Application Requirements & Instructions - Deadline: 17:00, Monday, January 11th, 2021 | Local time in representative offices - Grantlar.uz

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Application Requirements & Instructions - Deadline: 17:00, Monday, January 11th, 2021 | Local time in representative offices - Grantlar.uz
Visit uscaef.org | Accademic Year 2021-2022 U.S.-CAEF Enterprise Student Fellowship Program Application                                                I

  Deadline: 17:00, Monday, January 11th, 2021                                                               |   Local time in representative offices

  Application Requirements & Instructions
  The Enterprise Student Fellowship Program                         ELIGIBILITY REQUIREMENTS: The Enterprise Student Fellowship does not
  is an academic scholarship program of the                         discriminate on the basis of race, color, sex, religion, national and ethnic origin,
  U.S.-Central Asia Education Foundation                            or disability. Persons with disabilities are strongly encouraged to apply.
  (U.S.- CAEF) that is sponsored by the U.S.
  Department of State and administered by the                       COMPETITION IS FINANCIAL NEED-BASED WITH A STRONG MERIT-BASED
  American Councils for International Education.                    COMPONENT AND OPEN TO ANYONE WHO IS:
  Through this program, the Foundation seeks to
  provide affordable access to Western business                            Citizen of, with permanent residency in Kazakhstan,
  know-how and practices at selected institutions                          Kyrgyzstan, Tajikistan, or Uzbekistan.
  of higher learning in Central Asia that have
  adopted Western curricula and teaching                                   Proficient in spoken and written English.
  methods by providing scholarships (Enterprise
                                                                           Demonstrates academic excellence, financial need,
  Student Fellowships) to qualified students who
                                                                           and professional aptitude & leadership potential in
  due to low family income may otherwise not
  be able to obtain an undergraduate university
                                                                           the field of business and technology in the context
  degree in business administration, economics,
                                                                           of entrepreneurship and economic growth.
  or technology in the context of entrepreneurship
                                                                           Able to begin the program at the start of the 2021-2022
  and economic growth.
                                                                           academic year established by AUCA.
  The Program provides financial need-based
                                                                           Able to receive and maintain all necessary
  scholarships to academically qualified students
                                                                           immigration documentation.
  from Kazakhstan, Kyrgyzstan, Tajikistan and
  Uzbekistan for undergraduate levels of study at
                                                                           Committed to returning to (or remaining in) their home
  the American University of Central ASia (AUCA),
                                                                           country after completion of the program, to contribute
  Bishkek, the Kyrgyz Republic. Enterprise Student
                                                                           to its business community and economic growth.
  Fellowships for students commencing their
  studies in the academic year 2021-2022 include
  full tuition for four years of study, housing and
                                                                    FOLLOWING CIRCUMSTANCES ARE NOT ELIGIBLE:
  living costs, travel, and academic advising and
  support. Fellowships are subject to annual
  renewal based on academic performance
                                                                           U.S. citizens and permanent residents of the United States,
  and other conditions.
                                                                           or citizens and permanent residents of countries other
                                                                           than the 4 participating countries.
  Applicants must meet all AUCA entry
  requirements, and be accepted as a                                       Spouses of U.S. citizens and permanent residents of the
  full-time student prior to being awarded                                 United States, or spouses of citizens of countries other
  an Enterprise Student Fellowship.                                        than the 4 participating countries.

                                                                           Currently residing or working outside the 4 participating
                                                                           countries, with the exception of FLEX program participants.
  U.S.-CAEF considers ONLY
  candidates applying for the first                                        Employees of American Councils, their spouse, child,
                                                                           sibling, grandchild, or a person in a committed relationship
  round of the AUCA’s admissions
                                                                           with an employee.
  cycle. Please check Round 1 admissions
  deadline for 2021 on the AUCA’s website.                                 Already studies at AUCA, regardless of their major.

Attention: This application is in a fillable PDF format. Please type in your information.
Visit uscaef.org | Accademic Year 2021-2022 U.S.-CAEF Enterprise Student Fellowship Program Application                 II

  Application Steps
    STEP 1         Assemble all required documents in the exact order indicated below using the following checklist:

                       completed and signed application form (p. 1-15) with a passport size photo
                       official transcripts and copies of all diplomas (follow the requirements on page 4)
                       Submit TWO letters of recommendation (follow the requirements on page 12)
                       TOEFL/IELTS and/or SAT/ACT (math and essay) score reports, if taken previously
                       A copy of PASSPORT or ID

   STEP 2          Make a photocopy of all documents listed above.

   STEP 3          Bring or mail TWO sets of your application (one original and one photocopy) to the
                   American Councils office in your home country by 17:00, January 11, 2021.

                   The addresses of American Councils representative offices are are indicated bellow:

                   KAZAKHSTAN                                                          TAJIKISTAN
                   20A Kazybek Bi St.,                                                 127 Rudaki Ave.,
                   Almaty, Kazakhstan, 050010                                          Dushanbe, Tajikistan, 734003
                   +7 727 291 9226                                                     +992 44 600-4390
                   uscaef.kz@americancouncils.org                                      uscaef.tj@americancouncils.org

                   KYRGYZ REPUBLIC                                                     UZBEKISTAN
                   187 Sydykov St., Office # 29,                                       12 Shota Rustaveli St.,
                   Bishkek, Kyrgyz Republic, 720001                                    Tashkent, Uzbekistan, 100070
                   +996 312 910 987                                                    +998 78 150 71 50
                   uscaef.kg@americancouncils.org                                      uscaef.uz@americancouncils.org

  IMPORTANT: Incomplete applications as well as applications received after the deadline will not be considered.
  Applications will not be returned to the applicants. American Councils reserves the right to verify all of the
  information indicated in any application. In the event that there is a discrepancy, or information is found to be
  false, the application will be declared invalid, and the applicant ineligible.

Attention: This application is in a fillable PDF format. Please type in your information.
Applicant: (last name, first name):                                                                                                                                     P/1

Attention: This application is in a fillable PDF format. Please type in your information.                Print two copies.

   Applicant Profile
                                                                                                                                                This application is in a
                                                                                                                                        !       fillable PDF format. Please
                                                                                                                                                type in your information.

       Personal Information

                I confirm that I am applying for the U.S-CAEF scholarship to study at AUCA, Bishkek, Kyrgyzstan. I understand
                that the application for AUCA is a separate process and I am fully responsible for applying for the first round
                of the university’s admissions cycle.

                                                                                                                                 ATTACH PASSPORT SIZE PHOTO HERE:

        LAST (FAMILY) NAME                                                 FIRST NAME                                                         ATTACH PASSPORT
                                                                                                                                              SIZE PHOTO HERE
        *Your name should be spelled exactly as it appears in your official documents.

                                                                                                                                               *THIS IMAGE WILL
                                               Male                                                                                          BE ATTACHED TO YOUR
                                                                                                                                            EVALUATION PROFILE IN
                                               Female                                                                                       OUR SECURE DATABASE
                                                                                                                                               AND BE USED FOR
        DATE OF BIRTH                     GENDER                   EMAIL                                                                       AUTHENTICATION
        (MM/DD/YYYY)                                                                                                                            PURPOSES ONLY.

        HOME PHONE                                                 CELL PHONE

                DO YOU HAVE
                A DISABILITY?
                IF YES, DESCRIBE:

       Passport Information                                        Your Address                                   Emergency Contact

      IDENTIFICATION TYPE:

                Local Passport or ID                                STREET NAME                                    LAST (FAMILY) NAME
                International Passport
                Both Passport & ID
                None                                                BUILDING             APT#   POSTAL CODE        FIRST NAME

         *Remember to attach a copy
          of your passport or ID
                                                                    CITY                                           RELATIONSHIP TO YOU

                                                                   COUNTRY:

         PASSPORT NUMBER                                                                                           EMAIL
                                                                            Kazakhstan
                                                                            The Kyrgyz Republic
                                                                            Tajikistan
         EXPIRATION DATE: (MM/DD/YYYY)                                                                             PHONE
                                                                            Uzbekistan

       Field of Study: Please select the field of study you intended to pursue at AUCA.

