Application Deadline: No later than December 29, 2023
Please complete and send to below emails attaching your updated resume and copy of your passport biographical information Jerusalemexchanges@state.gov (Jerusalem, West Bank) / JerusalemGazaExchanges@state.gov (Gaza)
SUSI program you are applying for:
A. Nominee’s Full Name: Last Name(s), First Name, Middle Name.
C. Date of Birth (please spell out Month, Day, Year)
D. Birth City
E. Birth Country
F. Country(ies) of Citizenship:
G. Country of Residence
H. Medical, Physical, Dietary or other Personal Considerations:
I. Candidate Contact Information: Home Address, City, E-mail, and Telephone.
J. Current Position/Title, Institutional Name, and Country
K. Work Experience, including previous positions and titles, place
L. Education: Academic & Professional Training, degree earned and fields of specialization, place.
M. Active Professional Memberships
N. Publications: publication year, type of publication, title, and publisher. All foreign titles should be translated into English. (Please list no more than 10.)
O. Previous Experience in the United States: trips made to the United States; dates & reason.
P. Family Residing in the United States:
Q. Evidence of English Fluency (e.g. personal interview, test score, etc.)
R. Personal Statement of Interest (no more than one page):