Fulbright application 2014

FULBRIGHT MASTERS AND PHD PROGRAM
GRANTS
APPLICATION FOR STUDY IN THE UNITED STATES
***READ ALL INSTRUCTIONS AND INFORMATION CAREFULLY BEFORE COMPLETING APPLICATION***

INSTRUCTIONS
Please fill out the application form according to the following instructions. YOU SHOULD NOT MAIL THIS

FORM DIRECTLY TO ANY UNIVERSITY IN THE UNITED STATES.

1. All forms in this application are to be completed in English and typewritten in black ink or printed
from a computer (Font = Times Roman, Size = 11).
2. Each page of the following application carries its own instructions that should be read carefully
before proceeding.
3. Questions must be answered completely and carefully. Please make every effort to limit your
responses to the space provided.
4. Completed applications should be returned to Fulbright Program Office in your country of
citizenship as soon as possible. Before you begin this application, you should make sure that you
are aware of all deadline dates and requirements as these may vary from country to country.
5. Incomplete applications will not be considered.
6. Do not mention the names of any U.S. universities you wish to attend in this application. The
University Preference Sheet is included for that purpose.
7. If you do not hold a valid Pakistani passport, apply for one immediately.
8. Attach a copy of your complete CV.
9. All successful candidates are required to sign a contract with USEFP that binds them to return to
Pakistan immediately after their program in the U.S. and serve the country for the number of
years equivalent to the length of their scholarship program minimum of two years. This contract is
redeemable on a year-for-year basis (minimum of two years) after returning to work in Pakistan,
so that as long as a person fulfills the service requirement, he or she will pay nothing. Otherwise,
a grantee will be legally liable for the cost of his or her scholarship program in the U.S. on a year-
for-year basis. Additionally, successful candidates awarded Fulbright PhD grants are required to
post a bond with the HEC. The bond is redeemable on a year-for-year basis. No grantee will be
required to pay anything as long as they fulfill their contractual/ bond obligation.
10. USEFP endeavors to place students in the university and program that best matches a student’s
interests and achievements and offers cost sharing.
11. Make arrangements to take GRE.

SPECIFIC INSTRUCTIONS FOR APPLICATION ITEMS

A complete application has the following components:

Item 1—Name: It is very important that you list Item 11—Degree Objective: Select PhD or
your name exactly as it appears (or will appear) Masters.
on your passport. Please use upper and lower Item 12—Field of Study: From the choices,
case when entering your name, e.g. Ron Smith. select the field of study most appropriate to your

study objective. You can briefly elaborate on the Page 9—University Preference: You are not
exact nature of your objective in the text box that required to state the university preferences, but
follows. if you would like, please complete this page as
Item 14—Institutions Attended: Please list all fully as possible. Do not just list the name of a
post-secondary institutions attended in reverse university in which you are interested. Be
order (putting the most recently attended first). specific. Provide the name of the department
List all post-secondary institutions attended even and the specific program within that department
those from which you did not achieve a degree. in which you are interested. If you have been in
Item 21—Occupational Experience: Please contact or correspondence with a faculty
select the position title which best describes the member, please provide the name and contact
activity in which you are currently (or most information for that individual. Most important is
recently) involved and all previous experiences. to explain why you think that the university is a
Item 28—Study/Research Objective: The good fit for you.
study/research objective description that you
provide is an essential and highly important part If you have applied to a U.S. university within the
of your application. You should take great care past three years, please list the programs and
to write a clear and very detailed description of the results. If you have letters of admission,
the program you want to pursue. Clearly identify letters of invitation, or other correspondence
the area(s) within your field of study in which you from a school, especially a preferred program,
want to specialize or concentrate. If there is please forward a copy (not the original) of this
specific research that you want to accomplish, correspondence to USEFP.
please describe it. Remember to leave a 1½
inch (4 cm) margin at the top of every page to SUPPLEMENTAL FORMS
allow room for the header that will appear on the
PDF view. Preview your essay to check the a. Letter of Reference/Recommendation: You
formatting before submitting your application. must have three letters of reference (or
Item 29—Personal Statement: The personal recommendation) submitted on your behalf.
statement is a narrative statement explaining Letters of reference are extremely important. All
what is special, unique, distinctive, and/or letters of reference should be written by
impressive about you or your life story. It may teachers under whom you have studied or
include details of your life (personal or family pursued research or by someone who has
problems, history, people or events that have supervised you in work related to your proposed
shaped you or influenced your goals), explain field of study. Letters of reference should not be
your interest in the field you propose to study, written by persons related to you either by blood
and demonstrate that you are well suited to this or marriage or by personal friends. At least one
field. It should also touch on your career plans academic and one professional or work related
and your purpose in applying for study in the letter should be included among the letters. The
U.S. Again, remember to leave a 1½ inch (4 cm) letters should be written in English.
margin at the top of every page to allow room for Your recommenders can submit their letters in
the header that will appear on the PDF view. the following way:
Preview your essay to check the formatting
before submitting your application.  You can print out the Letter of Reference
Item 30—Additional Information: Attach your form and forward to your recommenders
curriculum vitae here. Please feel free to use who will then complete the forms and mail
this page to give additional information about to USEFP.
yourself. While there is no ‘header’ on this page
for which you need to leave space, it is still b. GRE score report: Valid GRE score report is
advisable that you preview your information to required. You must indicate the USEFP
check the formatting before submitting your registration code 9388 on the form when you
application. take the exam.
Page 7—Personal Information: The
information provided on this form will be used by Supporting documentation needed to
USEFP for internal purposes only. complete your application
Page 8—Personal Financial Information: Your application is not considered complete until
Please complete only items 41A and 44. For USEFP receives all your supporting
41A, if either parent is a government or military documentation. The following must be forwarded
officer, give current grade/rank or grade/rank at to USEFP: the signature form; three letters of
which retired. reference/recommendation; official academic

transcripts from all post-secondary schools requirement at U.S. institutions for
attended, attested copies of diplomas from applicants whose native language is not
registrar office for all post-secondary schools English. All shortlisted applicants will be
attended, and original English translations (when required to take the TOEFL within two
necessary), and GRE score report. weeks of being notified.
a. Academic transcripts: Applicants must
submit official, complete and certified
c. Optional tests, depending on your
academic documents covering the entire
academic subject
period of study at universities and other
post-secondary institutions. Copies of
 GRE SUBJECT TESTS are required in
university degrees and transcripts should be
certain fields. If you are selected for the
attested by HEC. Documents must be
Fulbright Scholarship in this field, you
accompanied by complete official English
will be asked to take the GRE Subject
translations. These documents must consist
Test at a later date. It is not requirement
of:
for this Fulbright application.
 One attested official record (transcript)
from each university or post-secondary
 GMAT (Graduate Management
institution you attended, even those
Admissions Test): GMAT is an
schools from which you did not receive
admissions requirement for applicants
a degree or diploma. The transcripts
proposing to study Business or
should list the subjects you studied and
Management, as well as any fields
the grades you received during each
which may fall within the scope of
year of your enrollment. If possible,
offerings of a Business school or
official transcripts must be submitted
department. If you are selected for the
directly from the schools in sealed
Fulbright Scholarship in this field, you
envelopes to USEFP.
may be asked to take the GMAT at a
 Attested, official evidence of each post-
later date. It is not requirement for this
secondary or university degree, diploma
Fulbright application.
or certificate awarded to you should be
included as part of the completed
application. IMPORTANT

Note carefully, you MUST indicate that you want
b. Standardized tests: You will be required to
your score reports sent to the United States
take the following standardized tests. For
Educational Foundation in Pakistan (USEFP).
instructions on registration, contact USEFP
You must indicate the USEFP code 9388 on the
or the website for the test.
registration forms and/or the forms provided at
the time you take the exam.
 GRE (Graduate Records Examination):
The GRE is required by U.S. graduate GRE and GMAT scores are valid for five years.
schools and/or departments for
TOEFL scores are valid for two years.
candidates in most fields other than
Business Administration and Law.
USEFP requires the GRE even for
OTHER IMPORTANT INFORMATION
applicants in business and law. You
should make every effort to register for Change of Plans: You should inform USEFP
the earliest possible administration of promptly of any change in your academic status
the GRE. or future plans after your application has been
submitted. Please e-mail us at
 TOEFL (Test of English as a Foreign fulbrightapps@usefpakistan.org
Language): TOEFL is an admissions