                BUSINESS                                                                            APPLIED MATHEMATICS                      SOFTWARE
                                                               ECONOMICS
                ADMINISTRATION                                                                      & INFORMATICS                            ENGINEERING

    uscaef.org | AY 2021-2022 | U.S.-CAEF Enterprise Student Fellowship Program Application | Deadline: 17:00, Monday, January 11, 2021
Applicant: (last name, first name):                                                                                                            P/2

Attention: This application is in a fillable PDF format. Please type in your information.   Print two copies.

   Academic Records
         Standardized Tests:

              I certify that the information given in the second part of the application is complete and accurate to the best of
              my knowledge. The U.S.-CAEF reserves the right to verify all of the information indicated in this application. In
              the event that there is a discrepancy, or information is found to be false, the application will be declared invalid.

       FILL OUT THIS SECTION IF YOU HAVE TAKEN ANY TESTS BELOW:                                                      TEST DATE: (MM/DD/YYYY)

              TOEFL                   TOTAL SCORE:                                                                  DATE:

              IELTS                   TOTAL SCORE:                                                                  DATE:

              SAT                     MATH SCORE:                               ESSAY SCORE:                        DATE:

              ACT                     MATH SCORE:                               ESSAY SCORE:                        DATE:

         Schools Attended (secondary school, institute, university, etc.)

      List all schools, colleges & universities you have attended for the past three years, with the most recent listed first:

      INSTITUTION:                                           MAJOR/SPECILIZATION (IF APPLICABLE):     DEGREE/DIPLOMA RECEIVED OR EXPECTED:

     1

      DATE ATTENDED:                                CITY:                                            COUNTRY:

     2

      DATE ATTENDED:                                CITY:                                            COUNTRY:

     3

      DATE ATTENDED:                                CITY:                                            COUNTRY:

     4

      DATE ATTENDED:                                CITY:                                            COUNTRY:

     5

      DATE ATTENDED:                                CITY:                                            COUNTRY:

    uscaef.org | AY 2021-2022 | U.S.-CAEF Enterprise Student Fellowship Program Application | Deadline: 17:00, Monday, January 11, 2021
Applicant: (last name, first name):                                                                                                                              P/3

Attention: This application is in a fillable PDF format. Please type in your information.         Print two copies.

   Academic Records
       Types of schools attended

            International School                        Did you receive a scholarship to attend the school?
                                                        Please check one of the options:
            Private High School
                                                             Full Scholarship
            Public High School                               Partial Scholarship
                                                             None
            Technical School/College
                                                        If not full how much was the tuition paid by your family?

            University
                                                       Prospective first-generation student
            Vocational School
                                                               If both of your parents have not completed a 4-year university degree, you are considered to
                                                               be a prospective first-generation student , even if your siblings are currently pursuing higher
            Other                                              education. Check the box, if you define yourself as a prospective first-generation student.

       Additional academic programs, preparatory or professional development courses

      In the table below, please list all other academic programs/preparatory courses you have taken in the past three years.

      NAME OF THE PROGRAM/COURSE                             ORGANIZATION, CITY, COUNTRY                                        DATE ATTENDED

    uscaef.org | AY 2021-2022 | U.S.-CAEF Enterprise Student Fellowship Program Application | Deadline: 17:00, Monday, January 11, 2021
Applicant: (last name, first name):                                                                                                         P/4

Attention: This application is in a fillable PDF format. Please type in your information.   Print two copies.

    Transcripts & Diplomas
        School Transcripts and Diplomas

      For the purposes of this program, a transcript is a listing of every course you took to receive your diploma and the grade
      you received in each course. Official copies of all school transcripts and diplomas from each institution attended in the
      past two or three years (in some cases) in the language(s) in which they were issued must be attached. All transcripts
      should be signed and stamped by your school’s director or deputy director.

      • If you are currently in your last year of high school,                 • If you are currently enrolled in another institution or
       please enclose your final grades for your junior year,                  preparatory courses, please provide your final transcript
       and your most recent transcript in your senior year.                     for your junior year, your high school diploma and your
                                                                               most recent transcript from your current institution.
         TYPE OF HIGH SCHOOL          JUNIOR YEAR   SENIOR YEAR
           10 YEARS OF STUDY           9 GRADE
                                        TH
                                                     10TH GRADE                • FLEX participants and alumni or other applicants
           11 YEARS OF STUDY          10TH GRADE     11TH GRADE
                                                                               studying abroad, irrespective of the year of participation
                                                                                in the program, must provide their transcripts from
           12 YEARS OF STUDY          11 GRADE
                                        TH
                                                     12TH GRADE
                                                                               the school abroad, in addition to the Central Asian
                                                                               transcripts for their junior and senior years.
      • If you have completed high school or another
      institution, please provide your high school final                       An English translation is required for all transcripts.
      transcript for your junior year and your diploma                         Please use a template below for the translation of
      showing all your final high school grades (“attestat”).                  your school transcripts.

        Translation Form for School Transcripts
      SUBJECT NAME                                           FINAL GRADE: JUNIOR YEAR                           CURRENT/FINAL GRADE

    uscaef.org | AY 2021-2022 | U.S.-CAEF Enterprise Student Fellowship Program Application | Deadline: 17:00, Monday, January 11, 2021
Applicant: (last name, first name):                                                                                                   P/5

Attention: This application is in a fillable PDF format. Please type in your information.   Print two copies.

        Translation Form for School Transcripts (continues: duplicate this page if needed)
      SUBJECT NAME                                           FINAL GRADE: JUNIOR YEAR                           CURRENT/FINAL GRADE

    uscaef.org | AY 2021-2022 | U.S.-CAEF Enterprise Student Fellowship Program Application | Deadline: 17:00, Monday, January 11, 2021
Applicant: (last name, first name):                                                                                                              P/6

Attention: This application is in a fillable PDF format. Please type in your information.       Print two copies.

    Academic Achievements
       Exchange and Other Programs: Please mark all that apply.

            FLEX                                                                       EducationUSA

            New Generation Academy                                                     Study with US

            ACCESS Microscholarship                                                    Other

        Academic Achievments

      In the section below, please describe your academic achievements in the past three years you are particularly proud of.
      These may include scholarships, awards in academic Olympiads and scientific conferences or other events related to your
      academic life. If you took part in Olympiads and conferences, please indicate if it was a school, district, regional, city, state
      or international event. If you received recurrent or similar awards, please combine and include them all in one line.

      AWARD                                            DESCRIPTION                                                                     YEAR(S)

      Eg. Academic Excellence Award                    I received annual school awards for academic excellence three years in a row.   2017-20
      Eg. 1st and 2nd place in Math Olympiads          I won a city competition in 2017, and came 2nd in the state Olympiad in 2018    2017-18

    uscaef.org | AY 2021-2022 | U.S.-CAEF Enterprise Student Fellowship Program Application | Deadline: 17:00, Monday, January 11, 2021
Applicant: (last name, first name):                                                                                                P/7

Attention: This application is in a fillable PDF format. Please type in your information.   Print two copies.

        Academic Achievments: (continues: duplicate this page if needed)
      AWARD                                            DESCRIPTION                                                     YEAR(S)

    uscaef.org | AY 2021-2022 | U.S.-CAEF Enterprise Student Fellowship Program Application | Deadline: 17:00, Monday, January 11, 2021
Applicant: (last name, first name):                                                                                                  P/8

Attention: This application is in a fillable PDF format. Please type in your information.   Print two copies.

