National Council on U.S.-Arab Relations Saudi Arabian Cultural Mission 1730 M St., NW, Suite 503, Washington, DC 20036 Phone: 1-202-293-6466 | Fax: 1-202-293-7770 www.ncusar.org 2600 Virginia Ave., Suite 800, Washington, DC 20037 Phone: 1-202-337-9450| Fax: 1-202-337-2978 www.sacm.org/ Saudi Arabia Malone Fellowship 2015 Cultural and Educational Exchange Experience for Advisers of the Model Arab League program APPLICATION FORM The National Council on U.S.-Arab Relations (NCUSAR), in collaboration with the Saudi Arabian Cultural Mission to the U.S. (SACM) and the Saudi Arabian Ministry of Higher Education (MOHE), is pleased to sponsor the Saudi Malone Fellowship 2015. Five American collegiate professors, in addition to ten American students, will be selected for this prestigious program, which lasts for approximately one calendar year. The Saudi Arabia Malone Fellowship consists of three parts: 1. Pre-departure Period - October-December 2015: after being selected, participants build their background knowledge of modern Saudi Arabia, prepare to be exposed to a new culture, and begin to plan the logistics of the next year of Fellowship activities (see below). 2. Study Visit - December 26, 2015-January 6, 2016 (tentative): beginning with a pre-departure orientation in Washington, DC, participants then travel to the Kingdom of Saudi Arabia for an immersive experience in the country’s culture, society, and economics, as well as government priorities, concerns and needs as they pertain to Saudi-U.S. relations and the Kingdom’s role in regional and world affairs. Within the Kingdom, the delegation will be accompanied by two NCUSAR escorts and various Saudi officials while being introduced to a broad range of government and business representatives, academics, policymakers, specialists, and student peers, as well as traditional and modern Saudi Arabian culture and life. 3. Fellowship Year - January-December 2016: after returning to the U.S., participants spend the following calendar year implementing a variety of programs, events, and outreach efforts in their home communities. These programs aim to share participants’ newfound knowledge of Saudi Arabia with the American public, multiplying the educational impact of the program. Eligibility: Faculty applicants must be U.S. citizens teaching at an accredited American university or high school for the duration of the program. Advisers of the Model Arab League leadership development program are eligible to apply. Eligible faculty members will be required to complete the application process described below. Program Purpose Statement While thousands of Saudi Arabian students visit and study in the United States each year, very few American students have a reciprocal opportunity. As a result, the average Saudi Arabian citizen knows a great deal about American culture, economics, government, etc. while Americans remain uninformed of the nuances, intricacies, and even basic details of a country of such strategic importance and interest to the United States, the Kingdom of Saudi Arabia. The Saudi Arabia Fellowship was formed to help remedy this shortcoming and enhance knowledge and understanding of Saudi Arabia among America’s future leaders and general public. Page 1 of 5 National Council on U.S.-Arab Relations Saudi Arabian Cultural Mission 1730 M St., NW, Suite 503, Washington, DC 20036 Phone: 1-202-293-6466 | Fax: 1-202-293-7770 www.ncusar.org 2600 Virginia Ave., Suite 800, Washington, DC 20037 Phone: 1-202-337-9450| Fax: 1-202-337-2978 www.sacm.org/ A completed application includes the following items: 1) A curriculum vitae 2) A cover letter detailing your academic interest in the region, your experience in the Model Arab League, and what you believe you can contribute to the program with regard to the Fellowship Year (described above), not exceeding 3 pages 3) A clear photocopy of your passport, and two passport-style photos (approx. 2”x2” with face forward and unsmiling, in color, white background, printed on glossy paper – please have these made at a local passport office or photo center like CVS, Walgreens, etc.) 4) The following completed forms from this application: a) Contact Information b) Emergency Information c) Fellowship Program Contract (Page 3) (Page 3) (Page 4) PROGRAM NOTES: **COSTS: This program is considered expense-paid. This includes international roundtrip airfare from Washington, DC to Saudi Arabia; visa application fee; and all in-country programming. A program fee of $400.00 must be paid by those accepted into the program in order to reduce attrition. Fellows are also required to cover their own expenses to travel to Washington, D.C. for the pre-departure orientation and home upon return. **TRAVEL DOCUMENTATION: All participants must hold a U.S. Passport that will not expire before June 2016. Those whose passport contains a stamp or entry visa to the State of Israel must obtain a new passport which does not contain markings indicating previous travel to Israel. This is to adhere to Saudi Arabian travel and visa protocol. APPLICATIONS ARE DUE JULY 17, 2015 Cover letters, passport scans, and CVs will be accepted via email to JOSH@NCUSAR.ORG by 4:00PM on July 17th, 2015. Passport-style photos must be mailed via post, and must be postmark dated July 17th, 2015 or earlier for full consideration. Page 2 of 5 National Council on U.S.