| To apply for ISSI 2010, please complete the following on-line application AND click on the "Submit" button at the bottom of the page. Mandatory fields are noted with an asterisk (*). NOTE: If you have any problems using this on-line application, please contact us at issi@indiana.edu or 812-856-1768. Thank you. |
TEACHER INFORMATION:
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First Name:*
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Last Name/Surname:*
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Home Street Address:* (NOTE: P.O. Boxes NOT accepted)
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Home City:*
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Home State:*
Describe "Other": (if applicable)
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Home Zip (Postal Code):*
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Home Country:*
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Home Phone:* (NOTE: Include country code for non-U.S. numbers)
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Home E-mail Address:* (NOTE: You will be receiving important communications by email)
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Passport Number: (NOTE: Mandatory if not a U.S. citizen)
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Country where passport was issued: (NOTE: Mandatory if not a U.S. Citizen)
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Date of Birth:*
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Gender:*
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Were you nominated to ISSI by one of the following:
(Check the following list and highlight one.)
Enter specific area studies center (if applicable):
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Primary (and other) languages spoken at home:*
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Travel Abroad: (if any)
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SCHOOL INFORMATION:
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Name of School:*
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School Street Address:*
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| School City:*
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School State:*
Describe "Other": (if applicable)
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School Zip (Postal Code):*
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School Country:*
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School Phone:* (NOTE: Include country code for non-U.S. numbers)
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School Fax: (optional) (NOTE: Include country code for non-U.S. numbers)
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School E-mail Address: (optional)
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What grade(s) do you teach?* (select one or more)
6th
7th
8th
9th
10th
11th
12th
College Undergraduate Level
College Graduate Level
Other
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What subject(s) do you teach?*
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PERSONAL INFORMATION:
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Please check the world areas about which you are most interested in learning more. |
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Africa |
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Latin America |
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East Asia |
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Middle East |
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Eastern Europe |
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South/Southeast Asia |
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Inner Asia |
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Western Europe |
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Please list your specific countries of interest.
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Please state the international issues that interest you the most.*
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Where did you hear about this institute?*
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Please write a brief statement describing the benefits to you and to ISSI from your participation at the institute.* (NOTE: Your application will NOT be accepted unless you COMPLETE this statement.)
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APPLICATION PROCESS:
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In order to have a COMPLETE ISSI application package, we must receive from you ALL of the following:
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AN APPLICATION
Submit this application on-line over the Web by CLICKING ON SUBMIT BUTTON BELOW. If you are having technical problems submitting this application online, please contact us at 812-856-1768 or issi@indiana.edu.
- A RÉSUMÉ
E-mail (issi@indiana.edu), fax (812-855-6271) or mail us your résumé (to the address below).
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A LETTER OF RECOMMENDATION
Have your department head, principal, or a colleague email (issi@indiana.edu), fax (812-855-6271), or mail (to the address below) a signed letter of recommendation.
International Studies Summer Institute 2010
Center for the Study of Global Change
Indiana University
201 N. Indiana Avenue
Bloomington, IN 47408-4001 |
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As soon as we receive your COMPLETE ISSI application package, your information will be reviewed and you will be contacted by email regarding your acceptance status.
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Please remember to click on the "Submit" button below to complete this on-line application. Thank you.
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