Open Society Institute

USAID Teacher Education Master’s Scholarship Program in the United States

Academic Years 2015-2017

Pre-Application

KEY STUDY AREAS

There are 11 study areas in the USAID Teacher Education Master’s Scholarship Program. Details about each and required qualifications to be considered for a scholarship award are at the Training for Pakistan website

Which Master’s degree program are you applying for and for which you meet the qualifications? Check only one:

Educational Administration and Policy Educational Leadership and Management

Education Measurement and Assessment Educational Financing

Teacher Education Early Childhood Education

Literacy Education Developing Reading Culture

Curriculum Development Special and Inclusive Education

Behavior and Applied Analysis Other ______

Please refer to detailed guidelines on each of these study areas at www.trainingforpakistan.org/mesp

YOUR NAME (as it appears on your passport) Last First Middle Title (Mr., Miss, Mrs., Prof., Dr.)

CONTACT INFORMATION

Current residential address: Home telephone:

______Mobile Number: ______

Office telephone:

Mailing address if different from the residential address: E-mail address:______

PERSONAL INFORMATION

Sex: Male Female Date of Birth: Place:

1 Pre-Application Deadline is June 4, 2014! Master’s of Education Scholarship Program [email protected] www.trainingforpakistan.org/mesp Month/Day/Year City Country

Country of permanent legal residence: ______Country of citizenship:

Identification Number (CNIC Number): ______

Do you hold a PAKISTANI PASSPORT: Yes No If Yes, your passport number:______

Issue date: MM/DD/YYYY______Expiration date: MM/DD/YYYY______

POST-SECONDARY ACADEMIC HISTORY- Please attach the transcript of your latest degree. Institution Name Institution Location Dates Attended Major Field Degree Received and Grade Point (No abbreviations) (City, Country) MM/YY – MM/YY of Study Date Received Average From: To:

EMPLOYMENT EXPERIENCE -- Please start with your most recent position. You may also attach a resume or curriculum vitae (CV).

Name of Employer and Dates of Employment Your Job Title and Responsibilities Employer’s Mailing Address MM/YY – MM/YY From: To:

From: To:

FUTURE PLANS a. Please describe the career you plan to pursue after completion of your academic program and how this program will help you accomplish your career goals. (Please limit your response to 175-225 words.)

2 Pre-Application Deadline is June 4, 2014! Master’s of Education Scholarship Program [email protected] www.trainingforpakistan.org/mesp b. What are some of the challenges you would like to address in Pakistan after completing your academic program? How do you envision yourself changing or impacting your field? (Please limit your response to 175-225 words.)

LIST ANY SCHOLARSHIPS OR FELLOWSHIPS FOR WHICH YOU PREVIOUSLY APPLIED:

Scholarship Received: YES NO

Degree Received: YES NO

Scholarship Received in the Year ______

Duration of Program: ______

Degree Title: ______

Institute: ______

Sponsor: ______

Amount: ______

LANGUAGE PROFICIENCY

Native language(s):______

Number of years of English study: ______Where studied:______Reading Ability Writing Ability Speaking Ability

Rate your English language abilities as Excellent, Good, or Fair:

STANDARDIZED TESTS

Semi-Finalists will be asked to participate in an intensive TOEFL and GRE training in August/September 2014. Semi-Finalists will take the TOEFL and GRE exam by October 10, 2014 at no cost to the applicant.

GRE score is valid for five years and TOEFL score is valid for two years. Please complete the information below, if you have already taken the tests and your scores are valid through March 2015:

3 Pre-Application Deadline is June 4, 2014! Master’s of Education Scholarship Program [email protected] www.trainingforpakistan.org/mesp TOEFL Test Date: ______/______Score: ______GRE Test Date: ______/______Score: Verbal______Quantitative ______Analytical______

QUALIFIED PERSONS WITH DISABILITIES (OPTIONAL) If you are a person with a physical or cognitive disability, please describe any accommodations you may need to have a successful experience studying in the U.S. (this information is gathered for statistical purposes and to ensure appropriate placement; MESP does not discriminate on the basis of race, color, religion, sex, national origin, and/or physical impairment.).

