Center
for Advanced Judaic
420 Walnut Street
Application for Fellowship
2008-2009 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:___________
Optional: In the event you are accepted as a fellow, we
will assist you in finding suitable
lodging in Philadelphia. Please indicate
below what kind of housing may be appropriate for your needs:
___suburban
housing ___city housing ____one-bedroom apt ____two-bedroom apt
other:
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): __________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
•Please submit a
brief description (750-1000 words) of
your intended project.
•Please submit a current c.v. (including a list of your publications)
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 1, 2007.
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 1, 2007 to:
Administrator,
Telephone: 215/238-1290 Fax:
215/238-1540 Email:
allenshe@sas.upenn.edu