IIAS Fellowship Application Form

2. Requested start date of the fellowship: ______(dd-mm-yyyy)
(Please take into account that if you must apply for a visa, this can take several months).
3. Duration of the fellowship
How many months would you like to stay?
[ ] Not self-funded …..…… months (please indicate a time period from 1 to 10 months).
[ ] Self-funded …………… weeks/months (maximum 10 months).
Means of funding:
[ ] A) Existing salary;
[ ] B) Other(s), please specify:
If self-funded: enclose official letter(s) indicating funding source, and, in case of a fellowship of 3 months or more, please provide details on the amount.
If partly self-funded: please indicate the specific circumstances below (intended duration of stay in Leiden; funds available; funds required from IIAS):
4. Have you tried to apply for funds from other organisations?
5. Description of research project (max. 1000 words) and timetable:
6. Expected output (e.g. publications, conferences, collaborative grant proposal, etc.)
7. Reason for undertaking research in the Netherlands (max. 250 words)
8. Have you already established contacts in the Netherlands?
9. How do you propose to contribute to the general vision of IIAS and its emphasis on interconnected studies? (max. 300 words)
10. Do you wish to stay an extra two months at the Collège d’études mondiales / Fondation Maison des sciences de l’homme (CEM-FMSH) in Paris, on top of your planned stay at IIAS in Leiden?
If so, please consult the CEM-FMSH website (www.fmsh.fr/fr/college-etudesmondiales/chaires) and indicate:
- how you think your stay in Paris will contribute to your research;
- which CEM-FMSH scholar(s) you would like to work with;
- how CEM-FMSH may benefit from your stay (max. 300 words)
11. References
Name / Position
12. Is this the first time you have applied for an IIAS fellowship?
[ ] Yes
[ ] No, please give date of any previous application:
13. How did you come to know about the IIAS fellowship?
[ ] IIAS Newsletter
[ ] Website
[ ] Other: ……………………………………………………………………………………………..

After completion, please return this form with all required information to:

International Institute for Asian Studies

Visiting address: Postal address:

Rapenburg 59 P.O. Box 9500

2311GJ Leiden 2300 RA Leiden

the Netherlands the Netherlands

T +31-71-527 2227

F +31-71-527 4162

E

Please make sure to enclose all the required information (where applicable):

·  CV & a separate list of publications

·  Letters from at least two referees

·  Official letter(s) of funding (self-funded applicants only)

Aug2017