2023 Benjamin Franklin Transatlantic Fellows Summer Institute

Application Form (for Students)

1. Last name: 2. First name:

Click here to enter text. Click here to enter text.
3. Middle name(s): 4. Date of birth (mm/dd/yyyy):
Click here to enter text. Click here to enter text.
5. City of birth: 6. Country of birth:
Click here to enter text. Click here to enter text.
7. Country of citizenship: 8. Do you have an international passport?
Click here to enter text. Yes☐ No ☐
9. Home address (zip code, city, street, etc.):
Click here to enter text.
10. Phone: 11. E-mail: 12. Skype:
Click here to enter text. Click here to enter text. Click here to enter text.
13. School name: 14. Grade/year at school:
Click here to enter text. Click here to enter text.
16. Any relevant educational, academic and professional experience or training:
Click here to enter text.
17. Active memberships, special interests, or extracurricular activities:
Click here to enter text.
18. Future study or career plans:
Click here to enter text.
19. Previous travel or study experience in the United States (Please include dates and
purpose):
Click here to enter text.
20. Medical, physical, dietary, or other personal considerations (e.g. allergies):
Click here to enter text.
21. Benjamin Franklin Transatlantic Fellows Summer Institute participants are accomplished
young people, interested in learning about other countries, including the United States, and
sharing their own culture with their peers.

What is your greatest achievement?

Provide specific details – what did you accomplish? Why was it important? What challenges
did you encounter? How did you overcome them?

Click here to enter text.

W. Essay #1 (in no more than 500 words):

Imagine you have the power to change something in your school to make it better. It could be
classes, curriculum, activities, anything! What would you change and why?

Click here to enter text.

W. Essay #2 (in no more than 500 words):

How will you contribute to a program studying transatlantic relations and why do you think it
is important to study this issue?

Click here to enter text.