-Arab Relations Saudi Arabian Cultural Mission 1730 M St., NW, Suite 503, Washington, DC 20036 Phone: 1-202-293-6466 | Fax: 1-202-293-7770 www.ncusar.org 2600 Virginia Ave., Suite 800, Washington, DC 20037 Phone: 1-202-337-9450| Fax: 1-202-337-2978 www.sacm.org/ CONTACT INFORMATION FULL NAME: _________________________________________________________________________________________________ INSTITUTION WHERE EMPLOYED: _______________________________________________________________________ HOMETOWN, STATE: _______________________________________________________________________________________ PERMANENT ADDRESS: ____________________________________________________________________________________ ________________________________________________________________________________________________________________ PERSONAL E-MAIL ADDRESS: ____________________________________________________________________________ ALT. E-MAIL ADDRESS: ____________________________________________________________________________________ MOBILE PHONE: ________________________________ OTHER PHONE: ____________________________________ EMERGENCY CONTACT INFORMATION NAME(S) AND RELATIONSHIP: __________________________________________________________________________ __________________________________________________________________________ PERMANENT ADDRESS: __________________________________________________________________________________ OFFICE OR PROFESSIONAL PHONE: _____________________________________________________________________ HOME PHONE: __________________________________ MOBILE PHONE: ______________________________________ DOCTOR'S NAME: _________________________________________________________________________________________ DOCTOR'S TELEPHONE: __________________________________________________________________________________ Please list any medical conditions the Council and sponsoring organizations should be aware of: Please list any special instructions you may have in case of an emergency: Page 3 of 5 National Council on U.S.-Arab Relations Saudi Arabian Cultural Mission 1730 M St., NW, Suite 503, Washington, DC 20036 Phone: 1-202-293-6466 | Fax: 1-202-293-7770 www.ncusar.org 2600 Virginia Ave., Suite 800, Washington, DC 20037 Phone: 1-202-337-9450| Fax: 1-202-337-2978 www.sacm.org/ SAUDI ARABIA EXCHANGE FELLOWSHIP PROGRAM CONTRACT Required Agreements for all Applicants All applicants are required to 'x' the boxes and sign below indicating they have read and understand the following agreements. Applicants must also answer all the questions found in this section: ____Financial Responsibility – I understand it is my responsibility to cover the cost of transportation to and from Washington, DC one day prior to the departure date, and related costs prior to departure and after return. Roundtrip airfare to the Kingdom of Saudi Arabia, as well as in-country lodging, transportation, and meals, will be covered by the program. Incidentals throughout are the responsibility of the participant. ____Medical and Repatriation Costs – I understand that medical and repatriation costs incurred during the Fellowship are not covered by the program and are the responsibility of the participants. Participants are highly encouraged to check with their current healthcare provider for information, and to purchase adequate travelers insurance coverage. ____Fellowship Status – I understand that all fellowships provided under the auspices of the NCUSAR are unpaid. ____Follow-Up and Expectations – I understand that this Fellowship requires my full participation in all events related to the program, including pre-departure briefings in Washington, DC and all programming within the Kingdom of Saudi Arabia. Furthermore, I understand that I am expected to create and execute a post-visit Fellowship Year Plan in the calendar year following the visit, conforming with the standards and minimum requirements outlined by the National Council. I understand that failure to meet these standards and minimum requirements for my Fellowship Year activities constitutes a breach of confidence with the National Council and sponsoring entities which may result in legal action and/or the reimbursement of costs incurred by the National Council and sponsoring entities (SACM, MOHE, etc.). ____Personal Conduct - I understand that I am a representative of my university, of the National Council, SACM, and MOHE at all times and in all public places. I agree to abide by the laws of the United States, the District of Columbia, the Kingdom of Saudi Arabia, and any state where I may be domiciled or present. I agree to accept and abide by the rules and standards dictated by Saudi Arabian culture and to conduct myself professionally and to the standards of internationally accepted personal behavior at all times. I further understand that my failure to meet these laws, rules, and standards may result in me being dismissed from the program. Should this occur, it will be my responsibility to cover any costs associated with my dismissal, including return travel to the United States, etc. 1. Have you ever been found responsible for a disciplinary violation at any institution where you have been employed, whether related to academic misconduct or behavioral misconduct that resulted in your probation, suspension, removal, dismissal or expulsion from the institution? ____YES ____NO 2. Have you ever been convicted of a felony? ___YES ____NO If you answered yes to either or both questions, please attach a separate document(s) that gives the approximate date of each incident and explains the circumstances. SIGNATURE: _____________________________________________ DATE: _______________________ Page 4 of 5 National Council on U.S.-Arab Relations Saudi Arabian Cultural Mission 1730 M St., NW, Suite 503, Washington, DC 20036 Phone: 1-202-293-6466 | Fax: 1-202-293-7770 www.ncusar.org 2600 Virginia Ave., Suite 800, Washington, DC 20037 Phone: 1-202-337-9450| Fax: 1-202-337-2978 www.sacm.org/ COMPLETED SAUDI ARABIA MALONE FELLOWSHIP APPLICATIONS SHOULD BE EMAILED TO: Mr. Josh Hilbrand Director of Student Programs, NCUSAR JOSH@NCUSAR.ORG PASSPORT-STYLE PHOTOS MUST BE MAILED VIA POST TO: ATTN: Saudi Arabia Malone Fellowship National Council on U.S.-Arab Relations 1730 M Street, NW, Suite 503 Washington, DC 20036 APPLICATIONS ARE DUE JULY 17, 2015 Cover letters, passport scans, and CVs will be accepted via email to JOSH@NCUSAR.ORG by 4:00PM on July 17th, 2015. Passport-style photos must be mailed via post, and must be postmark dated July 17th, 2015 or earlier for full consideration. If you have any questions please call Josh Hilbrand at the National Council on U.S.-Arab Relations at (202) 293-6466 or email josh@ncusar.org SAUDI ARABIA MALONE FELLOWSHIP ⇔ Page 5 of 5