HERBERT D. KATZ
CENTER FOR ADVANCED JUDAIC STUDIES
UNIVERSITY OF PENNSYLVANIA
420 Walnut Street
Philadelphia, PA 19106
Telephone: 215/238.1290
Fax: 215/238-1540
Email: allenshe@sas.upenn.edu

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Fellowship Application Form
2010-2011 Academic Year
Application Dateline: November 10, 2009

* - Required Field

*Which term are you applying for? Year Fall Spring

 

*Date:
*Full Name:

*Permanent Address:

Telephone Numbers: Office	*Home:
Email:	Fax:
*Citizenship:	*Place of Birth:
*Date of Birth:

Optional: In the event you are accepted as a fellow, we will assist you in finding suitable lodging in Philadelphia.  Please indicate below the location and the kind of housing may be appropriate for your needs: Location type: suburban housing        city housing  Housing type: one-bedroom apt     two-bedroom apt         other:

Academic Degrees (Please both the date and institution in which the degree was issued):
B.A.
M.A.
Ph.D.
Present Position (include institution):
Have you been a fellow at our Center before? Yes No If yes, please give the dates of your fellowship(s):
*Title of proposed research project:
*Please attach a brief description (750-1000 words) of your intended project (MS-Word, PDF, and Open Office Documents ONLY):
*Please attach your current C.V. (including a list of your publications, no more than 3 pages) (MS-Word, PDF, and Open Office Documents ONLY)

*References: Names of three (3) people who know your work. Recommendations MUST be submitted online. After your application has been processed you will receive email confirmation and instructions for your recommenders (Applications are usually processed withing 24-48 hours.) Recommendations must be received by November 10, 2009

*Name	*University Affiliation	*E-mail Address

Please tell us where you heard about our program: