RESEARCH AND INNOVATION FELLOWSHIP FOR AGRICULTURE (RIFA) APPLICATION APPLICANT INFORMATION Last Name First Date Academic Department Expected Year of Degree Completion Are you a citizen or permanent resident of the United States? YES NO Expected Time Period in Country (we understand this is subject to change and is for budgetary planning purposes only): PLEASE LIST HERE ANY RELEVANT COURSEWORK YOU HAVE ALREADY TAKEN TO THE PROJECT YOU ARE APPLYING FOR Course and year taken Academic Institution Explain Relevancy Have you taken IAD 203? YES NO Year Have you taken IAD 200? YES NO Year If you have not taken IAD 200, please indicate if you have any coursework or trainings that cover the following topics (answer this question only if you have not taken IAD 200): Topic Relevant training, experience or coursework covering this topic (if not indicate N/A) Agricultural Extension Models and Problem Solving Strategies Gender & Indigenous People Risk Assessment and Mitigation Participatory Field Assessment/PAR Natural Resource Management REFERENCES Please list two professional references (One should be here at UC Davis) Full Name Relationship Title Phone Email Address Full Name Relationship Title Phone Email Address General Project Overview (1-2 paragraph(s)):