Fellowship Application

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Under U.S. Public Law 98-380 as amended by 93-568 (known as the Buckley Amendment), you have the right to inspect files that various schools may keep concerning your admission and progress in residence. Should you be awarded a fellowship, your files here will be opened to your inspection upon your written request. Some instructors or employers, however, may prefer to preserve the confidentiality of any evaluative statements they may make. In order to elicit the most candid evaluations possible, we offer you the opportunity of agreeing to the waiver below. Your decision to retain the right to inspect letters of recommendation will not prejudice your chances for a fellowship.

Please check one: *

I agree to respect the confidentiality of all letters of recommendation written in support of my application for a teaching fellowship in the humanities. I herewith waive all rights to view, inspect, or read the letter, or copies thereof, at any time.

I wish to inspect letters of recommendation written in support of my application for a teaching fellowship in the humanities. I herewith retain all rights to view, inspect, or read letters of recommendation, or copies thereof, at any time.

Personal Info

First Name: *

Middle Initial:

Last Name: *

Address Line 1: *

Address Line 2:

City: *

State/Province: *

Zip/Postal Code: *

Country: *

Phone Number: *

E-mail Address: *

PhD Information

Date Phd received: *

Conferring Institution: *

Undergraduate Degree Information

Date degree received: *

Degree-conferring Institution: *

Other Information

Department(s) at Columbia with Which You Would Be Interested in Having An Affiliation (Select at least one): *

Optional:

Dissertation Topic(20 words or less): *

Research Proposal Topic (20 words or less and only if different from dissertation topic)::

References

Reference #1

Name: *

Email: *

Institution: *

Reference #2

Name: *

Email: *

Institution: *

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Columbia University Fellowship Application: Society of Fellows

Fellowship Application