Visiting Scholars 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: 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.
Family Name __________________________
漢 字
Age
Given Name _________________________________________
____________________________
___________
Gender (please circle): Male / Female
2.
Place of Birth: City ___________ Country ________________ Date of Birth
_______________________________
3.
Citizenship (nation from which passport is obtained) _____________________________________________________
4.
Present title as faculty member
5.
University:
6.
Office address____________________________________________________________________________________
7.
Telephone
8.
Fax:
9.
Email:
_____________________________________________________________________
Department:
H
O
10. Best Mailing Address: ____________________________________________________________________________
_______________________________________________________________________________________________
11.
Colleges & Universities Attended
Principal subject
Dates of study
____________________________
______________
_________________ __________________
____________________________
______________
_________________ __________________
____________________________
______________
_________________ __________________
____________________________
______________
_________________
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Degree & year awarded
___________________
12. 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
________________
________________
_________________________________
__________________
________________
______________ __
_________________________________
__________________
_______________
________________
_________________________________
__________________
13. List any Faculty member(s) at Harvard University and/or any other major university in the United States with whom you
wish to consult during the stay of the fellowship.
Name
Department
Field
__________________
___________________________
___________________________
__________________
___________________________
___________________________
List the above faculty member’s two publications (with detailed citation information) that are highly relevant to your
research.
1) _________________________________________________________________________________
2) _________________________________________________________________________________
14. Previous fellowships, scholarships, grants, and other honors________________________________________________
_______________________________________________________________________________________________
15. Are you applying for funding from any other organizations?______________________________________________
16. Have you ever applied for a Harvard-Yenching Scholarship before?________
If so, when?______________________
17. Title of Proposed Research:
________________________________________________________________________________________
________________________________________________________________________________________
18. 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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________________________________________________________________________________________________
19. Publications where applicable. Please list titles in the original language as well as English. Attach a separate bibliography
if space here is insufficient___________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
20. 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:_________________________________________________________________
_______________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
21. 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
__________
Read
_______________
JAPANESE:
Speak
__________
Read
_______________
ENGLISH:
Speak ____________
Read
_______________
KOREAN:
Speak
__________
Read
_______________
THAI:
Speak
____________ Read
________________
VIETNAMESE: Speak__________
OTHER (______):
Speak
Read
______Read
________________
________________
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21. What is the subject of your research plan? Scholarships are intended for original, publishable research. (It is not
necessary that the research be completed during the year at Harvard.) The scholarship is NOT intended for the
compilation of textbooks or the writing of general surveys of your field. Give a description in English in about 3-5 pages,
explaining your research plans at Harvard University or/and another major university. Please insert the extra page(s) in this application
form if necessary.
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22. AGREEMENT: If I am awarded a Harvard-Yenching Institute Visiting Scholars 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 J-1 (scholar) visa to enter the United States.
Signed
Date
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 Scholars Program 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 Scholars Fellowship at Harvard University,
where s/he will do research in his or her designated field. At the conclusion of the Fellowship, or earlier
if required under terms of the applicant's agreement (Part One, item 18) the said faculty member is expected
and obligated to resume appropriate duties at this university.
Signed
Title
Date
For an electronic version of application forms and with further enquiries, please email Ruohong Li
<ruohong_li@harvard.edu> regarding Visiting Scholars and Visiting Fellows Program.
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