Name:

____________________________________________________________________________________

Title:

____________________________________________________________________________________

Institution:

____________________________________________________________________________________

Address:

____________________________________________________________________________________

____________________________________________________________________________________

Phone:_________________________________

Fax:___________________________________

Email: _______________________________________________________________________________

PROFILE QUESTIONS (Please check all that applies)

1. I am employed at an advising center located in Europe, Israel or the NIS:

(check one) ______ full-time or_____ part-time

2. The time I devote to advising individuals on study opportunities in the United States is best approximated as:

(check one) ___ less than 50%___ 50% ___ 75% ___ 100%

3. As of March 2001, I have been working as an educational adviser for ___________years

4. I am scheduled to present at the 53rd NAFSA Conference: (check one) ___ No ___ Yes.

If yes, please specify Session/Workshop

Title: ________________________________________________________________________________

_____________________________________________________________________________________

5.

a. I have been recently involved in OSEAS-Europe related activities (liaison projects, newsletter contribution etc): ___ No___ Yes.

If yes, please indicate activity_______________________________________________________________________________

_____________________________________________________________________________________

b. I will soon be involved in OSEAS-Europe related activities (liaison projects, newsletter contribution etc):

_____ No_____ Yes.

If yes, please indicate activity_____________________________________________________________

_____________________________________________________________________________________

6.

a. I have attended a NAFSA national conference: ___ No ___ Yes.

If yes, when: ____________ and where: ____________________________________________________

b.I have attended a NAFSA regional conference: ______ No ______ Yes.

If yes, when: ____________ and where:_____________________________________________________

7. I will be participating in the PDP training day at the 53rd NAFSA Conference in order to join the NAFSA PDP Trainer Corps: _______ No______ Yes.

8. I will present at the 7th OSEAS-Europe Regional Conference - Cyprus 19^th – 23^rd of July 2001:

(check one) ___ No___ Yes.

If yes, please specify Session/Workshop:

Title: _______________________________________________________________________________

9. If selected for an award, I wish to receive the award in U.S. dollars as a:

___ bank transfer ___ U.S. dollar check ___ U.S. dollar cash in Philadelphia

Other: ______________________________________________________________________

10. I have been awarded an OSEAS-Europe Grant in past years (i.e 1999 or 2000)

_______No _______ Yes

Please indicate the estimated total cost of your participation at the NAFSA Conference and specify sources and amount of funding .

Total Cost _________________________

Sources of funding:

_____Institution/ Employer (please have your employer explain this in his/her letter of recommendation)

____ From Self (please explain in the space provided below)

____ Other (please explain in the space provided below)

_____________________________________________________________________________________

_____________________________________________________________________________________

Please make sure that your application form is accompanied by:

1. Statement of objectives answering:

- Why do you want to participate in the 2001 NAFSA Conference?

- What are your learning objectives?

- How will your participation in the conference assist you in your work as an overseas educational adviser?

- What are your future career goals and interest in international education?

2. Letter of recommendation from direct supervisor addressing the following:

- Your role and responsibilities as an overseas educational adviser;

- How your attendance at the NAFSA annual Conference will benefit your advising center

- Possible financial assistance provided by your institution or advising center

Application must be received by MARCH 23, 2001.

Applications will be reviewed by the OSEAS-Europe Board.

(Note that OSEAS-Europe Board members are not eligible for OSEAS-Europe Grants).

Notifications of awards:

Awards will be notified by APRIL 6, 2001

Please fill out the above form, attach your statement and recommendation letter and email to:

Isabella Lanciotti <ilanciotti@fulbright.it>

Mihaela Arsene <marsene@fulbright.kappa.ro>

Hasmik Sargsyan <hasmik@irex.am>

Re: OSEAS-Europe grants application

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