Fulbright Specialist Program
Formularz Aplikacyjny

APPLICATION:
Please submit application by mail and e-mail to the Polish-U.S. Fulbright Commission. Application form is available on our page. It must include:

Program Information

  1. Field Requested (please select one field from the list printed above)
  2. Type of Activity Requested (select all that apply from the list printed above)
  3. Name and Address of Institution Hosting the Award
  4. Contact person (address, phone, fax, e-mail)
  5. Confirmation of Cost-share of the Program
  6. Program Description (Example: Specialist will work with university/institute department faculty members to develop political science curriculum)
  7. Purpose of the Program (Please provide background on the issues and institutions involved, program objectives and type of work the specialist is expected to do)
  8. Length of Grant  December 1, 2011 (projects for not earlier than May 2012)
  9. Starting Date 
  10. Preferred Arrival Time
  11. Number of Program Days Requested
  12. If a serial grant is requested, describe desired intervals, number of visits and length of each visit

Specialist Information

  1. Type of Specialist Required (check one from Academic, Professional, Either)
  2. Qualifications Preferred:
    1. Degree
    2. Years of teaching experience
    3. Academic rank
    4. Language requirements
    5. Subject expertise desired
    6. Specialization desired within that area
    7. Audience(s): (One way of determining the level of grantee expertise needed for a program is to know with whom he/she will be working. if the name of the audience doesn't make clear their level of sophistication, please elaborate.)
    8. Other
If this is a request for a specific individual (Name Request), please provide as much of the following as possible:
Name of Person Requested
Title of Person Requested
Institution
Department
Address
Telephone and Fax Numbers
E-mail Address
Confirmation of U.S. Citizenship (Passport number)
Brief justification for requesting that person