Center
for Advanced Judaic
Application for Fellowship
2007-2008 Academic Year
Both
Terms ____________Fall Term only _____________Spring Term only______________
Full Name ______________________________________
Date __________________________
Permanent Address_____________________________________________________________
______________________________________________________________________________
Telephone Numbers:
Office _______________________ Home_________________________
E-mail: _________________________________________ Fax:_________________________
Citizenship:
________________ Place of Birth: ______________ Date of Birth:___________
Academic Degrees (Please
give date and place received):
B.A. ________________________________________________________________________
M.A. ________________________________________________________________________
Ph.D. ________________________________________________________________________
Present Position (include institution): ______________________________________________
______________________________________________________________________________
Have you been a fellow
at our Center before?
If yes, please give
the dates of your fellowship(s):
Title of proposed research
project:
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
•Please submit a
brief description (750-1000 words) of your
intended project.
•Please submit a current c.v.
References: Names of three people
who know your work. Please ask them to send letters of recommendation
directly to the Center by the deadline of November 15, 2006.
Name
Affiliation
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Please tell us where you heard about our program:
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
If you have questions
or would like further information contact Sheila Allen at allenshe@sas.upenn.edu
Please
return this form via mail or fax no later than November 15, 2006 to:
Administrator,
USA
Telephone: 215/238-1290 Fax:
215/238-1540