SCPKU Faculty Fellowship Application
Please note:  ONLY Stanford Academic Council members, Medical Line Faculty, and Active Emeriti are eligible to apply.
Sign in to Google to save your progress. Learn more
Email *
Before proceeding, please note that only Stanford Academic Council members, Medical Center Line Faculty, and Active Emeriti are eligible to apply.     *
Required:  I acknowledge that (check appropriate box below):
Faculty Full Name: *
Title (and must be Stanford Academic Council member, Medical Center Line Faculty, or Active Emeriti to apply): *
School/Department: *
Faculty Phone Number: *
Faculty Office Address: *
How did you hear about "SCPKU"'s Faculty Fellowship Program? *
Provide a description of objectives, intended activities while in residence at SCPKU, and how a faculty fellowship in China would support those objectives. *
Note that awardees are expected to spend the bulk of their fellowship period in Beijing and maximize their time at SCPKU. Please be as brief as possible while still providing the review committee with appropriate specifics.
Desired length of stay at SCPKU? *
If you indicated "Other" in the question above, please specify length (e.g., 8 months)
Specify Calendar Windows, in order of Preference: *
1st Choice of Start Date
MM
/
DD
/
YYYY
1st choice of End Date *
MM
/
DD
/
YYYY
2nd choice of Start Date *
MM
/
DD
/
YYYY
2nd choice of End Date *
MM
/
DD
/
YYYY
3rd choice of Start Date *
MM
/
DD
/
YYYY
3rd choice of End Date *
MM
/
DD
/
YYYY
Proposed budget (numbers required) and justification *
Below are representative expenses that applicants can apply for with an SCPKU faculty fellowship in Beijing:   1) lowest cost, upgradable economy-class airline ticket to Beijing, 2) basic Beijing living expenses and incidentals pro-rated to length of stay (up to $200/day), 3) expenses associated with other SCPKU-based meetings/workshops held during the fellowship period.                                                                                NOTE:  SCPKU faculty fellowships do not provide support for travel outside of SCPKU/Beijing and materials/supplies.  Expenses associated with mandatory public talk at the center will be processed separately by SCPKU.
Curriculum Vitae (cut & paste, 1-page MAX showing relevant pubs/activities, NSF-style acceptable) *
Required:  I acknowledge that if awarded a faculty fellowship which I accept, this constitutes an agreement by the grantee to Stanford University’s use and distribution (both now and in the future) of the grantee's biographical information and image or voice in photographs, video or audio capture, or electronic reproductions of activities associated with the program. *
Administrative and Finance Contact Information
Provide administrative and finance contacts in your department who will help to facilitate travel and other logistics as well as process travel expenses should you be selected. (Award packages will include comprehensive information about how to manage these logistics.)
Administrative Full Name: *
Administrative Email *
Administrative Phone *
Finance Manager Full Name: *
Finance Manager Email *
Finance Manager Phone *
Thank you for your application.  You will be notified of a decision once it becomes available.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy