Short Term Fellowship Application

Short-term Fellowship Application

Personal Information

Name*

First Name

Last Name

Email*

Phone*

Address*

Address Line 1

Address Line 2

City

State/Province

ZIP / Postal

Country

What dates are you interested in visiting AIER? *

Are you legally allowed to travel and work in the United States?*

Yes No

Will you need sponsorship for a visa? *

Yes No

If selected, are you willing to relocate to AIER's campus in Great Barrington, MA for the duration of your fellowship? *

Yes No

Institution or organization:*

Your current position/role:*

Please upload your professional biography*

No File Chosen

File uploads may not work on some mobile devices.

Please provide your professional biography

Upload your resume*

No File Chosen

File uploads may not work on some mobile devices.

Please upload a research or a writing sample

No File Chosen

File uploads may not work on some mobile devices.

Please provide the title of your proposed research project*

Please upload a short description of your proposed research project*

No File Chosen

File uploads may not work on some mobile devices.

Please provide a short description of your proposed research project