RECRUITMENT QUESTION

Please indicate how you learned about the program. Check all responses that apply.

*This information will not be used in the evaluation of your application. The information you provide will help program administrators plan future advertising and recruiting efforts.

___ Training for Pakistan ___ Newspaper/Journal: (name; date) ______USAID ___ Radio: (station) ______U.S. Embassy, Consulate, or Public Affairs Section ___ Internet: (site address) ______Resources at Your Workplace ___ Other (please describe) ______Friend/colleague

SCHOLARSHIP PROVISIONS

The MESP Scholarship provides:  U.S. university admissions testing and placement  Travel to and from the U.S. (beginning and end of program only).  Tuition and mandatory university fees  Funds for books, educational materials, and computer allowance (one time).  Monthly stipend for room, board, and living expenses  Accident and sickness insurance during the program

The MESP Scholarship does not provide:  Funding for dependent family members  The option to choose university placement

ELIGIBILITY CHECKLIST 4 Pre-Application Deadline is June 4, 2014! Master’s of Education Scholarship Program [email protected] www.trainingforpakistan.org/mesp The Master’s of Education Scholarship Program does not discriminate on the basis of race, color, sex, sexual orientation, religion, national and ethnic origin, or disability. Persons with disabilities are strongly encouraged to apply. Competition for the Master’s Scholarship Program is merit-based and open to anyone who meets the following requirements.

Verify your eligibility by checking each box to indicate that YOU ARE: A legal resident of Pakistan and will be throughout the selection process. Currently employed. Recent Graduate (2013-2014). Able to begin the academic program in the U.S. in June 2015. Able to receive and maintain a U.S. J-1 visa. Eligible to receive, or already have, travel documents to travel out of Pakistan.

Verify your eligibility by checking each box to indicate that YOU HAVE: An undergraduate degree from an accredited university that is not in the U.S. with at least 80% GPA Strong English language skills and the ability. The test scores are very important to secure admission in U.S. universities. The ability to attend an intensive TOEFL and GRE training at the end of August or early September 2014, if selected as a semi-finalist. The ability to demonstrate professional aptitude and leadership potential. A commitment to return home after completion of the program. A commitment to apply new skills and knowledge to your field. A commitment to participate in the post-U.S. program activities in support of your professional endeavors.

Verify your eligibility by checking each box to indicate that YOU ARE NOT: A previous participant in a program sponsored or funded by the U.S. government lasting for a period of more than six weeks. An individual who has applied for an immigrant visa to any country or who has requested political asylum in any country. This includes individuals who hold or have applied for a U.S. "green card," or who have applied to the U.S. Diversity Immigrant Visa Lottery. A permanent resident of the U.S. residing in the U.S. A citizen of the U.S. Married or engaged to be married to a U.S. citizen. An employee of World Learning, Training for Pakistan, or USAID, or a family member of an employee. A recipient of any international scholarship in last five years.

Sign here to indicate that you have read and understood all of the above eligibility requirements. Evidence of dishonesty or withholding of relevant information in the application or dealings with program representatives at any time will result in dismissal from the program.

Signature Date

Questions? Call USAID Training for Pakistan at 051-2822093-5, ext. 116, 129 & 133 Please mail the completed three (3) hardcopy applications to: P.O. Box 1496, Islamabad 44000 and attach a soft copy in an e-mail to [email protected] by June 4, 2014 Late or incomplete applications cannot be accepted and will be excluded from consideration.

DEADLINE FOR PRE-APPLICATIONS IS JUNE 4, 2014.

5 Pre-Application Deadline is June 4, 2014! Master’s of Education Scholarship Program [email protected] www.trainingforpakistan.org/mesp USAID Master’s of Education Scholarship Program in the United States Academic Years 2015-2017

Pre-Application Received

I would like confirmation that my preliminary application for USAID Master’s of Education Scholarship Program has been received. I have enclosed a self-addressed, stamped envelope.

My name is ______.

Signature: ______Date: ______

6 Pre-Application Deadline is June 4, 2014! Master’s of Education Scholarship Program [email protected] www.trainingforpakistan.org/mesp