FULBRIGHT MASTER’S AND PHD GRANT APPLICATION COVER SHEET

NAME:
Last First Middle Previous Name

PERMANENT
ADDRESS:

COUNTRY OF CURRENT CITIZENSHIP:
DATE OF
COUNTRY OF BIRTH: BIRTH: MALE FEMALE

MOST RECENT POSITION/STATUS: Since

MOST RECENT AFFILIATION: Since

ACADEMIC DEGREES
Degree Major Date Received Institution Country

FELLOWSHIPS AND HONORS

PUBLICATIONS AND RESEARCH

DEGREE OBJECTIVE: Bachelor’s Master's Doctorate  Non-degree  Visiting Student
Researcher

PROPOSED FIELD OF STUDY AND DESCRIPTION OF YOUR STUDY OBJECTIVES (Do Not Attach Additional Sheet)

FUTURE PLANS (Upon Return to your Home Country)

FULBRIGHT MASTER’S AND PHD PROGRAM GRANTS
(Please read instructions carefully. All sections should be completed in English and be typewritten.)

GENERAL INFORMATION

1. NAME (As it appears or will appear on your passport)
Mr.
Ms.

Family First Middle

2. NAME ON PREVIOUS ACADEMIC RECORDS: (If different from above)

Do not complete shaded area. For IIE use only.

3. CURRENT MAILING ADDRESS: Institute of International Education 4. PERMANENT MAILING ADDRESS:
C/O
809 United Nations Plaza Street:
New York, NY 10017-3580 City:
Valid Until Tel: 212 984-
Fax: 212 984-5395 State/Province:
E-mail: @iie.org
Postal Code:
Country:

5. DATE OF BIRTH: (Month-Day-Year) 6. GENDER: Male Female

7. BIRTHPLACE: (City, State/Province, Country) 10 DO YOU NOW HAVE, OR HAVE YOU EVER HELD:

U.S. CITIZENSHIP? Yes No
8. COUNTRY OF CITIZENSHIP DUAL CITIZENSHIP? Yes No
U.S. PERMANENT RESIDENCY? Yes No

9. COUNTRY OF RESIDENCE:

STUDY PLANS
11. DEGREE OBJECTIVE: Bachelor’s Master’s Doctorate Non-Degree Visiting Student Researcher

12. WHAT IS YOUR PROPOSED MAJOR FIELD OF STUDY? BRIEFLY DESCRIBE THE SPECIFIC AREA OF YOUR FIELD IN WHICH YOU PLAN TO
SPECIALIZE?

13. FUTURE PLANS: (Describe the career you plan to pursue after completion of study or research in the U.S. (e.g., teaching, government, business,
industry or any plans you might have for continued study or research in your home country). Also indicate if you will be returning to former employment,
or if you have been promised a position in your home country after completing your U.S. training).

Application Page 1

EDUCATION
14. LIST EDUCATIONAL INSTITUTIONS ATTENDED IN REVERSE CHRONOLOGICAL ORDER, INCLUDING ANY IN WHICH YOU MAY
BE PRESENTLY ENROLLED:
DATES ACTUAL NAME OF
INSTITUTION AND LOCATION MAJOR FIELD OF (Month and Year) DEGREE OR DIPLOMA DATE RECEIVED OR
(List in reverse order and STUDY From To (Do not translate) EXPECTED
write name in full)

15. LIST SCHOLARSHIPS OR FELLOWSHIPS HELD AT PRESENT OR IN THE PAST (Give source or sponsor, amount, where held, and duration.)

16. INDICATE ANY ACADEMIC HONORS OR PRIZES WHICH YOU HAVE RECEIVED, WITH TITLES AND DATES

17. LIST ANY BOOKS, ARTICLES OR THESES PUBLISHED BY YOU, ESPECIALLY IN YOUR PROPOSED FIELD OF STUDY (Give title, place and date
of publication)

18. LIST PROFESSIONAL SOCIETIES, FRATERNITIES OR OTHER ORGANIZATIONS IN WHICH YOU NOW HOLD MEMBERSHIP OR IN WHICH
YOU HAVE BEEN ACTIVE IN THE PAST (Indicate if you have held an elective office.)

19. TEACHING EXPERIENCE: (Including any teaching positions you have held or currently hold.)

20. RESEARCH: (Including any research you have completed or in which you are currently involved.)

Application Page 2

21. IDENTIFY YOUR CURRENT POSITION OR OCCUPATION. (Write the Position title which best describes the activity in which you are currently
involved.)

22. OCCUPATIONAL EXPERIENCE: (List positions held, beginning with the most recent employment, if any.)
NAME AND ADDRESS OF EMPLOYER TITLE/TYPE OF WORK DATES (Month and year)
From To

23. KNOWLEDGE OF LANGUAGES: (Rate yourself Excellent, Good or Fair. Include all languages in which you have some competence.)
Mother Tongue

LANGUAGE READING WRITING SPEAKING

English

24. HOW MANY YEARS HAVE YOU STUDIED ENGLISH?

EXAMINATION RESULTS

25. EXAMINATION DATES AND TEST SCORES: (Date if taken or future date for taking exams (Month/Year))

Date Score Percentile Date Verbal % Quantitative % Analytical %
Score Score Score
GRE
TOEFL General
Exam
TSE

TWE Date Score % Subject Name

GMAT
Other

Other Test GRE
Name Subject
Exam

26IF YOU HAVE TRAVELLED, LIVED, OR STUDIED IN ANY COUNTRY OTHER THAN YOUR OWN FOR MORE THAN A MONTH, INDICATE PLACES,
DATES AND REASONS, (Education, research, business, vacation, etc.)

27 EMERGENCY CONTACT: NAME, ADDRESS AND TELEPHONE NUMBER OF INDIVIDUALS TO BE NOTIFIED IN CASE OF AN EMERGENCY:
IN YOUR HOME COUNTRY IN THE UNITED STATES

Application Page 3

NAME: COUNTRY:

28.

STUDY RESEARCH OBJECTIVES
Write a clear and detailed description of your study objectives and give your reasons for wanting to pursue them. Be specific about your major field
and your specialized interests within this field. Describe the kind of program you expect to undertake, and explain how your study plan fits in with
your previous training and your future objectives. This statement is an essential part of your application.. Do not mention specific U.S. universities
at which you would like to study. NOTE: Please limit your response to the size of this text box.

Application Page 4

NAME: COUNTRY:
29.
PERSONAL STATEMENT
This personal statement should be a narrative statement describing how you have achieved your current goals. It should not be a mere listing of facts. It
should include information about your education, practical experience, special interests, and career plans. Describe any significant factors that have
influenced your educational or professional development. Comment on the number of years of practical experience already completed in the field in
which academic work will be done in the U.S. Do not mention specific U.S. universities at which you would like to study.
NOTE: Please limit your response to the size of this text box of fifty lines of text.

Application Page 5

NAME: COUNTRY:
30.
ADDITIONAL INFORMATION
Please refer to the instructions from your Fulbright Program Office. It is possible that the Fulbright Program Office in your home country will have specific
information that it would like you to include on this page. If the Program Office does not have specific requirements, then in this section you may want to
attach a professional resume (usually required for professional degrees such as law and MBA’s) or a complete curriculum vitae (sometimes required
for students pursuing theoretical academic fields).
NOTE: Please limit your response to the size of this text box of fifty lines of text.

Application Page 6

NAME: COUNTRY:

PERSONAL INFORMATION

31. CURRENT MAILING
ADDRESS STREET:

CITY: STATE/PROVINCE:

POSTALCODE: COUNTRY:

TELEPHONE :# WORK PHONE:

EMAIL: FAX:

32. COUNTRY ID: 33. MARITAL STATUS: 34. NUMBER OF DEPENDENTS:

35. PLEASE DESCRIBE ANY PHYSICAL IMPAIRMENT YOU MAY HAVE. (This information is gathered for statistical purposes and to ensure
appropriate placement. The Fulbright Program does not discriminate on the basis of race, color, religion, sex, national origin, and/or physical impairment.)

