<p>NOMINATION SUMMER 2015 STUDY OF THE U.S. INSTITUTES FOR SCHOLARS</p><p>Title of Institute: </p><p>To fill in the gray boxes please, left click the text box and select from the popup menu.</p><p>The Institute on American Politics and Political Thought </p><p>The Institute on Contemporary American Literature</p><p>The Institute on Journalism and Media</p><p>The Institute on Religious Pluralism in the United States</p><p>The Institute on U.S. Culture and Society</p><p>The Institute on U.S. Foreign Policy</p><p>Nominees Full Name: </p><p>Gender: </p><p>Date of Birth: mm/dd/yyyy</p><p>Birth City: </p><p>Birth Country: </p><p>Address:</p><p>Country (ies) of Citizenship: El Salvador</p><p>Country of Residence: El Salvador</p><p>Medical, Physical, Dietary or other Personal Considerations: </p><p>Candidate Contact Information: office (503) home(503)</p><p>Cel phone (503) Current Position:</p><p>To fill in the gray boxes please, left click the text box and select from the popup menu.</p><p>Dean </p><p>Department chair </p><p>Senior professor </p><p>Associate professor </p><p>Consultant </p><p>Instructor </p><p>Title:</p><p>Institution name </p><p>Institution: El Salvador</p><p>Work Experience, including previous positions and titles:</p><p>From To Title / institution (please specify is the position is part-time mm/dd/yyyy mm/dd/yyyy</p><p>Education, Academic and Professional training, including degree earned and fields of specialization. Degrees listed should reflect the closest U.S. equivalent:</p><p>Degree earned Year earned institution mm/dd/yyyy</p><p>Additional professional training: NOMINATION SUMMER 2015 STUDY OF THE U.S. INSTITUTES FOR SCHOLARS</p><p>Active Professional Memberships:</p><p>Position Title Organization </p><p>Publications (up to ten): </p><p>Publication Type Year Title Publisher</p><p>Previous Experience in the United States:</p><p>Purpose From to Description mm/dd/yyyy mm/dd/yyyy</p><p>Family Residing in the United States: </p><p>Evidence of English Fluency: Professional responsibilities: NOMINATION SUMMER 2015 STUDY OF THE U.S. INSTITUTES FOR SCHOLARS</p><p>Current course taught:</p><p>Curse title Level of Classroom #of US studies students hour per students content (%) semester mm/dd/yyyy</p><p>Other potential outcome</p><p>Create new course National Curriculum University curriculum redesign redesign Create new degree Ministry policy Raise institutional profile program</p><p>Update existing course New publication New professional </p><p> organization National curriculum Professional promotion New institutional linkag redesign </p><p>Personal Statement: limit 4,500 characters </p>