    Non-Academic Achievements
        Non-Academic Achievements

      In the section below, please describe your non-academic achievements you are particularly proud of. These include
      your involvement in community service, volunteer work, leadership conferences, clubs or organizations, sports, or
      cultural activities. If you played a leadership role in these activities, be sure to explain this clearly. In this table you can
      also include any leadership positions you have held, e.g. you were a member of the student council, captain of a sports
      team etc. Please describe in detail the work your organization/group performed, and your contribution to its activities.
      Be sure to note if you received any recognition awards.

       1
                   ACTIVITY                                                                                     DATE

        DESCRIPTION                                              YOUR ROLE

       2
                   ACTIVITY                                                                                     DATE

        DESCRIPTION                                              YOUR ROLE

       3
                   ACTIVITY                                                                                     DATE

        DESCRIPTION                                              YOUR ROLE

       4
        ACTIVITY                                                                                                DATE

        DESCRIPTION                                              YOUR ROLE

       5
                   ACTIVITY                                                                                     DATE

        DESCRIPTION                                              YOUR ROLE

    uscaef.org | AY 2021-2022 | U.S.-CAEF Enterprise Student Fellowship Program Application | Deadline: 17:00, Monday, January 11, 2021
Applicant: (last name, first name):                                                                                                P/9

Attention: This application is in a fillable PDF format. Please type in your information.   Print two copies.

        Non-Academic Achievements: (continued)

       6
                 ACTIVITY                                                                                           DATE

        DESCRIPTION                                              YOUR ROLE

       7
                 ACTIVITY                                                                                           DATE

        DESCRIPTION                                              YOUR ROLE

       8
                 ACTIVITY                                                                                           DATE

        DESCRIPTION                                              YOUR ROLE

       9
                 ACTIVITY                                                                                           DATE

        DESCRIPTION                                              YOUR ROLE

      10
                 ACTIVITY                                                                                           DATE

        DESCRIPTION                                              YOUR ROLE

        Work or Internship Experience (if applicable)
      List work or internship experiences that took place in the past three years.
     JOB TITLE, COMPANY NAME:            WHAT THIS EXPERIENCE TAUGHT YOU:                                       DATES:

    uscaef.org | AY 2021-2022 | U.S.-CAEF Enterprise Student Fellowship Program Application | Deadline: 17:00, Monday, January 11, 2021
Applicant: (last name, first name):                                                                                               P/10

Attention: This application is in a fillable PDF format. Please type in your information.   Print two copies.

    Academic and Career Goals Statement
        (max. 500 words)

      Provide a statement of your academic and career goals. Please write what you intend to study at AUCA & how this will help
      you achieve your career aspirations. Highlight your achievements that make you uniquely qualified for U.S.-CAEF and are
      most relevant to your future major, particularly, those accomplishments that are not evident from the examination of the
      application documents submitted for evaluation.

    uscaef.org | AY 2021-2022 | U.S.-CAEF Enterprise Student Fellowship Program Application | Deadline: 17:00, Monday, January 11, 2021
Applicant: (last name, first name):                                                                                                        P/11

Attention: This application is in a fillable PDF format. Please type in your information.   Print two copies.

   Personal Essay
        (max. 500 words) choose ONE topic from the three options below:

      Describe an accomplishment or event             Describe a time when you faced a               Describe a problem you’ve solved.
      that boosted your personal growth               challenge, setback, or failure. How            Explain its significance to you and
      and gave you a new understanding of             did it affect you, and what did you            what steps you took or could have
      yourself or others.                             learn from the experience?                     taken to solve it.

    uscaef.org | AY 2021-2022 | U.S.-CAEF Enterprise Student Fellowship Program Application | Deadline: 17:00, Monday, January 11, 2021
Applicant: (last name, first name):                                                                                                 P/12

Attention: This application is in a fillable PDF format. Please type in your information.   Print two copies.

