Queen Elizabeth II Academy
For Leadership in International Affairs
Application Form 2015
Academy Fellowships
at Chatham House
In partnership with the Robert Bosch Stiftung
Deadline for applications: 17.00 BST, Wednesday, 30 September 2015
Please submit this form in PDF format and send via email to
AcademyRobertBoschFellowships@chathamhouse.org
www.chathamhouse.org
Page 2 of 12
APPLICATION NOTES
APPLICATION DEADLINE: 17.00 BST, WEDNESDAY, 30 SEPTEMBER 2015
BEFORE COMPLETING THIS FORM, PLEASE READ THE ACCOMPANYING
INFORMATION PACK, WHICH CAN BE DOWNLOADED AT:
www.chathamhouse.org/academy/fellowships/robert-bosch
PLEASE SUBMIT YOUR COMPLETED FORM IN PDF FORMAT, TOGETHER WITH
ONE SHORT PUBLISHED WRITING SAMPLE IN ENGLISH. YOU MUST BE THE
SOLE AUTHOR OF THE WRITING SAMPLE AND IT MUST BE NO LONGER THAN
10 A4 PAGES.
PLEASE EMAIL YOUR COMPLETED
APPLICATION FORM AND WRITING SAMPLE TO:
AcademyRobertBoschFellowships@chathamhouse.org
ALL DOCUMENTS MUST BE SUBMITTED IN ENGLISH.
PLEASE NOTE: INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED.
We will contact your referees if you are shortlisted for an interview.
Thank you for your interest in the Academy Robert Bosch Fellowship
at Chatham House, in partnership with the Robert Bosch Stiftung.
If you have any questions which are not addressed by the accompanying
information pack, please email:
AcademyRobertBoschFellowships@chathamhouse.org
Page 3 of 12
1. APPLICATION TYPE
The Academy Robert Bosch Fellowship (nine months) will run from
February 2016 to November 2016 or September 2016 to June 2017.
Please underline your preferred start date:
February 2016 to November 2016
September 2016 to June 2017
For details of the fellowships, please refer to the
information pack and the Chatham House website.
2. PERSONAL DETAILS
First Name:
Surname/Family Name:
Other Names/Patronymic (in full):
Marital Status:
Sex (F/M):
Date, City and Country of Birth:
Nationality:
Passport Number, Place of Issue and Date of Expiry:
Current Occupation:
Work Address:
Home Address:
Street:
Street:
City:
City:
Region:
Region:
Country:
Country:
Postal Code:
Postal Code:
Tel. No.:
Tel. No.:
Email:
Mobile Phone No.:
Email:
Skype ID:
Preferred Contact Number:
Page 4 of 12
Where did you hear about the fellowships? (Please tick one box)
Chatham House website
Chatham House email:
If possible, please specify:
Russia and Eurasia Programme
Queen Elizabeth II Academy
Robert Bosch Stiftung website
Other
Word of mouth (e.g. friend/colleague)
If possible, please specify: ________________________________________________
Social media (Facebook/Twitter/LinkedIn etc.)
If possible, please specify: ____________________________________
Other
If possible, please specify: ___________________________________
3. RESEARCH PROPOSAL
The parameters for the research topics have been designed in broad terms to allow
applicants to devise a project that appeals to their own research interests. Applicants may
propose a research project that fits within any of the seven topics outlined below.
Please tick one or more of the broad research topics below which you would want your
project to fit within during your Academy fellowship:
Internal Dynamics
Prospects for economic growth, modernization and democratization in the Eastern Partnership
Countries and/or Russia
Regional elites and networks of power
Societal changes, inter-ethnic relations and non-state actors
External Dynamics
The future of EU and NATO relations with the Eastern Partnership Countries and/or Russia
Security and conflict resolution
Prospects for intra-regional conflict or cooperation
Russia and the shared neighbourhood with Europe
Page 5 of 12
Research project title/research question:
Please provide a summary of your research proposal:
(Maximum 100 words):
Please write your word count here: ________
Please detail your research proposal:
(Maximum 700 words)
You should outline the topic to be investigated, the proposed methodology, the project’s
importance and its policy relevance. You should also describe any necessary fieldwork and
provide a timeline of activities to indicate how the proposed work would be completed
during the fellowship.
Page 6 of 12
Please write your word count here: _______
Page 7 of 12
4. FELLOWSHIP PLANS
What two or three things do you expect to get out of the fellowship? How do you think it will
benefit you?
(Maximum 200 words)
Please write your word count here: ________
What do you believe your research will bring to Chatham House during your time here?
What new perspectives will you bring?
(Maximum 200 words)
Please write your word count here: ________
Page 8 of 12
5. CURRICULUM VITAE
Please paste your CV below:
(Maximum two pages)
Page 9 of 12
5. CURRICULUM VITAE (continued)
Page 10 of 12
6. POST-FELLOWSHIP PLANS
Fellows spend approximately 30 per cent of their fellowship participating in the Academy’s
leadership training programme and approximately 20 per cent of their fellowship
contributing to the activities of one of their host research departments.
Please outline your post-fellowship plans below, highlighting your career plans and
aspirations for the next five to ten years, and in particular how the leadership programme
and host research department’s activities will contribute to your work and help you to
achieve these plans and aspirations, as well as how it will benefit mutual understanding
across borders.
(Maximum 400 words)
Please write your word count here: ________
Page 11 of 12
7. REFEREES
Please provide the contact details of two referees (at least one being an academic referee):
Name:
Name:
Affiliation:
Affiliation:
Work Address:
Work Address:
Email:
Email:
Tel. No.:
Tel. No.:
Relationship to you:
Relationship to you:
8. PERSONAL COMMITMENTS
Will you need to return to your home country regularly during the fellowship for
employment or family reasons?
No
Yes
If yes, please provide details:
Will your family accompany you?
No
Yes
If yes, please provide details of their immigration status and how they will be supported
financially during their stay:
Please note: Chatham House cannot sponsor visas for any dependants.
Your dependants can apply for a visa to accompany you to the UK for the duration of the
fellowship provided you have sufficient funds to support them. Chatham House will be
able to provide a letter of support for such visa applications where appropriate.
Page 12 of 12
9. DECLARATION OF CONSENT
Please tick all the boxes below to confirm you have:
Inserted a 2-page copy of your curriculum vitae into this application form
Signed and dated this application form
Included in your submission a separate writing sample (maximum 10 A4 pages only)
Please tick the box below if you do not wish to receive future Academy communications,
such as notifications of future fellowship opportunities or updates on the Academy’s
activities:
I hereby declare that the above statements are correct and complete. Chatham House has my permission
to process, evaluate and store my personal information. Upon my acceptance to the fellowship
programme, my personal data and photograph may be used in Academy publications and on the Chatham
House website.
Signature:
Date: