Professional Documents
Culture Documents
Eligibility
Are you a YSEALI member?
Only YSEALI members are eligible to apply for the YSEALI Academic Fellowship
Institutes Program. If you are not yet a member, please sign up now at
http://asean.usmission.gov/yseali.
A citizen of Thailand.
Note: You can only apply to one Academic Fellows Program during the Spring 2018
application. If it is determined that you have applied to more than one Fellows program
during this application period, your application will be deemed ineligible and your name
will be removed from consideration.
Note: The U.S. Embassy Bangkok will make the final selection and may move
candidates to different themes or institutes.
Kennesaw State University, Civic Engagement (from Jan. 31 – Mar. 11, 2018)
Arizona State University, Civic Engagement (from Mar. 25 – Apr. 29, 2018)
Directions
To apply for the YSEALI Academic Fellowship, submit the following items to
YSEALIThailand@state.gov before 10pm (Thailand time) 25 October 2017:
Completed application
Personal Information
This information below must match your passport or other government-
issued ID.
Contact Information
Primary Telephone
(Include country code) *
Other Telephone
(include country code) *
E-mail Address *
Re-type E-mail Address *
Biographical Information
What is your native language?
Please rate your English language proficiency on a scale from 1-5, with 5 being able to
deliver high level academic or professional presentations to native English-speaking
audiences. *
Gender *
Femal
e
Male
Date of Birth
month, day, year (Example: June 1, 1995) *
City/Town of Birth *
State/Province of Birth *
Country of Birth *
Country of Citizenship *
No
Yes (please list)
No
No
Yes (please
list)
City/Town *
Country *
Postal Code *
Skype ID
Facebook Account
Twitter Account
Home Address
(if different from current address)
Street Address
City/Town
Country
Postal Code
Educational Experience
Current or Most Recent Education Experience
City *
Country *
No
Yes (Please
describe)
201
2 2017
201 2018
3
201
4 2019
201
5 2020
201
6 other:
Current Employer
(including full-time or part-time employment, and/or paid internship)
Position Title *
City *
Country *
Website
When did you join this volunteer or community service activity? (MM/YYYY)
Memberships in Associations, Clubs, etc. Please include dates. (MM/YYYY)
Please list any additional information about activities, organizations, or jobs you would like to share
that is not evident from your CV.
International Experience
Do you have any previous non-YSEALI-related experience working or studying in the
U.S.? *
No
Yes
If you answered yes, please provide information about your previous U.S. travel,
including purposes and dates (MM/YYYY).
Please indicate the other areas of the world you have visited:
Western
Europe Not applicable
If you have traveled outside of your home country, indicate the purpose of travel:
Work
experience other:
Please list any additional information about any activities or other networking opportunities you
would like to explore during the YSEALI Academic Fellowship in the U.S.
Given Name(s) *
Relationship to You *
Street Address *
City/Town *
Country *
Postal Code *
Primary Telephone
Secondary Telephone
E-mail address *
Essays
Please answer the following three essay questions in 250 words or less each*:
1. How do you expect your participation in the Fellowship will affect your
community, country, or the ASEAN region? (250 words or less)
2. Please provide a short biographic paragraph that can be used on the program
website to tell others about you in the event that you are selected to participate
in the program. (250 words or less)
I release the U.S. Embassy and the U.S. Department of State to use any
photographs and written statements for program promotion, published advertising and
other marketing purposes.
I understand that the grant will cover the cost of travel to the U.S. for the YSEALI
Academic Fellowship Institutes. In addition, I understand shared lodging will be covered
as well as most meals.
I certify that I will comply with all laws, regulations and/or restrictions of
appropriate government agencies in the U.S. and will have to comply with the U.S.
Department of State' participant Code of Conduct upon my selection into this program.
I certify that the information given in this form is complete and true and that I will
fulfill my obligations and responsibilities as stated.
Directions
To apply for the YSEALI Academic Fellowship, submit the following items to
YSEALIThailand@state.gov before 10pm (Thailand time) 25 October 2017:
Completed application
Current CV (limit 2 pages)
Two (2) Letters of Recommendation
Technical details:
Applications can be submitted in either Microsoft Word or .pdf format
Use the subject line “YSEALI Application Spring 2018_Your Full Name.”
Submission via email will automatically log the date and time an application
submission is made, and the U.S. Embassy will use this information to determine
whether an application has been submitted on time. Late applications will neither
be reviewed nor considered.