants studying abroad, irrespective of the year of participation in the program, must provide their transcripts from the school abroad, in addition to the Central Asian transcripts for their junior and senior years.

    An English translation is required for all transcripts. Please use the template below for the translation of your school transcripts.

    Translation Form for School Transcripts

    SUBJECT NAME FINAL GRADE: JUNIOR YEAR CURRENT/FINAL GRADE

    TYPE OF HIGH SCHOOL JUNIOR YEAR SENIOR YEAR

    10 YEARS OF STUDY 9TH GRADE 10TH GRADE

    11 YEARS OF STUDY 10TH GRADE 11TH GRADE

    12 YEARS OF STUDY 11TH GRADE 12TH GRADE

  • uscaef.org | AY 2021-2022 | U.S.-CAEF Enterprise Student Fellowship Program Application | Deadline: 17:00, Monday, January 11, 2021

    P/5Applicant: (last name, first name):

    Attention: This application is in a fillable PDF format. Please type in your information. Print two copies.

    Translation Form for School Transcripts (continues: duplicate this page if needed)

    SUBJECT NAME FINAL GRADE: JUNIOR YEAR CURRENT/FINAL GRADE

  • uscaef.org | AY 2021-2022 | U.S.-CAEF Enterprise Student Fellowship Program Application | Deadline: 17:00, Monday, January 11, 2021

    P/6Applicant: (last name, first name):

    Attention: This application is in a fillable PDF format. Please type in your information. Print two copies.

    Academic Achievements Exchange and Other Programs: Please mark all that apply.

    FLEX EducationUSA

    New Generation Academy Study with US

    ACCESS Microscholarship Other

    Academic Achievements

    In the section below, please describe your academic achievements from the past three years you are particularly proud of. These may include scholarships, awards in academic Olympiads and scientific conferences or other events related to your academic life. If you took part in Olympiads and conferences, please indicate if it was a school, district, regional, city, state or international event. If you received recurrent or similar awards, please combine and include them all in one line.

    AWARD DESCRIPTION YEAR(S)

    Eg. Academic Excellence Award I received annual school awards for academic excellence three years in a row. 2017-20

    Eg. 1st and 2nd place in Math Olympiads I won a city competition in 2017, and came in 2nd in the state Olympiad in 2018 2017-18

  • uscaef.org | AY 2021-2022 | U.S.-CAEF Enterprise Student Fellowship Program Application | Deadline: 17:00, Monday, January 11, 2021

    P/7Applicant: (last name, first name):

    Attention: This application is in a fillable PDF format. Please type in your information. Print two copies.

    Academic Achievements: (continues: duplicate this page if needed)

    AWARD DESCRIPTION YEAR(S)

  • uscaef.org | AY 2021-2022 | U.S.-CAEF Enterprise Student Fellowship Program Application | Deadline: 17:00, Monday, January 11, 2021

    P/8Applicant: (last name, first name):

    Attention: This application is in a fillable PDF format. Please type in your information. Print two copies.

    Non-Academic Achievements Non-Academic Achievements

    In the section below, please describe your non-academic achievements that you are particularly proud of. These include your involvement in community service, volunteer work, leadership conferences, clubs or organizations, sports, or cultural activities. If you played a leadership role in these activities, be sure to explain this clearly. In this table you can also include any leadership positions you have held, e.g. you were a member of the student council, captain of a sports team, etc. Please describe in detail the work your organization/group performed, and your contribution to its activities. Be sure to note if you received any recognition awards.

    ACTIVITY DATE

    DESCRIPTION YOUR ROLE

    ACTIVITY DATE

    DESCRIPTION YOUR ROLE

    ACTIVITY DATE

    DESCRIPTION YOUR ROLE

    ACTIVITY DATE

    DESCRIPTION YOUR ROLE

    ACTIVITY DATE

    DESCRIPTION YOUR ROLE

    1

    2

    3

    4

    5

  • uscaef.org | AY 2021-2022 | U.S.-CAEF Enterprise Student Fellowship Program Application | Deadline: 17:00, Monday, January 11, 2021

    P/9Applicant: (last name, first name):

    Attention: This application is in a fillable PDF format. Please type in your information. Print two copies.

    Non-Academic Achievements: (continued)

    ACTIVITY DATE

    DESCRIPTION YOUR ROLE

    ACTIVITY DATE

    DESCRIPTION YOUR ROLE

    ACTIVITY DATE

    DESCRIPTION YOUR ROLE

    ACTIVITY DATE

    DESCRIPTION YOUR ROLE

    ACTIVITY DATE

    DESCRIPTION YOUR ROLE

    6

    7

    8

    9

    10

    Work or Internship Experience (if applicable)

    List work or internship experiences that took place in the past three years.