   Letters of Recommendation
        Submit two letters of recommendation

      Letters can be completed by a teacher, school director, or other individual who is familiar with the applicant and could
      speak to the applicant’s academic abilities and potential to suceed in the chosen field of study at AUCA.
      NOT to be completed by someone who is related to the applicant.

      SUGGESTIONS for Recommendation Letters:                                  ТРЕБОВАНИЯ к рекомендательным письмам:

      MANDATORY                                                                ОБЯЗАТЕЛЬНО

      • Applicant name                                                         • Имя ученика/студента
      • Date                                                                   • Дата
      • Full name of the recommender                                           • Полное имя рекомендателя
      • Job title of the recommender                                           • Должность рекомендателя
      • Name and address of the school/organization                            • Название и адрес школы / организации
      • Recommender’s email & phone number                                     • Электронная почта и номер телефона рекомендателя

      PREFERRED                                                                ПРЕДПОЧТИТЕЛЬНО
      (depends on the quarantine restrictions):                                (зависит от карантинных ограничений)

      • Stamp of the school/organization                                       • Печать школы / организации
      • Signature of the recommender                                           • Подпись рекомендателя

      SUGGESTIONS for Recommendation Letters:                                  СОВЕТЫ по написанию рекомендательного письма:
      • Indicate how long and in what capacity you                             • Укажите, как давно и в каком качестве
        have known the applicant.                                                вы знакомы с заявителем.

      • Evaluate the student’s potential in his/her                            • Оцените потенциал ученика в интересующей
        field of interest.                                                       его области.

      • Discuss the student’s academic and personal                            • Если участник обладает уникальными
        strengths, abilities, or relevant experiences that                       способностями, соответствующим опытом в сфере
        make the candidate unique and help the selection                         будущей деятельности, а также сильными сторонами
        committee distinguish between applicants. If                             личности, которые выделяют его среди сверстников,
        applicable, support your statements with specific                        обязательно включите эту информацию, которая
        examples that demonstrate the student’s actions                          будет принята во внимание членами отборной
        resulting in accomplishments, particularly those                         комиссии. Опишите действия и важнейшие
        inspiring others.                                                        достижения участника, в особенности те, которые
                                                                                 послужили вдохновляющим примером для других.

    uscaef.org | AY 2021-2022 | U.S.-CAEF Enterprise Student Fellowship Program Application | Deadline: 17:00, Monday, January 11, 2021
Applicant: (last name, first name):                                                                                                  P/13

Attention: This application is in a fillable PDF format. Please type in your information.   Print one copy.

   Financial Aid Statement
       (max. 500 words)

      Scholarships will be awarded to those candidates with clear and demonstrable financial need. Please describe your current
      financial status to support the information you have provided in the section “Financial Information”. Please explain why you
      believe you financially qualify for an Enterprise Student Fellowship.

   uscaef.org | AY 2020-2021 | U.S.-CAEF Enterprise Student Fellowship Program Application | Deadline: 17:00, Monday, January 11th, 2021
Applicant: (last name, first name):                                                                                                           P/14

Attention: This application is in a fillable PDF format. Please type in your information.   Print two copies.

    Financial Information
          You do not need to translate these documents into English

      When applicable, please attach stamped or notarized copies of the required financial documents to your application packet.

          List of Family Members

      In the table below, please provide information on each family member living in the same property address as the
      applicant and his/her contribution to the family’s household monthly income. The list should include family members
      who are temporarily away from home but contribute to or depend on the household income, e.g. applicants’ siblings
      who are university students, a parent who is a migrant worker etc. If your parent/guardian is unemployed, please
      provide a document verifying his/her status.

