Nomination Summer 2015 Study of the U.S. Institutes for Scholars

NOMINATION SUMMER 2015 STUDY OF THE U.S. INSTITUTES FOR SCHOLARS

Title of Institute:

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The Institute on American Politics and Political Thought

The Institute on Contemporary American Literature

The Institute on Journalism and Media

The Institute on Religious Pluralism in the United States

The Institute on U.S. Culture and Society

The Institute on U.S. Foreign Policy

Nominees Full Name:

Gender:

Date of Birth: mm/dd/yyyy

Birth City:

Birth Country:

Address:

Country (ies) of Citizenship: El Salvador

Country of Residence: El Salvador

Medical, Physical, Dietary or other Personal Considerations:

Candidate Contact Information:

office (503)

home(503)

Cel phone (503)

Current Position:

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Dean

Department chair

Senior professor

Associate professor

Consultant

Instructor

Title:

Institution name

Institution: El Salvador

Work Experience, including previous positions and titles:

From / To / Title / institution (please specify is the position is part-time
mm/dd/yyyy / mm/dd/yyyy

Education, Academic and Professional training, including degree earned and fields of specialization. Degrees listed should reflect the closest U.S. equivalent:

Degree earned / Year earned / institution
mm/dd/yyyy

Additional professional training:

Active Professional Memberships:

Position / Title / Organization

Publications (up to ten):

Publication Type / Year / Title Publisher

Previous Experience in the United States:

Purpose / From / to / Description
mm/dd/yyyy / mm/dd/yyyy

Family Residing in the United States:

Evidence of English Fluency:

Professional responsibilities:

Current course taught:

Curse title / Level of students / Classroom hour per semester / #of students / US studies content (%)
mm/dd/yyyy

Other potential outcome

NOMINATION SUMMER 2015 STUDY OF THE U.S. INSTITUTES FOR SCHOLARS

Create new course

Create new degree program

Update existing course

National curriculum redesign

National Curriculum redesign

Ministry policy

New publication

Professional promotion

University curriculum redesign

Raise institutional profile

New professional organization

New institutional linkag

NOMINATION SUMMER 2015 STUDY OF THE U.S. INSTITUTES FOR SCHOLARS

Personal Statement: limit 4,500 characters