POST-DOCTORAL FELLOWSHIP PROGRAM
IN CHINESE STUDIES

CENTER FOR EAST ASIAN STUDIES
STANFORD UNIVERSITY

Application Form

Name _______________________________	Citizenship ___________________
										(optional)
Mailing Address ______________________		Until ___________________
		    ______________________
		    ______________________

Phone 	___________________Social Security # _______________
									(optional)
Date of Birth      ______________________
				(optional)
Employer	   ______________________

Office Address   ______________________		Telephone ____________________
		   ______________________		Fax  _________________________
		   ______________________		E-Mail Address ________________

Present Position: _________________________________________________________

Discipline: ______________________________________________________________

Place and Year of Degree: __________________________________________________

Special Field: ____________________________________________________________

Dissertation  Topic: _______________________________________________________
_______________________________________________________________________
_______________________________________________________________________


References 
 1) ___________________________________________________________
 2) ___________________________________________________________








Language skills:

Rate your Chinese language skills:
	Speaking:  _____ Native	_____ Excellent	_____Good	_____ Fair
	Reading:   _____ Native	_____ Excellent	_____ Good	_____ Fair





Rate your English language skills:
	Speaking: ______ Native	_____ Excellent	_____ Good	_____ Fair
	Reading:   _____ Native	_____ Excellent	_____ Good	_____ Fair

	TOEFL Score _____________	Exam Date ________________

List any other languages you know, and indicate the level of speaking and reading proficiency.
________________________________________________________________________________________________________________________________________________

Title and brief summary of your proposed research project:








Fellowship Applications Pending:

Organization			Amount Requested	Expected Announcement Dates
____________________	______________	________________
____________________	______________	________________
____________________	______________	________________

Mail with updated curriculum vitae, two letters of reference, and a five-page double-spaced plan of research and writing for the year of appointment.  Including a chapter of your dissertation or another writing sample is strongly encouraged.

To: Post-Doctoral Fellowship in Chinese Studies
Center for East Asian Studies
Bldg 50 Main Quad
Stanford University
Stanford, CA  94305-2034

Deadline January 15