    JOB TITLE, COMPANY NAME: WHAT THIS EXPERIENCE TAUGHT YOU: DATES:

  • uscaef.org | AY 2021-2022 | U.S.-CAEF Enterprise Student Fellowship Program Application | Deadline: 17:00, Monday, January 11, 2021

    P/10Applicant: (last name, first name):

    Attention: This application is in a fillable PDF format. Please type in your information. Print two copies.

    (max. 500 words)

    Provide a statement of your academic and career goals. Please write what you intend to study at AUCA and how this will help you achieve your career aspirations. Highlight your achievements that make you uniquely qualified for U.S.-CAEF and are most relevant to your future major, particularly, those accomplishments that are not evident from the other application documents submitted for evaluation.

    Academic and Career Goals Statement

  • uscaef.org | AY 2021-2022 | U.S.-CAEF Enterprise Student Fellowship Program Application | Deadline: 17:00, Monday, January 11, 2021

    P/11Applicant: (last name, first name):

    Attention: This application is in a fillable PDF format. Please type in your information. Print two copies.

    (max. 500 words) Select and check ONE topic from the three options below:

    Describe an accomplishment or event that boosted your personal growth and gave you a new understanding of yourself or others.

    Describe a time when you faced a challenge, setback, or failure. How did it affect you, and what did you learn from the experience?

    Describe a problem you’ve solved. Explain its significance to you and what steps you took or could have taken to solve it.

    Personal Essay

  • uscaef.org | AY 2021-2022 | U.S.-CAEF Enterprise Student Fellowship Program Application | Deadline: 17:00, Monday, January 11, 2021

    P/12Applicant: (last name, first name):

    Attention: This application is in a fillable PDF format. Please type in your information. Print two copies.

    Submit two letters of recommendation

    Letters can be completed by a teacher, school director, or other individual who is familiar with the applicant and could speak to the applicant’s academic abilities and potential to succeed in the chosen field of study at AUCA. This should NOT to be completed by someone who is related to the applicant.

    SUGGESTIONS for Recommendation Letters: ТРЕБОВАНИЯ к рекомендательным письмам:

    MANDATORY

    • Applicant name• Date• Full name of the recommender• Job title of the recommender• Name and address of the school/organization• Recommender’s email & phone number

    ОБЯЗАТЕЛЬНО

    • Имя ученика/студента• Дата• Полное имя рекомендателя• Должность рекомендателя• Название и адрес школы / организации• Электронная почта и номер телефона рекомендателя

    PREFERRED(depends on the quarantine restrictions):

    • Stamp of the school/organization• Signature of the recommender

    ПРЕДПОЧТИТЕЛЬНО (зависит от карантинных ограничений)

    • Печать школы / организации• Подпись рекомендателя

    SUGGESTIONS for Recommendation Letters:

    • Indicate how long and in what capacity you have known the applicant.

    • Evaluate the student’s potential in his/herfield of interest.

    • Discuss the student’s academic and personal strengths, abilities, or relevant knowledge that make the candidate unique and help the selection committee distinguish between applicants. If applicable, support your statements with specific examples that demonstrate the student’s actions resulting in accomplishments, particularly those inspiring others.

    СОВЕТЫ по написанию рекомендательного письма:

    • Укажите, как давно и в каком качествевы знакомы с заявителем.

    • Оцените потенциал ученика в интересующейего/ее области.

    • Если участник отличается от сверстниковуникальными способностями, личностными качествами и соответствующим знанием в сфере будущей деятельности, обязательно включите эту информацию. Она будет принята во внимание членами отборной комиссии. Приведите конкретные примеры из деятельности участника, в особенности те, которые послужили вдохновением или оказали положительное воздействие на других.

    Letters of Recommendation

  • uscaef.org | AY 2020-2021 | U.S.-CAEF Enterprise Student Fellowship Program Application | Deadline: 17:00, Monday, January 11th, 2021

    P/13Applicant: (last name, first name):

    Attention: This application is in a fillable PDF format. Please type in your information. Print one copy.

    (max. 500 words)

    Scholarships will be awarded to those candidates with clear and demonstrable financial need. Please describe your current financial status to support the information you have provided in the section “Financial Information”. Please explain why you believe you financially qualify for an Enterprise Student Fellowship.

    Financial Aid Statement

  • uscaef.org | AY 2021-2022 | U.S.-CAEF Enterprise Student Fellowship Program Application | Deadline: 17:00, Monday, January 11, 2021

    P/14Applicant: (last name, first name):

    Attention: This application is in a fillable PDF format. Please type in your information. Print two copies.

