APPLICATION FORM 

	
RELIGION, HUMAN RIGHTS, AND RELIGIOUS FREEDOM PROGRAM
Columbia University, New York, NY, USA	
1998-1999


In addition to the information requested below, please include the
following items in your application:

*  One copy of your resume or biography.
*  Two letters of recommendation from people who know your work and
character.
*  An essay (500 word, single-spaced), addressing the questions indicated
in item #15.

All information must be in English.

Mail  application and materials to:	

		Center for the Study of Human Rights
		1108 International Affairs Building
		Columbia University
		New York, NY 10027
		FAX: 212-316-4578

DEADLINE:  March 1, 1998


Please PRINT or TYPE the following information clearly.

1.	Name: 	Mr._____ Ms._____ Dr._____ Rev._____other_____
		

	Male_____  Female_____ 	 

2.  Work  Address:


Tel:
Fax:
E-Mail:
			
3.  Home Address:


Tel:
Fax:
E-Mail:


4. Date of Birth (Month/Day/Year):

5. Place of birth (city and country):

6. Citizenship:
    Passport Number, Expiration Date:
 
7.Occupation/Profession:
    Number of Years in occupation:

8. Human Rights Affiliation (please describe your activities, positions
held, give organization name and address, list areas of interest:
  (A)



  (B)



  (C)



9. Religious Faith or Community (if any):

10.  Organizations outside your country with whom you have worked
collaboratively, if any (please include contact information):



11. Education: List all universities/colleges attended, locations of the
institutions, dates of attendance (month/year), fields of study and
degrees with dates received.
  (A)



  (B)



  (C)



12. English Language Proficiency: 	Speaking:
   (Fair, Good, Excellent)		Reading:
					Writing:


13. Please give your employment history. Beginning with your current job,
give the name of the organization, dates of employment, title or position
held and a brief description of your duties:
  (A)



  (B)



  (C)




14.  Please list any previous trips to the United States, Canada or
Western Europe, with length of stay, reason for trip (i.e., study,
business, pleasure), sponsor, if any, and dates:






15. ESSAY: Write a short (500 word) essay discussing all of the following:

*  How would you define the problem of religious freedom in your country?

*  Discuss your experience in human rights and/or religious advocacy.
Discuss the types of skills you would be interested in developing. What
other benefits do you expect to gain from participation in this program?


*  One requirement of this program is the study of a religion other than
one's own. Which faith would you choose to study and why?

*  How do you anticipate using your experience in this program to further
your work in your home country? How will it help your organization promote
religious tolerance and human rights?
 
 
 To the best of my knowledge, the information given here is true, complete
and correct:
 

____________________________________________________________________________
 Signature                                              Date
 
 
You will receive written confirmation from the Center for the Study of
Human Rights of receipt of your completed application.  If you have any
questions, please address them to:  Dr. Elizabeth A. Cole, Program
Coordinator, at the Center's mailing address, direct telephone
212-854-7189 or e-mail: [email protected]

The URL for this page is: http://www.friends-partners.org/~ccsi/announce/columbia.htm
Last updated: February 18, 1998

Center for Civil Society International [email protected]