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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

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 . Day * Mark only one oval.6.7. 1.

Citizenship * The Fellowship is open to Indian citizens only. January February March April May June July August September October November December 9. "Indian citizen" implies someone holding an Indian passport or eligible to hold one. 1. 1.2. Confirm that you are an Indian Citizen Mark only one oval.1.8.6. Individuals holding PIO/OCI cards are not eligible for the LAMP Fellowship. Month * Mark only one oval.7.6. Indian . 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 10. 1. Year * Mark only one oval.

1.2. These are to be filled in the next three fields 12. 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 . 1.8. excluding the city.11.1. 1. State * Mark only one oval. Mailing Address * Please enter your mailing address where written communication regarding the LAMP Fellowship can be sent to you. state and pin code. City * 13.8.8.

8. Prefix your mobile number with the international country code (India is 91).or space in the mobile number 17. economics. Do not prefix a zero to the STD code. liberal arts. Mobile Number * Enter your mobile number. law. Pin Code * Enter six digit Pin Code without any spaces. .or space in the number Section 2: Academic Qualification: Bachelor's Degree Candidates from all academic backgrounds can apply for the Fellowship.10. Country * 16. enter 000111 15.4. 1. . Previous LAMP Fellows come from diverse academic backgrounds with bachelor or master’s degrees in engineering. Candidates must have at least a Bachelor’s degree in any academic discipline. 1. Land line Number Please enter the STD Code before the land line number. Pease do not use +. If you do not know the pin code or address is not in India.9. .8.Mizoram Nagaland Odisha Puducherry Punjab Rajasthan Sikkim Tamil Nadu Tripura Uttar Pradesh West Bengal Other 14. 1. 1. sciences.3. Pease do not use +.

January February March April May June July August September October November December . The LAMP Fellowship does not give preference to any particular academic discipline. Architecture B.1. Bachelors Degree * eg.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. Academic Discipline * Mark only one oval. 18.3. 2. 2.2. BA Hons in Political Science 19. 2.and commerce. Date Started * Month 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.3.21. January February March April May June July August September October November December . Year * Mark only one oval. 2.1.

23. 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 24.2. City * 26. Name of Institution * 25.5. State * Mark only one oval. Year * Mark only one oval. 2.5. 2.5. 2.1.4. 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 .1. 2.

eg: 8/10 or 4/7 or 3.5. please provide complete details.3.6. MA Hons in Political Science .5/5 or 2. 2. 3. 2. Country * 28. Percentage/ GPA obtained * In case of GPA.5/4 Section 3: Academic Qualification: Postgraduate Degree 29.1. Post-graduate Degree (if applicable) eg.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.

January February March April May June July August September October November December .2. 3. Architecture B.30. Academic Discipline Mark only one oval.3.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. Date Started Month Mark only one oval.

4. 3. Date Ended/Expected Month Mark only one oval. Year Mark only one oval.32. 3. 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 33.3. January February March April May June July August September October November December .1.

State Mark only one oval.1.5. Name of Institution 36. 3. City 37.5.1.4.5. Year 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 . 3. 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 35.2. 3. 3.34.

please provide complete details.6.3. 3. Country 39. .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 38.5.5/4 Section 4: Academic Qualification: Other Degrees / Courses List any other Degrees / Courses in this section. eg: 8/10 or 4/7 or 3. Percentage/ GPA obtained In case of GPA.5/5 or 2. 3.

Date Started Month Mark only one oval. Architecture B.40. January February March April May June July August September October November December . 4. 4. 4.3. Academic Discipline Mark only one oval.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 42.1.2. Any other Degree / Course (if applicable) 41.

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 44. Date Ended/Expected Month Mark only one oval.3.43. Year Mark only one oval. 4.1. 4.4. January February March April May June July August September October November December .

4.5. 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 46.45. State Mark only one oval. Name of Institution 47.5. 4.4. City 48. Andaman and Nicobar Islands Andhra Pradesh Arunachal Pradesh Assam Bihar Chandigarh Chhattisgarh Dadra and Nagar Haveli Daman and Diu Delhi Goa Gujarat Haryana . 4. Year Mark only one oval.2.1. 4.1.5.

3. Percentage/ GPA obtained In case of GPA. Country 50.6.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. eg: 8/10 or 4/7 or 3. 4. please provide complete details.5/5 or 2.5/4 Section 5: Work Experience (excluding internships) . 4.5.

1. 5.3 years 3 . 5. Role eg. Organisation 2 57.4. Length of Time you worked in this organization Please use the format: 1 year or 1 year and 2 months 54. Designation 55.5 years > 5 years Provide details of employment Provide details of the last two organisations where you have worked 52.5.6. 5. 5.7. Length of Time you worked in this organization Please use the format: 1 year or 1 year and 2 months .2 years 2 . 56.2.3. Organisation 1 Name of the last organisation that your worked for 53. 5. 6 months to 1 year 1 .51. 5. Paid work experience Mark only one oval.4 years 4 . 5. Research. Editing Newsletter etc.

Research. Role eg. 6. 60. 6. 3 months. Section 6: Internship Experience Include last two internships or voluntary work in this section.2.9. Role eg. Length of time you interned or volunteered in this organization Please use the format: 2 months. 5.4. Editing Newsletter etc. Organisation 2 64. Editing Newsletter etc.8. 63. 6.1. Organisation 1 Name of the last organisation that you volunteered or interned for 61. Editing Newsletter etc. Research. Research. etc 65.6. 6. Role eg. Length of time you interned or volunteered in this organization Please use the format: 2 months.58. 6. 5.5. Section 7: Statement of Intent . 3 months.3. etc 62. Designation 59. 6.

7.1. Essay on a policy / legislative issue * The essay should not be longer than 500 words Section 9: Other Achievements Any other academic. 8. 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.Please indicate why you wish to participate in the LAMP Fellowship. Statement of Intent * The statement should not be longer than 500 words.1. professional or extra curricular achievements that you would like to highlight. 67. Mention the objective and key features of the issue and provide brief analysis. 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. .

I have read and agree to the terms and conditions. 7. Yes. The PRS office will not entertain any inquiries regarding the status of your application form. 3. Original documents will have to be presented on request. Please highlight your other achievements Terms and Conditions 1. 5. under any circumstances. * Check all that apply. 69.68. Your application will be considered based on the information that you provide to us on the application form. Pow ered by . Yes. 8. Only shortlisted candidates will be contacted. The application must be submitted no later than 23:45 hours on February 20. Shortlisted candidates may be asked to provide references. PRS has the discretion to decline your application at any time.1. 2014. 70. All information provided must be accurate and correct. 2. Only applications submitted via the online application form will be considered. Check all that apply. Any attempt to influence the selection process will result in your application being rejected. The information in the application will be considered confidential and PRS will not share this with anyone not engaged with the LAMP Fellowship. 6. the following applications: (i) incomplete applications (ii) applications submitted by email (iii) any hard-copy of the application or any similar mediums. 4. I acknowledge that the information provided in this application form is accurate. PRS will not consider. 9.

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