22
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 [email protected] * 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

LAMP Fellowship 2014 - 15_ Application Form

Embed Size (px)

DESCRIPTION

Fellowship application

Citation preview

Page 1: LAMP Fellowship 2014 - 15_ Application Form

LAMP Fellowship 2014 - 15: Application FormUse 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/faqsIf you face difficulties filling out the online application form, please send an e mail to [email protected]

* 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

Page 2: LAMP Fellowship 2014 - 15_ Application Form

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

Page 3: LAMP Fellowship 2014 - 15_ Application Form

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

Page 4: LAMP Fellowship 2014 - 15_ Application Form

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 Indianpassport or eligible to hold one. Individuals holding PIO/OCI cards are not eligible for the LAMPFellowship. Confirm that you are an Indian Citizen

Mark only one oval.

Indian

Page 5: LAMP Fellowship 2014 - 15_ Application Form

11. 1.8. Mailing Address *

Please enter your mailing address where written communication regarding the LAMP Fellowship canbe 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

Page 6: LAMP Fellowship 2014 - 15_ Application Form

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. Ifyou do not know the pin code or address is not inIndia, enter 000111

15. 1.8.4. Country *

16. 1.9. Mobile Number *

Enter your mobile number. Prefix your mobilenumber with the international country code (Indiais 91). Pease do not use +, - or space in themobile number

17. 1.10. Land line Number

Please enter the STD Code before the land linenumber. 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 Bachelor’s degree in any academic discipline. Previous LAMP Fellows come from diverse academic backgrounds with bachelor or master’s degrees in engineering, law, economics, sciences, liberal arts,

Page 7: LAMP Fellowship 2014 - 15_ Application Form

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

Page 8: LAMP Fellowship 2014 - 15_ Application Form

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

Page 9: LAMP Fellowship 2014 - 15_ Application Form

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

Page 10: LAMP Fellowship 2014 - 15_ Application Form

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

Page 11: LAMP Fellowship 2014 - 15_ Application Form

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

Page 12: LAMP Fellowship 2014 - 15_ Application Form

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

Page 13: LAMP Fellowship 2014 - 15_ Application Form

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

Page 14: LAMP Fellowship 2014 - 15_ Application Form

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.

Page 15: LAMP Fellowship 2014 - 15_ Application Form

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

Page 16: LAMP Fellowship 2014 - 15_ Application Form

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

Page 17: LAMP Fellowship 2014 - 15_ Application Form

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

Page 18: LAMP Fellowship 2014 - 15_ Application Form

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)

Page 19: LAMP Fellowship 2014 - 15_ Application Form

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 thisorganization

Please use the format: 1 year or 1 year and 2months

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 thisorganization

Please use the format: 1 year or 1 year and 2months

Page 20: LAMP Fellowship 2014 - 15_ Application Form

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 volunteeredor interned for

61. 6.2. Length of time you interned orvolunteered 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 orvolunteered 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

Page 21: LAMP Fellowship 2014 - 15_ Application Form

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.

Page 22: LAMP Fellowship 2014 - 15_ Application Form

Pow ered by

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.