2015 AILA International Fellows Program Application Form
2015 AILA International Fellows Program Application Form Date (mm/dd/yyyy): _________________
1. Applicant Information Last name: ________________________
First name: _________________________
Middle Initial: ______
Date of birth (mm/dd/yyyy):_____________________________________ Address: __________________________________________________________________________ City: _____________________________ State: ________ Zip: ____________________ Occupation/Position: ________________________________________________________________________ Employer: ________________________________________________________________________________ Country of Citizenship: ______________________________________________________________________ Country of Residence: _______________________________________________________________________
2. Relevant Experience Describe your current area of work and professional responsibilities. __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ What foreign policy issues interest you the most? Why? __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________
What are your most significant leadership traits? How have they helped you address a specific challenge that you have faced? __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ What is the most pressing ethical issue in your profession or community? How would you/have you approach(ed) this issue? __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________
3. References Please select referrals who know you well and who can offer specific examples of your performance in and contributions to your organizations, community, and character. These individuals should be able to testify to your leadership capabilities and potential. Referral #1
Referral #2
Name: ______________________________________
Name: ______________________________________
Title: _______________________________________
Title: _______________________________________
Affiliation: __________________________________
Affiliation: __________________________________
Phone number: _______________________________
Phone number: _______________________________
e-mail address: _______________________________
e-mail address: _______________________________
Relationship to participant: _____________________
Relationship to participant: _____________________
Additional note (optional): ______________________ Additional note (optional): ______________________ ____________________________________________ ____________________________________________
Request for Financial Assistance Please explain your need for financial assistance and why you think you are an exceptional candidate for AIF. ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ *NOTE: 1. A very limited tuition assistance is available. A tuition rebate will only be granted to an individual who demonstrates exceptional circumstances that make it impossible for him/her to bear the tuition cost or receive financial support from his/her employer and/or affiliated institutions. 2. Financial aid can ONLY be applied towards the AIF tuition fee. Participants are responsible for all travel and lodging expenses.
Programming Survey The following survey is designed to evaluate the programming needs of AIF participants. Your responses will not be considered when determining participant candidacy. Please answer accurately. 1. Have you ever formally been assessed using the Myers-Briggs Type Indicator Questionnaire or the Keirsey Temperament Sorter?
□ No □ Yes
2. List any previous leadership training in which you have participated. __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ 3. How would you describe your level of English? _________________________________________________________________________________________ _________________________________________________________________________________________
4. How did you learn about the CSIS AILA International Fellowship? __________________________________________________________________________________________ __________________________________________________________________________________________
To apply, please attach both your completed application form and a current résumé in an email to [email protected].
1. Applicant Information Last name: ________________________
First name: _________________________
Middle Initial: ______
Date of birth (mm/dd/yyyy):_____________________________________ Address: __________________________________________________________________________ City: _____________________________ State: ________ Zip: ____________________ Occupation/Position: ________________________________________________________________________ Employer: ________________________________________________________________________________ Country of Citizenship: ______________________________________________________________________ Country of Residence: _______________________________________________________________________
2. Relevant Experience Describe your current area of work and professional responsibilities. __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ What foreign policy issues interest you the most? Why? __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________
What are your most significant leadership traits? How have they helped you address a specific challenge that you have faced? __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ What is the most pressing ethical issue in your profession or community? How would you/have you approach(ed) this issue? __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________
3. References Please select referrals who know you well and who can offer specific examples of your performance in and contributions to your organizations, community, and character. These individuals should be able to testify to your leadership capabilities and potential. Referral #1
Referral #2
Name: ______________________________________
Name: ______________________________________
Title: _______________________________________
Title: _______________________________________
Affiliation: __________________________________
Affiliation: __________________________________
Phone number: _______________________________
Phone number: _______________________________
e-mail address: _______________________________
e-mail address: _______________________________
Relationship to participant: _____________________
Relationship to participant: _____________________
Additional note (optional): ______________________ Additional note (optional): ______________________ ____________________________________________ ____________________________________________
Request for Financial Assistance Please explain your need for financial assistance and why you think you are an exceptional candidate for AIF. ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ *NOTE: 1. A very limited tuition assistance is available. A tuition rebate will only be granted to an individual who demonstrates exceptional circumstances that make it impossible for him/her to bear the tuition cost or receive financial support from his/her employer and/or affiliated institutions. 2. Financial aid can ONLY be applied towards the AIF tuition fee. Participants are responsible for all travel and lodging expenses.
Programming Survey The following survey is designed to evaluate the programming needs of AIF participants. Your responses will not be considered when determining participant candidacy. Please answer accurately. 1. Have you ever formally been assessed using the Myers-Briggs Type Indicator Questionnaire or the Keirsey Temperament Sorter?
□ No □ Yes
2. List any previous leadership training in which you have participated. __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ 3. How would you describe your level of English? _________________________________________________________________________________________ _________________________________________________________________________________________
4. How did you learn about the CSIS AILA International Fellowship? __________________________________________________________________________________________ __________________________________________________________________________________________
To apply, please attach both your completed application form and a current résumé in an email to [email protected].
