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Knight Science Journalism Fellowships APPLICATION FORM Name   F i r s t Middle L

Knight

Science Journalism

Fellowships

Knight Science Journalism Fellowships APPLICATION FORM Name   F i r s t Middle L a

APPLICATION FORM

Name

 

First

Middle

Last

E-mail

Social Security Number

 

Date of Birth

Citizenship:

 

U.S.

 

Other (specify country)

Present Position

Employer

Business Address: Street

 

City

State

Zip Code

Business Telephone

Home Address: Street

 

City

State

Zip Code

Home Telephone

Which address should we use for correspondence?

Home
Home

Business

 

Education

High School

Dates

 

College or University

 

Dates

 

Major Field

 

Degree

 

Other Studies

Previous Fellowships, Scholarships or Awards

Publications: Not listed elsewhere

Employment: Beginning with present position

1 Dates

Organization

Position

Supervisor

Annual Salary

2 Dates

Organization

Position

Supervisor

Annual Salary

3 Dates

Organization

Position

Supervisor

Annual Salary

4 Dates

Organization

Position

Supervisor

Annual Salary

Letters of Recommendation

(6 copies of each)

Please ask for letters from four people familiar with your work, who may comment on your abilities and potential as an expositor of technology and science to the public. Also, please ask recommenders to comment on your level of commitment to science journalism. Please list the names of the writers and ask them to mail their recommendations to reach us by March 1 to:

Knight Science Journalism Fellowships MIT E32-300 77 Massachusetts Ave., Cambridge, MA 02139

Name

Organization

Telephone

Name

Organization

Telephone

Name

Organization

Telephone

Name

Organization

Telephone

Employer’s Letter

(6 copies each)

Unless you are self-employed, we request one letter from your organization’s publisher, editor, manager or director, supporting your application and granting a nine-month leave of absence, if you are awarded a fellowship. In addition, we ask for one letter from your immediate supervisor, commenting on your qualifications.

Name

Title

Telephone

Name

Title

Telephone

How did you learn about the Knight Fellowships?

 

I certify that all information in this application is correct.

 

Signature

Date

REQUIRED MATERIAL

1 Professional autobiography: Tell us about your career, being sure to discuss two things: 1) how and why you moved from one stage to the next and 2) what difference your work has made to the world. Not to exceed 750 words. (6 copies)

2 Professional goals: Tell us what you would do during a fellowship year and how that would fit in with your professional goals. Not to exceed 500 words. (6 copies)

3 If you are a freelance, give us a list of all your jobs in the last 12 months—what you did, for whom and, if your client is not widely known, give us some idea of who or what it is. A few words for each job is sufficient. (6 copies)

4 Samples of professional work: (6 copies each of 6 samples)

Select works that best show your interests and abilities. All samples should have been published or broadcast within the last 24 months. Do not submit any item that is irreplaceable. (Materials will not be returned.) If original work is not in English, please provide an English translation.

Written work:

All clippings should be copied onto 8 1/2” X 11” paper. Please try to avoid reducing type size. Instead of whole books, submit one chapter. With newspaper series, send only the first and last articles, with a brief outline of other items in the series. Editors should indicate their involvement (assignment, copy-editing, picture selection, picture use, layout, etc.).

Televison or

To be submitted on NTSC formatted video cassette or audio cassette (6 copies)

radio work

with a total running time of up to 30 minutes and a typed manuscript or synopsis (6 copies) indicating where each item (program, story or segment) begins on the tape. Directors or producers should indicate their involvement (assigning, editing, directing, producing).

Web work:

Submit work samples as printouts on paper, and, if possible, provide the URLs.

Photographers

Submit photos or artworks either as published clippings, or, if you prefer, make

and illustrators:

new copies for us.

Do not put materials in binders or notebooks. All materials (including 6 copies of the application form) should be mailed to:

Knight Science Journalism Fellowships MIT E32-300 77 Massachusetts Avenue Cambridge, MA 02139

All application material must be received by March 1

If you have any questions, please call 617-253-3442.