Application to the Visiting Scholar and Research Fellow Program Application Deadlines: April 1st for the fall semester or academic year; September 1st for the spring semester. Instructions: Please complete this form and return to Columbia Law School along with a copy of your curriculum vitae, a one-page list of publications, a one-page description of your intended research project, and two letters of recommendation. All materials must be submitted in English. Please print all information. Personal Information: Name: First __________________ Middle ________________ Last ______________________ Gender: Male Female Title at home institution: ________________________ Home Institution: __________________________________________________________________ Street Address*: _____________________________________________ City _________________ State/Province ________________ Postal Code ____________ Country ___________________ * Unless otherwise indicated, correspondence will be sent to home institution and fax number. Work Telephone (+ country code) _________________________ Work Fax __________________ E-mail Addresses: _____________________________________ __________________________ Home Address: _______________________________________ __________________________ ________________________________________________________________________________ Home Telephone and fax: __________________________________________________________ Address in New York (if available): ___________________________________________________ _______________________________________________________________________________ City and Country of Birth: __________________________ Date of Birth (month/day/year): _______ Dates of Intended Study at Columbia: Arrival: Day____ Month____ Year____ Departure: Day____Month ____ Year: ____ Citizenship: ______________________________________________________________________ (If dual citizenship, indicate citizenship of passport you will use to enter the U.S.) Social Security Number (SSN): ____________-_______-______________ If not U.S. citizen, what is your immigration status if in the U.S.? N/A - U.S. citizen U.S. permanent resident B-1 Business B-2 Tourist J-1 H-1 Temporary Worker WB WT ڤ Timing: Check which semester(s) you are applying for: Fall/Academic Year (deadline April 1st) Spring semester (deadline September 1st) Academic Information: Area(s) of Specialization: ___________________________________________________________ _______________________________________________________________________________ Research Topic while at Columbia: ___________________________________________________ _______________________________________________________________________________ Highest Academic Degree in original language: _________________________________________ Columbia Faculty Sponsor (if unknown, please leave blank): _______________________________ Have you been associated with Columbia Law School at a previous date? Yes No If Yes, when? ___________ In what capacity: __________________ Please indicate level of English competency: Excellent Very Good Good Fair Poor Financial Information Once accepted into the program, the International Students and Scholars Office (ISSO) of Columbia University requires all Visiting Scholars and Research Scholars to provide documentation of their ability to support themselves financially while in the U.S. Current regulations call for at least $2,000 per month per scholar, plus an additional $800 per month for an accompanying spouse and $400 per month for an accompanying child. Please list all funding sources _________________________________________________________ Program Fees Visiting Scholars and Research Fellows are charged a fee of $6,000 per academic year to participate in the Visiting Scholar and Research Fellow Program at Columbia Law School. As of July 1, 2002 ISSO charges $250.00 for the processing of visa eligibility forms (the DC-2019). These fees are mandatory and will not be waived by the ISSO. Checklist Please indicate whether you have submitted the following materials: curriculum vitae one-page list of publications one-page description of research project 2 letters of recommendation Please e-mail (preferred), fax or mail this form to: Visiting Scholar Program Columbia University School of Law 435 West 116th Street New York, NY 10027 U.S.A. E-Mail: asheng@law.columbia.edu Fax: (212) 854-9742 Tel: (212) 854-4959