Visiting Fellows Program
HARVARD-YENCHING INSTITUTE
(2010-2011)
Return to:
Program Office
Harvard-Yenching Institute
Vanserg Hall, Suite 20
25 Francis Avenue
Cambridge, MA 02138
USA
Deadline for Application Form: June 15, 2009
Phone: 617-495-0702
Fax: 617-496-7206
email: ruohong_li@harvard.edu
(Please type or write in black ink)
PART ONE (to be completed by faculty member applying)
1.
2.
Family Name
______________________________________________________
Given
Name
______________________________________________________
漢 字
___________
Age
___________
Place of Birth
Male
____________________________
Date of Birth
____________________
Female
3.
Citizenship (nation from which passport is obtained)______________________________________________________
4.
Present title as faculty member
_______________________________________________________________
Please indicate the anticipated date of Ph.D. completion:
__________________________________________
5.
University name:
Department:
6.
Office address____________________________________________________________________________________
7.
Telephone:
8.
Fax:
9.
Email:
10 Home Tel:
11. Best Mailing Address: __________________________________________________________________________
____________________________________________________________________________________________
12. Married:___________
13.
Number of children
Colleges & Universities Attended
_______________
Will they accompany you?________________
Principal subject Dates of study
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Degree & year awarded
_________________________________
_________________________________
__________________
_________________________________
_________________________________
__________________
_________________________________
_________________________________
__________________
_________________________________
_________________________________
__________________
14. Previous fellowships, scholarships, grants, and other honors_____________________________________________
______________________________________________________________________________________________
15. TITLE OF DISSERTATION: ______________________________________________________________________
______________________________________________________________________________________________
16. Names, addresses, phone/fax numbers and email addresses of individuals from whom you are requesting letters of
recommendation. Three (3) are required, one of which must be from your adviser or the person most familiar with
your scholarly work. Please send the three letters of recommendation together with your application form.
.
Names
Phone/fax numbers
addresses
Email
________________
________________
_________________________________
__________________
________________
______________ __
_________________________________
__________________
_______________
________________
_________________________________
__________________
17. List any Harvard University or/and any other major university faculty member(s) with whom you wish to consult
the stay of the fellowship.
Name
__________________
Department
during
Field
___________________________
___________________________
List the above faculty member’s two publications (with detailed citation information) that are highly relevant to your
research.
1) _________________________________________________________________________________
2) _________________________________________________________________________________
18. Have you ever applied for a Harvard-Yenching Scholarship before?___________ If so, when?___________________
19. List all positions, academic or other, in chronological order, with dates, including the date from which you have
held your present faculty position:____________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
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________________________________________________________________________________________________
________________________________________________________________________________________________
20. Publications where applicable. Please list titles in the original language as well as English (Attach a separate
bibliography if space here is insufficient________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
21. Foreign travel: If you have visited or lived in any countries other than the one in which you are now employed,
please give places, dates, and purposes:________________________________________________________________
_______________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
22. Indicate your knowledge of the languages listed below and any others. If one is your own language, write native:
elsewhere slightly, fairly well, or fluently.
CHINESE:
Speak
THAI:
Speak ____________ Read ______________
JAPANESE:
Speak __________ Read _____________
ENGLISH:
Speak ____________ Read_________________
KOREAN:
Speak
VIETNAMESE:
OTHER (______):
__________
Read
__________Read
Speak__________
Speak
_____________
____________
Read
___________
______ Read________
23. Are you applying for funding from any other organizations?______________________________________________
24. What is the subject of your Ph. D. dissertation? Give a description in 2 or 3 pages, indicating how far you have
progressed in writing it. Explain how a Visiting Fellowship at Harvard University would contribute to your dissertation
(Insert the extra pages in this application form).
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25. Name and academic position of your dissertation adviser:
26. Transcripts need to be sent together with this application.
27. An official TOEFL score should reach the Harvard-Yenching Institute by September 1, 2008.
9461.
The Institute code is
28. AGREEMENT: If awarded a Harvard-Yenching Institute Visiting Fellowship at Harvard University, I will return
to my duties at my employing university in Asia at the conclusion of the Fellowship, or at such earlier time as my home
university and/or the Harvard-Yenching Institute may require. If I am awarded a Fellowship, I will apply for a F-1
(student) visa to enter the United States.
Signed ________________________________________
Date
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________________________________________
PART TWO:
TO:
INSTITUTIONAL APPROVAL (to be signed by the President, Vice-Chancellor, Rector, Dean of
Faculty, or other appropriate administrative officer of the applicant's sponsoring university in Asia.)
Application is incomplete without approval.
Visiting Fellows Office
HARVARD-YENCHING INSTITUTE
Vanserg Hall Suite 20
25 Francis Avenue
Cambridge, MA 02138
USA
We approve and recommend the application of ______________________________________________ for a
Fellowship. This university will grant the above-named faculty member a suitable leave of absence if he or she is
awarded a Harvard-Yenching Institute Visiting Fellowship at Harvard University, where he or she will do dissertation
research toward a doctoral degree at this university. At the conclusion of the Fellowship, or earlier if required under
terms of the applicant's agreement (Part One, item 19) the said faculty member is expected and obligated to resume
appropriate duties at this university.
Signed
________________________________________
Title
________________________________________
Date
________________________________________
<Email Ruohong Li at <ruohong_li@harvard.edu> to receive an electronic version of this application.>
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