Evaluator Statements

IREX Privacy Policy Statement and Application Certification

Your privacy is important to IREX. That is why we request that all applicants read the following privacy policy statement carefully.

Applicant and Participant Information Content and Storage

Information about program applicants and current and past participants consists of data contained in their applications, information derived from interviews, and information gathered during the course of their program and as program alumni. IREX stores this information in written and electronic form indefinitely. Some data, such as contact information and professional experience, is continually updated.

Use of Information

Information, which is described above, may be:

A. Used by selection committees and interviewers to review applicants;

B. Supplied to the program’s funding organization;

C. Submitted to potential host schools, universities, or organizations and/or organizations that provide internship opportunities;

D. Used for the evaluation of an individual’s participation in the program and in the collection of data for general program evaluation by IREX and the Bureau of Educational and Cultural Affairs;

E. Used for notifying program participants/alumni of upcoming events and programs;

F. Provided to participants/alumni of this and other US government–sponsored programs for the purpose of fostering alumni networking;

G. Provided to non-commercial, nongovernmental organizations for the purposes of promoting professional development among program participants/alumni; and

H. Used by IREX for general promotional purposes in written or electronic form, including program directories, newsletters, web sites and other promotional materials.

If the applicant or current/past participant does not want to be included in points G and H, it is their responsibility to notify their specific program administrator at IREX/Washington.

IREX does not sell applicant, or current/past participant information.

The principles stated herein are binding only to IREX; other organizations involved in the administration of these programs may adhere to other privacy or similar policies.

I certify that I completed this application myself, without assistance, that the information given in this application is complete and accurate and that I further certify that I fulfill all of the eligibility requirements as stated in the application instructions. I have carefully read and understand all notes and disclaimers provided therein.

I understand that IREX reserves the right to verify all the information listed in the application. I understand that giving false or misleading information in the application will result in exclusion from the competition or immediate dismissal from the Edmund S. Muskie Graduate Fellowship Program.

Signature of applicant Date

To be completed by the applicant:

Name of Applicant: ______________________________ Country:_____________________________________

Name of Evaluator: ______________________________ Title of Evaluator:_____________________________

Work Institution of Evaluator:___________________________________________________________________

Work Address of Evaluator:____________________________________________________________________

Work Telephone of Evaluator: _______________________ E-mail: ____________________________________

This reference form may be completed by a supervisor at work, a professor/academic advisor/dean, or a community leader who knows the applicant well and is familiar with the applicant’s academic and/or professional work. Relatives and friends of the applicant may not complete this recommendation form. This form should be typewritten in English, if possible. If not in English, an accurate translation (which may be done by the applicant) must be attached. All recommendations must be signed and stamped at the bottom. Please return the completed reference form to the applicant to be submitted with the completed application. Please DO NOT send reference forms directly to IREX.

To be completed by the evaluator:

1. How long have you known the applicant? ________________________________________________

2. In what capacity have you known the applicant? Please check all that apply.

 Teacher/Professor  Employer or Job Supervisor  Research Advisor  Other (please specify) ______________________________________________________________

3. Please compare the applicant with others you have known in your professional field in terms of the characteristics below:

Excellent Good Fair Poor Unable to Judge

· Knowledge of field of study     

· Initiative     

· Creative and independent thinking     

· Adaptability     

· Analytical ability     

· Interpersonal skills     

· Leadership Potential     

4. Please choose one of the following:

 Recommend with confidence

 Recommend with reservation

 Do not recommend

Evaluator Statements

Please submit short statements giving a candid evaluation of the applicant’s past academic and professional experiences. Your statements will be given careful consideration by the selection panels reviewing this application. Therefore, your comments should be as complete and as detailed as possible. Please answer the following questions in the space provided or on a separate sheet.

1. Applicant’s ability to express his/her ideas clearly both in writing and verbally.

2. Applicant’s ability to interact well with other students and professors or with colleagues in a professional setting.

3. Applicant’s outstanding or distinguishing talents and characteristics.

4. Applicant’s preparedness to complete graduate level study in the United States.

5. Applicant’s creativity and problem-solving abilities.

I hereby confirm that the answers on this form are my own and represent my professional opinion of the applicant.

Signature of Evaluator Date

To be completed by the applicant:

Name of Applicant: ______________________________ Country:_____________________________________

Name of Evaluator: ______________________________ Title of Evaluator:_____________________________

Work Institution of Evaluator:___________________________________________________________________

Work Address of Evaluator:____________________________________________________________________

Work Telephone of Evaluator: _______________________ E-mail: ____________________________________

This reference form may be completed by a supervisor at work, a professor/academic advisor/dean, or a community leader who knows the applicant well and is familiar with the applicant’s academic and/or professional work. Relatives and friends of the applicant may not complete this recommendation form. This form should be typewritten in English, if possible. If not in English, an accurate translation (which may be done by the applicant) must be attached. All recommendations must be signed and stamped at the bottom. Please return the completed reference form to the applicant to be submitted with the completed application. Please DO NOT send reference forms directly to IREX.

To be completed by the evaluator:

1. How long have you known the applicant? ________________________________________________

2. In what capacity have you known the applicant? Please check all that apply.

 Teacher/Professor  Employer or Job Supervisor  Research Advisor  Other (please specify) ______________________________________________________________

3. Please compare the applicant with others you have known in your professional field in terms of the characteristics below:

Excellent Good Fair Poor Unable to Judge

· Knowledge of field of study     

· Initiative     

· Creative and independent thinking     

· Adaptability     

· Analytical ability     

· Interpersonal skills     

· Leadership Potential     

5. Please choose one of the following:

 Recommend with confidence

 Recommend with reservation

 Do not recommend

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