    Financial Information List of Family Members

    In the table below, please provide information on each family member living at the same property address as the applicant and his/her contribution to the family’s household monthly income in US dollars. The list should include family members who are temporarily away from home but contribute to or depend on the household income, e.g. applicants’ siblings who are university students, a parent who is a migrant worker etc. Please DO NOT include the contributions made by you, even if you are currently employed.

    # LAST NAME, FIRST NAME RELATIONSHIP PROFESSION/OCCUPATION TYPE OF INCOME MONTHLY CONTRIBUTION

    0 E.g. Tursunova, Kadisha Mother-53 Teacher (salary, pension, alimony, disability payment, etc.) $500.00

    1

    2

    3

    4

    5

    6

    7

    8

    9

    10

    Serious medical condition

    If applicable, indicate the number of people in your family with a disability/serious medical condition that requires constant medical attention and expenses.

  • uscaef.org | AY 2020-2021 | U.S.-CAEF Enterprise Student Fellowship Program Application | Deadline: 17:00, Monday, January 11th, 2021

    P/15Applicant: (last name, first name):

    Attention: This application is in a fillable PDF format. Please type in your information. Print one copy.

    Financial InformationSummary of Financial Information

    Select what applies below. The monthly family income should reflect all contributions- e.g. your parents’ monthly salaries, pensions, alimony, or any other contributions. Please DO NOT include the contributions made by you, even if you are currently employed.

    Monthly family income: Real estate: Car ownership:

    below $500 Owns a house or an apartment outright $0.00

    $500-$1000 Has a mortgage on a house or apartment $3000-$5000

    $1000-$2000 Owns no property $5000-$7000

    $2000-$3000 $7000- $9000

    $3000-4000 $9000-$15000

    over $4000 Over $15000

    PLEASE NOTE: U.S.-CAEF reserves the right to verify the financial information provided in this application. Applicants who provide false or misleading information will be disqualified. In addition, American Councils conducts periodic inquiries into Fellows’ financial status once they are on program to verify the information reported in this application. If American Councils learns that a U.S.-CAEF Fellow has provided false information in his/her application, the Fellowship will be terminated immediately.

    Agreement Outside of Central Asia

    Please review this document, sign it and submit two copies of the application and all supporting documents in the exact order indicated in the section “Application Steps” to the American Councils office in your home country by 17:00, Jan. 11th, 2021.

    IF AN APPLICANT IS NOT CURRENTLY IN HIS/HER HOME COUNTRY (e. g. a FLEX participant) a relative or a guardian can sign the application at the direction and on behalf of the applicant in the area below:

    I certify that the information given in this application is complete and accurate to the best of my knowledge. U.S.-CAEF reserves the right to verify all of the information indicated in this application. In the event that there is a discrepancy, or information is found to be false, the application will be declared invalid and the application ineligible.

    LAST (FAMILY) NAME FIRST NAME

    RELATION TO THE APPLICANT

    SIGNATURE DATE SIGNATURE AT THE DIRECTION & ON BEHALF OF APPLICANT

    DATE

  • uscaef.org | AY 2020-2021 | U.S.-CAEF Enterprise Student Fellowship Program Application | Deadline: 17:00, Monday, January 11th, 2021

    P/16Applicant: (last name, first name):

    Attention: This application is in a fillable PDF format. Please type in your information. Print one copy.

    Quick SurveyHow did you learn about the program?

    Family members and relatives American Councils staff

    Friends Facebook

    U.S.-CAEF website Instagram

    American Councils website LinkedIn

    American Corners/Spaces YouTube

    American Councils social media platforms Local media (TV, newspaper)

    If other:

    THIS IS THE LAST PAGE OF THE APPLICATION. THANK YOU FOR YOUR INTEREST IN U.S.-CAEF.

    Date of Birth: Email: Home Phone: Cell Phone: First Name: Last Name: Group8: 41: Off2: OffText11: Text12: Image13_af_image: Text14: Text16: Text17: Text18: Text19: Text20: Text21: Text22: Text23: Text24: Text25: Date26_af_date: Full name: Check Box31: OffCheck Box32: OffCheck Box33: OffCheck Box34: OffCheck Box35: OffText84: Text85: Text86: Text87: Text88: Text89: Date90_af_date: Date91_af_date: Date92_af_date: Date93_af_date: Text94: Text95: Text96: Text97: Text98: Text99: Text100: Text101: Text102: Text103: Text104: Text105: Text106: Text107: Text108: Text114: Text115: Text117: Text118: Text119: Text121: Text122: Text123: Check Box124: OffCheck Box125: OffCheck Box126: OffCheck Box127: OffCheck Box128: OffCheck Box129: OffCheck Box130v: OffGroup131: Choice3Check Box132: OffText133: Text146: 1: 0: 0: 1:

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