LAMP Fellowship 2014 - 15: Application Form

Use this online form to apply for the LAMP Fellowship 2014 - 15. This form has to be filled out in one session and there is no mechanism for changing your responses after you have submitted the form. It is recommended that you download a copy of the form here: https://docs.google.com/file/d/0B_0ufXpwjrUgdHB4YXJObTlRdEE/preview This will help you prepare your responses in advance before filling out the online form. This form requires you to submit two 500 word statements which you may find useful to prepare offline before filling up the form. This form contains 9 sections. They are: Section 1: Personal information and contact details Section 2: Academic Qualification: Bachelors Degree Section 3: Academic Qualification: Post Graduate Degree (if applicable) Section 4: Academic Qualification: Other Degree / Course (if applicable) Section 5: Work Experience (excluding internships) Section 6: Internship Experience Section 7: Statement of Intent (500 words) Section 8: Short essay on a legislative/policy issue (500 words) Section 9: Other achievements Frequently asked questions about the LAMP Fellowship can be seen here http://lamp.prsindia.org/faqs If you face difficulties filling out the online application form, please send an e mail to lampfellowship@prsindia.org * Required

1. How did you hear about the LAMP Fellowship? * Mark only one oval. Facebook Twitter LAMP Website / PRS Website E Mail Group College / University Friends and Family Newspapers / Media Websites other than PRS Others

Section 1: Personal Information and contact details

2. 1.1. Title * Mark only one oval. Mr. Ms. 3. 1.2. First Name *

4. 1.3. Middle Name

5. 1.4. Last Name *

6. 1.5. E Mail Address *

Date of Birth
Candidates should be 26 years of age or below at the time of applying for the LAMP Fellowship. They should be born on or after January 1, 1987

7. 1.6. Day * Mark only one oval. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

8. 1.6.1. Month * Mark only one oval. January February March April May June July August September October November December 9. 1.6.2. Year * Mark only one oval. 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 10. 1.7. Citizenship * The Fellowship is open to Indian citizens only. "Indian citizen" implies someone holding an Indian passport or eligible to hold one. Individuals holding PIO/OCI cards are not eligible for the LAMP Fellowship. Confirm that you are an Indian Citizen Mark only one oval. Indian

11. 1.8. Mailing Address * Please enter your mailing address where written communication regarding the LAMP Fellowship can be sent to you, excluding the city, state and pin code. These are to be filled in the next three fields

12. 1.8.1. City *

13. 1.8.2. State * Mark only one oval. Andaman and Nicobar Islands Andhra Pradesh Arunachal Pradesh Assam Bihar Chandigarh Chhattisgarh Dadra and Nagar Haveli Daman and Diu Delhi Goa Gujarat Haryana Himachal Pradesh Jammu and Kashmir Jharkhand Karnataka Kerala Lakshadweep Madhya Pradesh Maharashtra Manipur Meghalaya

Mizoram Nagaland Odisha Puducherry Punjab Rajasthan Sikkim Tamil Nadu Tripura Uttar Pradesh West Bengal Other 14. 1.8.3. Pin Code * Enter six digit Pin Code without any spaces. If you do not know the pin code or address is not in India, enter 000111

15. 1.8.4. Country *

16. 1.9. Mobile Number * Enter your mobile number. Prefix your mobile number with the international country code (India is 91). Pease do not use +, - or space in the mobile number

17. 1.10. Land line Number Please enter the STD Code before the land line number. Do not prefix a zero to the STD code. Pease do not use +, - or space in the number

Section 2: Academic Qualification: Bachelor's Degree

Candidates from all academic backgrounds can apply for the Fellowship. Candidates must have at least a Bachelors degree in any academic discipline. Previous LAMP Fellows come from diverse academic backgrounds with bachelor or masters degrees in engineering, law, economics, sciences, liberal arts,

and commerce. The LAMP Fellowship does not give preference to any particular academic discipline. 18. 2.1. Bachelors Degree * eg. BA Hons in Political Science

19. 2.2. Academic Discipline * Mark only one oval. Architecture B.Com/Accountancy Business Management/HR Computer Science Creative Arts/Design Economics/Statistics Engineering Journalism/Media/Communications Law Medicine Physics/Chemistry/Botany/Zoology/Other Sciences Social Sciences Others 20. 2.3. Date Started * Month Mark only one oval. January February March April May June July August September October November December

21. 2.3.1. Year * Mark only one oval. 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 22. 2.4. Date Ended/Expected * Month Mark only one oval. January February March April May June July August September October November December

23. 2.4.1. Year * Mark only one oval. 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 24. 2.5. Name of Institution *

25. 2.5.1. City *

26. 2.5.2. State * Mark only one oval. Andaman and Nicobar Islands Andhra Pradesh Arunachal Pradesh Assam Bihar Chandigarh Chhattisgarh Dadra and Nagar Haveli Daman and Diu Delhi Goa Gujarat Haryana Himachal Pradesh

Jammu and Kashmir Jharkhand Karnataka Kerala Lakshadweep Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Odisha Puducherry Punjab Rajasthan Sikkim Tamil Nadu Tripura Uttar Pradesh West Bengal Other 27. 2.5.3. Country *

28. 2.6. Percentage/ GPA obtained * In case of GPA, please provide complete details, eg: 8/10 or 4/7 or 3.5/5 or 2.5/4

Section 3: Academic Qualification: Postgraduate Degree

29. 3.1. Post-graduate Degree (if applicable) eg. MA Hons in Political Science

30. 3.2. Academic Discipline Mark only one oval. Architecture B.Com/Accountancy Business Management/HR Computer Science Creative Arts/Design Economics/Statistics Engineering Journalism/Media/Communications Law Medicine Physics/Chemistry/Botany/Zoology/Other Sciences Social Sciences Others 31. 3.3. Date Started Month Mark only one oval. January February March April May June July August September October November December

