CCICADA Fellowship Award Application

Personal Information
Name
Street Address
City, State, Zip Code
Phone
Email
U.S. Citizen? / Yes (Must be US citizen to apply)
Dual citizenship? / Yes List additional countries of citizenship:
Timing
Fellowships may begin at the start of the semester in either January 2013 or September 2013. To be considered for a fellowship that begins in January, you must already be enrolled in a graduate program at Rutgers and plan to be continuing in that program. To be considered for a fellowship that begins in September, you may either be continuing in your current Rutgers graduate program or applying to begin a Rutgers graduate program in September.
I would like to be considered for a fellowship beginning:
January 2013 (Application is due December 15, 2012.)
September 2013 (Application is due February 20, 2013.)
If you are a Rutgers graduate student continuing in your current program you may select both.
Graduate Program Information
Graduate Program/Dept: ______
I am currently enrolled in this graduate program
I am applying for admission to this graduate program for September 2013
Other (explain):
References
Please request two letters of recommendation to be sent (with subject “CCICADA Fellowship Recommendation”). If you currently have an advisor in a Rutgers graduate program that you plan to continue, we prefer one letter to be from him/her.
Name of recommender / Email address of recommender
1)
2)
Personal Statement
Please provide a brief statement that describes your interest in research related to homeland security and the way in which you envision research related to homeland security impacting your future career. (Please feel free to attach your statement separately if you prefer.)
Additional Materials
In addition to this form, we request the following additional material to complete your application. Please send electronic copies with the subject “CCICADA Fellowship Application”.
Transcript(s)
  • Current Rutgers graduate students who have completed at least one year in their current program should submit their Rutgers transcript, as well as those from previous institutions.
  • All others should provide transcripts for all previous institutions.

Curriculum vitae
Permission to contact Rutgers Graduate Program
Interacting with the graduate director of the program that you will be in at the start of your fellowship will help us to process and coordinate your application. We ask your permission to contact your graduate programdirector and discuss information that is directly relevant to your application.
CCICADA may contact my graduate program director.
I prefer that CCICADA does not contact my graduate program director.

This fellowship requires recipients to complete a summer internship during the fellowship period and further requires commitment to spend one year employed in the homeland security workforce when you leave Rutgers. The fellowship also requires students to commit to taking an active interest in the projects and programs at CCICADA.By signing below, I certify that the information that I have provided for this application is accurate to the best of my knowledge and that I understand and will comply withthe fellowship requirements.

Signature: ______

Date:______