American Studies

Nomination Information

All information should be in English and should be presented as follows (please include your resume or CV). This nomination form is also available electronically for your convenience.

I. Personal Information

A. Nominee's Full Name, clearly indicating Family Name

B. Home Address, Telephone and E-mail

C. Date and Place of Birth

D. Gender

E. Medical, Physical, Dietary or other Personal Considerations

II. Professional Information

F. Present Position(s) and Title(s)

G. Current Institutional Affiliation and Complete Address

H. Work Experience, Including Previous Positions and Titles

I. Education, Academic and Professional Training, including degrees earned and fields of specialization

J. Active Professional Memberships

K. Short List of Relevant Publications

L. Previous Travel and Study or Research Experience in the United States, including dates and indication of whether such travel was supported by U.S. Government Funds.

M. Evidence of Fluency in Written or Oral English

N. Personal Statement and objectives