32. 3.3.1. Year Mark only one oval. 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 33. 3.4. Date Ended/Expected Month Mark only one oval. January February March April May June July August September October November December

34. 3.4.1. Year Mark only one oval. 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 35. 3.5. Name of Institution

36. 3.5.1. City

37. 3.5.2. State Mark only one oval. Andaman and Nicobar Islands Andhra Pradesh Arunachal Pradesh Assam Bihar Chandigarh Chhattisgarh Dadra and Nagar Haveli Daman and Diu Delhi Goa Gujarat Haryana

Himachal Pradesh Jammu and Kashmir Jharkhand Karnataka Kerala Lakshadweep Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Odisha Puducherry Punjab Rajasthan Sikkim Tamil Nadu Tripura Uttar Pradesh West Bengal Other 38. 3.5.3. Country

39. 3.6. Percentage/ GPA obtained In case of GPA, please provide complete details, eg: 8/10 or 4/7 or 3.5/5 or 2.5/4

Section 4: Academic Qualification: Other Degrees / Courses

List any other Degrees / Courses in this section.

40. 4.1. Any other Degree / Course (if applicable)

41. 4.2. Academic Discipline Mark only one oval. Architecture B.Com/Accountancy Business Management/HR Computer Science Creative Arts/Design Economics/Statistics Engineering Journalism/Media/Communications Law Medicine Physics/Chemistry/Botany/Zoology/Other Sciences Social Sciences Others 42. 4.3. Date Started Month Mark only one oval. January February March April May June July August September October November December

43. 4.3.1. Year Mark only one oval. 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 44. 4.4. Date Ended/Expected Month Mark only one oval. January February March April May June July August September October November December

45. 4.4.1. Year Mark only one oval. 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 46. 4.5. Name of Institution

47. 4.5.1. City

48. 4.5.2. State Mark only one oval. Andaman and Nicobar Islands Andhra Pradesh Arunachal Pradesh Assam Bihar Chandigarh Chhattisgarh Dadra and Nagar Haveli Daman and Diu Delhi Goa Gujarat Haryana

Himachal Pradesh Jammu and Kashmir Jharkhand Karnataka Kerala Lakshadweep Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Odisha Puducherry Punjab Rajasthan Sikkim Tamil Nadu Tripura Uttar Pradesh West Bengal Other 49. 4.5.3. Country

50. 4.6. Percentage/ GPA obtained In case of GPA, please provide complete details, eg: 8/10 or 4/7 or 3.5/5 or 2.5/4

Section 5: Work Experience (excluding internships)

51. 5.1. Paid work experience Mark only one oval. 6 months to 1 year 1 - 2 years 2 - 3 years 3 - 4 years 4 - 5 years > 5 years

Provide details of employment

Provide details of the last two organisations where you have worked 52. 5.2. Organisation 1 Name of the last organisation that your worked for

53. 5.3. Length of Time you worked in this organization Please use the format: 1 year or 1 year and 2 months

54. 5.4. Designation

55. 5.5. Role eg. Research, Editing Newsletter etc.

56. 5.6. Organisation 2

57. 5.7. Length of Time you worked in this organization Please use the format: 1 year or 1 year and 2 months

58. 5.8. Designation

59. 5.9. Role eg. Research, Editing Newsletter etc.

Section 6: Internship Experience

Include last two internships or voluntary work in this section. 60. 6.1. Organisation 1 Name of the last organisation that you volunteered or interned for

61. 6.2. Length of time you interned or volunteered in this organization Please use the format: 2 months, 3 months, etc

62. 6.3. Role eg. Research, Editing Newsletter etc.

63. 6.4. Organisation 2

64. 6.5. Length of time you interned or volunteered in this organization Please use the format: 2 months, 3 months, etc

65. 6.6. Role eg. Research, Editing Newsletter etc.

Section 7: Statement of Intent

Please indicate why you wish to participate in the LAMP Fellowship. Your statement should be no longer than 500 words. Your statement should address the following questions: a) What are your educational and/or professional achievements? b) Why is the LAMP Fellowship the next step for you? c) What do you hope to learn through the LAMP Fellowship? d) How is the Fellowship relevant to your future goals? 66. 7.1. Statement of Intent * The statement should not be longer than 500 words.

Section 8: Short essay on a policy/legislative issue

Write a 500-word essay on any policy/legislative issue that you have followed in the past year. Mention the objective and key features of the issue and provide brief analysis. 67. 8.1. Essay on a policy / legislative issue * The essay should not be longer than 500 words

Section 9: Other Achievements

Any other academic, professional or extra curricular achievements that you would like to highlight.

68. 9.1. Please highlight your other achievements

Terms and Conditions

1. Your application will be considered based on the information that you provide to us on the application form. All information provided must be accurate and correct. Original documents will have to be presented on request. Shortlisted candidates may be asked to provide references. 2. PRS has the discretion to decline your application at any time. 3. The PRS office will not entertain any inquiries regarding the status of your application form. 4. Only shortlisted candidates will be contacted. 5. Any attempt to influence the selection process will result in your application being rejected. 6. Only applications submitted via the online application form will be considered. PRS will not consider, under any circumstances, the following applications: (i) incomplete applications (ii) applications submitted by email (iii) any hard-copy of the application or any similar mediums. 7. The information in the application will be considered confidential and PRS will not share this with anyone not engaged with the LAMP Fellowship. 8. The application must be submitted no later than 23:45 hours on February 20, 2014. 69. * Check all that apply. Yes, I have read and agree to the terms and conditions. 70. Check all that apply. Yes, I acknowledge that the information provided in this application form is accurate.

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