RREP Fellowships - Application Form

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This application must be completed in English

Fields marked with an asterisk (*) are mandatory

Application Date

Type of Application

How did you hear about the program?

Others (specify)

Applicant Information

First Name

Last Name

Country of Citizenship

Date of Birth

The email introduced here must be the same you use for the whole application process

Street Address

City

Postal / Zip Code

Country

Mobile Phone

Phone

For Applicants not Currently Enrolled in a Ph.D. Program

Applicants who are already enrolled in a Ph.D. should proceed directly to the section "Proposed Study Pogram"

Name of current or last University Attended

Website

City

Country

Major Field of Study

Department

Type of Degree

Graduated

Actual or Expected Graduation Date

If you have taken any standardized tests (GRE, TOEFL, etc.) indicate the results below.

	Name of the Test	Date of the test	Score
Test 1
Test 2
Test 3

Proposed Study Pogram

Complete all fields for each university and doctoral program for which you are requesting funding from the Roberto Rocca Education Program. If you are already enrolled in a Ph.D. program, please complete only the “ University of first preference” fields.

University of First Preference

Name of University 1

Others 1

Country

Degree Program and Field of Study

Department

Your Status in the Program:

Actual or Expected Start Date

Estimated costs per year (in U.S. Dollars)

Tuition Fees

Housing

Food

Medical Insurance

Travel Expenses

Books and Supplies

Can we contact the university in relation to your application or status as a student?

University of Second Preference

Name of University 2

Others 2

Country

Degree Program and Field of Study

Department

Your Status in the Program:

Actual or Expected Start Date

Estimated costs per year (in U.S. Dollars)

Tuition Fees

Housing

Food

Medical Insurance

Travel Expenses

Books and Supplies

Can we contact the university in relation to your application or status as a student?

University of Third Preference

Name of University 3

Others 3

Country

Degree, Program and Field of Study

Department

Your Status in the Program:

Actual or Expected Start Date

Estimated costs per year (in U.S. Dollars)

Tuition Fees

Housing

Food

Medical Insurance

Travel Expenses

Books and Supplies

Can we contact the university in relation to your application or status as a student?

Other Financial Resources

Savings (in U.S. Dollars)

For others, please indicate the source and the amount granted or that you are requesting.

Personal Essay In no more than 750 words, explain your objectives for your Ph.D. program as well as your long-term professional goals

Attach CV (3 pages max. in English)

Policy

I certify that, to the best of my knowledge, all of the information provided in this application is complete and accurate. Upon the request of the Roberto Rocca Education Program, I agree to provide proof of the information included herein. If selected as a Roberto Rocca Fellow, I understand that the award of the Fellowship is contingent on my being accepted at and enrolled in the university for which the Program grants the award. If selected as a Fellow, I also agree to allow the Program to use my name and other information about me that is relevant to the Fellowship in publications and promotional materials for the Program.

Agreed

Your application will not be complete without a recommendation made by a person who knows you and your work well - for example, a teacher or work supervisor. In order to complete the recommendation form, please send the following link to that person https://www.tfaforms.com/441659

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