Interdisciplinary Studies Program
524 West 59th Street, 6.65
New York City, NY 10019
T. 212.237.8460
F. 212.237.8955
JOHN JAY-VERA FELLOWS PROGRAM
APPLICATION
1. Application form: Please email the completed application form to the program coordinators,
Professors Nina Rose Fischer and Alisse Waterston, at vera@jjay.cuny.edu by Monday, March
14th, 2016.
2. Required Essay: Please submit a double-spaced, two page essay that describes your academic
interests and recreational activities or hobbies, and explains how you envision public or
community service fitting into your future plans. Email your essay to vera@jjay.cuny.edu by
Monday, March 14th, 2016.
3. Two recommendations: Email the recommendation form (last page of this application) to TWO
people you are using as references. At least one reference must be a professor. Recommenders
must email their recommendation to vera@jjay.cuny.edu by Monday, March 14, 2016.
Name: ________________________________________________________________________
First
Last
Address: ______________________________________________________________________
City: _____________________ State: _____________ Zip: _____________________________
E-mail Address: ________________________ Telephone: (____) ________________________
Last four digits of SS#: XXX-XX-________ Date of birth ____/____/____
Citizen: _____Permanent Resident: _____ Student Visa: _____ Other: _____________________
Major: _______________ Minor: _______________ Number of credits registered: ___________
Number of credits completed at JJ: __________ Cumulative GPA: ________________________
Status: Full-time __________ Part-time __________
Number of credits transferred: __________ Previous school: ____________________________
Languages (please note degree of fluency in both speaking and
writing):_______________________________________________________________________
List Scholastic Achievements and Awards: (Please include high school information if applicable)
1. ____________________________________________________________________________
2. ____________________________________________________________________________
3. ____________________________________________________________________________
4. ____________________________________________________________________________
List John Jay College club memberships and extracurricular activities in which you have participated.
Specify the years of participation and leadership positions if applicable:
1. ____________________________________________________________________________
2. ____________________________________________________________________________
3. ____________________________________________________________________________
4. ____________________________________________________________________________
List local community/university volunteer work. Specify the number of years and leadership positions:
(Please include high school information if applicable)
1. ____________________________________________________________________________
2. ____________________________________________________________________________
3. ____________________________________________________________________________
4. ____________________________________________________________________________
List internships or research experiences: (completed or arranged)
1. ____________________________________________________________________________
2. ____________________________________________________________________________
3. ____________________________________________________________________________
4. ____________________________________________________________________________
List any employment, responsibilities, and length of service:
1. ____________________________________________________________________________
2. ____________________________________________________________________________
3. ____________________________________________________________________________
4. ____________________________________________________________________________
Thank you for taking the time to comment on the candidacy of this applicant to the Vera Fellows
Program. Please rate the candidate on the following attributes and return to vera@jjay.cuny.edu;
Attention Professors Nina Rose Fischer and Alisse Waterston.
Outstanding
Above
average
Average
Fair
Poor
Intellectual
curiosity
Critical thinking
Writing skills
Flexibility
Sense of humor
Commitment/ work
ethic
Responsibility
(attendance,
punctuality,
meeting deadlines)
Any additional specific information that you might offer about the candidate’s personality, character,
and collegiality would be very much appreciated.
Recommender’s name:_____________________
Position:________________________________
Institution:______________________________