36. OTHER SCHOLARSHIPS: Indicate if you are planning to apply for a fellowship, scholarship, assistantship or other educational grant or loan from
another organization, government or educational institution. (This information will not prejudice your application.)

37. REFERENCES: List the names of persons from whom you have requested letters of reference.

NAME POSITION ADDRESS

I.

II.

III.

38. PROPOSED LENGTH OF STAY IN THE U.S 39. APPROXIMATE DEPARTURE DATE:

40. HOW DID YOU LEARN OF THIS FULBRIGHT COMPETITION? (Please indicate all that apply.)

Friend or relative University (Specify) Fulbright Website

Previous Fulbrighter Newspaper (Specify) Internet Link

Poster/Flyer Other Publication (Specify) Other (Specify)

Application Page 7

NAME OF APPLICANT: COUNTRY:
PERSONAL FINANCIAL INFORMATION FORM
Because some scholarships provide only for part of the cost of an academic year in the United States, it is necessary to know what
portion of the total expenses you and your family can pay from personal funds.
INDICATE ALL FUNDS IN U.S. CURRENCY

41.
FUNDS AVAILABLE FOR YOUR FIRST YEAR OF STUDY IN THE UNITED STATES (U.S. Dollars)

(a) Family Funds Spouse’s
Mother’s occupation:
1. Father’s occupation:
occupation: $
2. What is the total amount your family can provide for your FIRST YEAR of study in the U.S.?

b) Your Own Funds

What is the total amount you can provide from your own funds for your FIRST YEAR of study in $
the U.S.?
(c) Other Funds
Have you been awarded or do you expect to receive financial assistance from a university or institution
in
your home country in the U.S. or from any other sources? Yes No
If so, identify the source and indicate the estimated amount?
Source Estimated Amount $
$
$
$ Subtotal of C

$ GRAND TOTAL OF A, B, and C $
42. FUNDS AVAILABLE AFTER YOUR FIRST YEAR OF STUDY IN THE UNITED STATES
(a) If you remain for more than a year would the same amount of money as indicated in “GRAND TOTAL” above
be available for your SECOND YEAR of study in the U.S.?
Yes No
(b) If “No” please specify the amount that will be available to you the SECOND 1. Family Funds:
YEAR: $
2. Your Own Funds: $

3. Other Funds:
$
TOTAL of 1, 2 and 3 $

43. TRAVEL FUNDS (Do not include funds specified in Sections 41 and 42 above) Yes No
(a) Can you pay for your round-trip travel to the U.S. if necessary?
(b) Specify the amount you have available for round-trip travel:
$
44. DEPENDENTS
The Foreign Fulbright Student Program does not provide for dependents. THE FULBRIGHT PROGRAM CANNOT BE RESPONSIBLE IN ANY
WAY FOR DEPENDENTS ACCOMPANYING YOU TO THE U.S. Should dependents accompany you, you will be responsible for providing travel,
adequate insurance, and support for them.

(a) List the relationships and ages of any persons who will require financial assistance from you during your stay in the U.S.:

(b) Will these dependents accompany you to the U.S.? Yes No

If “Yes”, state how you intend to provide for them during your year of study in the U.S.:
(b) Will these dependents accompany you to the U.S.?

If “Yes”, state how you intend to provide for them during your year of study in the U.S.:

Application Page 8

NAME: COUNTRY:

UNIVERSITY PREFERENCES
It is not a requirement nor is it expected for you to identify U.S. institutions at which you would like to study. However, if you do have preferences, please
list in priority order three schools of your choice. Indicate specific departments and/or programs. Give specific reasons for each choice. If you have been
in contact with professors, please provide names, email, and/or phone contacts for each one.

UNIVERSITY DEPARTMENT DEGREE SPECIALIZATION/ SPECIFIC REASONS
CONCENTRATION AND CONTACTS
1.

2.

3.