      #     LAST NAME, FIRST NAME            RELATIONSHIP       PROFESSION/OCCUPATION        TYPE OF INCOME                MONTHLY CONTRIBUTION

                                                                                              (salary, pension, alimony,
      0      E.g. Tursunova, Kadisha           Mother-53         Teacher
                                                                                              disability payment, etc.)
                                                                                                                            125800 tenge

      1

      2

      3

      4

      5

      6

      7

      8

      9

     10

          Serious medical condition

      If applicable, indicate the number of people in your family with a disability/serious medical
      condition that requires constant medical attention and expenses.

    uscaef.org | AY 2021-2022 | U.S.-CAEF Enterprise Student Fellowship Program Application | Deadline: 17:00, Monday, January 11, 2021
Applicant: (last name, first name):                                                                                                                              P/15

Attention: This application is in a fillable PDF format. Please type in your information.              Print one copy.

    Financial Information
        Summary of Financial Information

      Select what applies below. The monthly family income should reflect all contributions- e.g. your parents’ monthly
      salaries, pensions, alimony, or any other contributions. Please DO NOT include the contributions made by you,
      even if you are currently employed.

      Monthly family income:                           Real estate:                                                           Car ownership:

             below $500                                        Owns a house or an apartment outright                                       $0.00

             $500-$1000                                        Has a mortgage on a house or apartment                                      $3000-$5000

             $1000-$2000                                       Owns no property                                                            $5000-$7000

             $2000-$3000                                                                                                                   $7000- $9000

             $3000-4000                                                                                                                    $9000-$15000

             over $4000                                                                                                                    Over $15000

       PLEASE NOTE: U.S.-CAEF reserves the right to verify the financial information provided in this application. Applicants who provide false
       or misleading information will be disqualified. In addition, American Councils conducts periodic inquiries into Fellows’ financial status
       once they are on program to verify the information reported in this application. If American Councils learns that a U.S.-CAEF Fellow has
       provided false information in his/her application, the Fellowship will be terminated immediately.

        Agreement                                                                               Outside of Central Asia

      Please review this document, sign it and submit two copys of                             IF AN APPLICANT IS NOT CURRENTLY IN HIS/HER HOME
      the application and all supporting documents in the exact order                          COUNTRY (e. g. a FLEX participant) a relative or a
      indicated in the section “Application Steps” to the American                             guardian can sign the application at the direction
      Councils office in your home country by 17:00, Jan. 11th, 2021.                          and on behalf of the applicant in the area below:

              I certify that the information given in this application is complete and
              accurate to the best of my knowledge. The U.S.-CAEF reserves the right to        LAST (FAMILY) NAME                                  FIRST NAME
              verify all of the information indicated in this application. In the event that
              there is a discrepancy, or information is found to be false, the application
              will be declared invalid and the application ineligible.

                                                                                               RELATION TO THE APPLICANT

        SIGNATURE                                                    DATE                      SIGNATURE                                                  DATE
                                                                                               AT THE DIRECTION & ON BEHALF OF APPLICANT

   uscaef.org | AY 2020-2021 | U.S.-CAEF Enterprise Student Fellowship Program Application | Deadline: 17:00, Monday, January 11th, 2021
Applicant: (last name, first name):                                                                                                  P/16

Attention: This application is in a fillable PDF format. Please type in your information.   Print one copy.

    Quick Survey
        How did you learn about the program?

             Family members and relatives                                           American Councils staff

             Friends                                                                Facebook

             U.S.-CAEF website                                                      Instagram

             American Councils website                                              Linked In

             American Corners/Spaces                                                YouTube

             American Councils social media platforms                               Local media (Tv, newspaper)

        If other:

    THIS IS THE LAST PAGE OF THE APPLICATION. THANK YOU FOR YOUR INTEREST IN U.S.-CAEF.

   uscaef.org | AY 2020-2021 | U.S.-CAEF Enterprise Student Fellowship Program Application | Deadline: 17:00, Monday, January 11th, 2021
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