45. MOST HIGHLY PREFERRED INSTITUTIONS

46. OTHER INSTITUTIONS IN WHICH YOU MAY BE INTERESTED
Please list any other U.S. institutions and departments in which you also may be interested. Feel free to share other information that you think might be
helpful, e.g. preference for a geographic location, climate, etc.

47. It is not expected that you will apply for admission by direct application or correspondence with a university in the United States.
If, however, you have already submitted an application form directly to any universities in the U.S., list the names of these institutions below and indicate
the response you have received, if any. Please attach letters of admission, letters of invitation, and deferral requests to your application.

University/Department Date of Application Response to Application

Application Page 9

STUDENT INFORMATION CARD
DEMOGRAPHICS 3. DATE OF BIRTH 3. MARITAL STATUS 4. COUNTRY OF
CITIZENSHIP
NAME MONTH DAY YEAR
Mr.
Ms.
6. PRESENT POSITION OR AFFILIATION
(FAMILY NAME) (FIRST) (MIDDLE)

5. PERMANENT ADDRESS

(STREET)

(CITY) (PROVIDENCE/STATE) (COUNTRY)

(TELEPHONE) (E-MAIL)

DATE RECEIVED
7. INSTITUTIONS ATTENDED DATES ATTENDED DEGREE, DIPLOMA, ETC. OR EXPECTED

Do not write below this line. For office use only
DEGREE OBJECTIVE
STUDENT ID PRIORITY# PROGRAM #DESIGNATION TAX CODE PERSONAL
FUNDS

FIELD DEGREE PROG. ADMIN. PLACEMENT ADMIN. CASH TRAVEL

SPECIALIZATION

SUBMISSIONS
SEND BY CODE INSTITUTION DEPARTMENT/DIVISION MAJOR DEGREE SENT RESULT

PLACEMENT INSTITUTION

INSTITUTIONS REQUESTED
UNIVERSITY DEPARTMENT UNIVERSITY DEPARTMENT
__________________________________________________________________ __________________________________________________________________

__________________________________________________________________ __________________________________________________________________

__________________________________________________________________ __________________________________________________________________

IIE NOTES
ENGLISH TRAINING o YES o NO DATE AVAILABLE: MISSING DOCUMENTS:

ASSIGNMENT: REP DATE:

TOEFL GRE
EVALUATION & COMMENTS
________/________ ________/________

TSE GMAT
TWE
________/_______ ________/________

OTHER OTHER

________/________ ________/______

ENGLISH TERMS SENT: ACADEMIC TERMS SENT: FILE TO RO

Biographic Information Sheet
First Name: Middle Name: Last Name:

Date of Birth (e.g. February 10, 2012): Gender:

Postal Address:

Permanent Address:

Permanent City: Province: Phone #:

Mobile #: Email ID: Pakistani National (Yes/No):

Academic Information
Proposed Field of Study:

Current Enrollment: Start Date: (mm/yyyy) End Date: (mm/yyyy)

Current Field of Study: Current Institution:

Current Degree CGPA/ %age:

Last Enrollment: Start Date: (mm/yyyy) End Date: (mm/yyyy)

Last Field of Study: Last Institution:

Last Degree CGPA/ %age:

Work Information
Current Position: Current Employer:

Total Years of Work Experience:

GRE
Verbal: Test Date: (mm/dd/yyyy) Official Report Attached: (Yes/No)
Quantitative:
Analytical Writing:
TOEFL
Total Score: Test Date: Official Report Attached: (Yes/No)

Note: Every information on this sheet is important, this sheet will not be accepted if CGPA of Foreign Degree & CGPA of
Home Degree, (whether enrolled or finished) is not mentioned.

NAME: COUNTRY:
SIGNATURE FORM

INSTRUCTIONS: You must sign and date this form and forward it to the Fulbright Program Office in your home country.

By my signature,

I authorize the Fulbright Program Office or its administrative agency:
1) to receive, and/or to request my TOEFL, TSE, TWE, GRE, SAT, Achievement Test scores or any other test score reports;
2) to send any of the above score reports to U.S. institutions on my behalf;
3) to apply on my behalf to U.S. institutions;
4) to request and receive information on the status of my application, including financial aid, from U.S. institutions; and,
5) to accept and decline offers of admission and financial aid on my behalf.

AND

I certify that the information given in this application is complete and accurate to the best of my knowledge.

I understand that I am not entitled to hold, nor do I hold, U.S. citizenship or permanent residence.

I understand that formal award of a grant is dependent upon my acceptance to a U.S. institution for study and my eligibility for a visa
to the United States.

Upon the completion of an authorized stay in the United States under the Fulbright Student Program, I agree to return to my home
country for two (2) years to fulfill my home residency requirement.

Signature Date (Month/Day/Year)

Signature Form

FOR A FELLOWSHIP, SCHOLARSHIP, ASSISTANTSHIP OR OTHER EDUCATIONAL GRANT

CONFIDENTIAL LETTER OF REFERENCE

This letter of reference must be written by a teacher under whom the applicant has studied or pursued research in the proposed field of study or by
someone who has supervised the applicant in work related to the proposed field of study. This letter must be typewritten and in English. If not in English,
then an accurate translation must be forwarded to the Fulbright Program Office.


NAME OF REFREE
______________________________________________________________________________________________________________

TITLE
__________________________________________________________________________________________________________________________

INSTITUTION OR BUSINESS
_______________________________________________________________________________________________________

1. HOW LONG HAVE YOU KNOWN THE APPLICANT?

2. IN WHAT CAPACITY HAVE YOU KNOWN THE APPLICANT?

Teacher or Professor Employer or Job Supervisor Research Adviser Other (Please specify)
_______________________

3. IN THIS RATING CHART, PLEASE EVALUATE THE APPLICANT IN COMPARISON WITH OTHER STUDENTS WHOM YOU HAVE KNOWN DURING YOUR
PROFESSIONAL CAREER.

Excellent Very Good Average Below Average
Intellectual Ability
Knowledge of Field
Work Habits
Motivation to Pursue Graduate Study
Seriousness of Purpose
Potential For Significant Future Contribution in Field
Resourcefulness and Initiative
Emotional Maturity
Adaptability to New Situations

Leadership Qualities
Teaching Potential

Confidential Letter of Reference A Page 1


CONFIDENTIAL LETTER OF REFERENCE (Continued)

4. PLEASE PROVIDE A CANDID EVALUATION OF THE APPLICANT’S PAST PERFORMANCE AND ABILITY TO PURSUE AND SUCCESSFULLY
COMPLETE A PROGRAM OF STUDY IN THE PROPOSED FIELD. YOUR INFORMATION WILL BE GIVEN CONSIDERABLE IMPORTANCE IN
REVIEWING THIS APPLICATION.

NAME (print): _______________________________________________________________________________________

SIGNATURE: ______________________________________________________________________________ DATE: ________________________________

PLEASE RETURN THIS COMPLETED FORM TO: U.S. EDUCATIONAL FOUNDATION IN PAKISTAN, P.O. BOX NO. 1128,
ISLAMABAD, PAKISTAN, BY MAY 15, 2013.

NOTE: IIE cannot guarantee this letter's confidentiality once it becomes part of a university's records.






NAME OF REFREE
_______________________________________________________________________________________________________________

TITLE
__________________________________________________________________________________________________________________________

_______________________________________________________________________________________________________



_______________________


Knowledge of Field
Work Habits
Emotional Maturity

Teaching Potential





NAME (print): _______________________________________________________________________________________

SIGNATURE: ______________________________________________________________________________ DATE: _______________________________








NAME OF REFREE
_______________________________________________________________________________________________________________

TITLE
__________________________________________________________________________________________________________________________

_______________________________________________________________________________________________________



_______________________


Knowledge of Field
Work Habits


Emotional Maturity

Teaching Potential





NAME (print): _______________________________________________________________________________________

SIGNATURE: ______________________________________________________________________________ DATE: _______________________________



Application Checklist for Fulbright Master’s and Ph.D.

 Biographic information sheet

 Complete application form with signed signature page

 C.V

 Attested Transcript (from Matric or O-Level to onwards) copies of university transcripts should be attested by HEC

 Attested Degrees (copies of university degrees should be attested by HEC)

 Three Letter of references

 GRE

Fulbright application 2014

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