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-          The application is due on:  April 21, 2006

-          Your application will not be processed until all the materials have been submitted and your file is complete.

-          Application requirements are:

a) The completed application form for admission

b) A Curriculum Vitae

c) A personal statement which should include a description of the applicant’s background and current work in economics, interest and/or background in gender studies, background and /or interest in macroeconomics, background and/or interest in international economics, motivation for taking the course, how s/he plans to use the knowledge gained in the program, and how s/he expects to contribute to the course and more generally to knowledge networking in the future.  This statement should not exceed 750 words.

d) A letter of recommendation from someone who is familiar with the applicant’s work in economics.

e) For those whose main language of instruction during their education was not English, some proof of English proficiency test  (e.g., TOEFL) will be preferable, but other proof may be accepted (e.g. a sample of written work in English).

f) For applicants who are currently enrolled in a Ph.D. program or who have obtained a Ph.D. or M.A. degree in the last two years, a copy of their transcripts in the Ph.D. or the M.A. program.

Items a – d (the application form, C.V. ,  personal statement and the recommendation letter)  should  be sent preferably by email to:  genderandmacro@lists.csbs.utah.edu. In addition, a hard copy of the letter of recommendation, and items e - f (proof of English proficiency and transcripts in cases which are relevant) should be sent by express mail to:

Ms. Ginger Alewine: Administrative Officer , GEM-IWG
801-585-5649 (fax)
University Of Utah
Department Of Economics
1645 Campus Center Dr. Rm. 308
Salt Lake City UT 84112-9300, U.S.A.

Those who are having difficulty with electronic mail can submit all documents by express mail to the same address. Questions about the program can be directed to: genderandmacro@lists.csbs.utah.edu.

1.             Full legal name (Last, First, Middle) _________________________________________________

2.             Mailing address __________________________________________________________________

                _______________________________________________________________________________

3.             Permanent address (if different)  ____________________________________________________

4.             Current Place of employment and for University and program at which you are enrolled

5.             Telephone:           Home_________________________________

                                                 Work__________________________________

6.             E-mail address ________________________________________

7.             Fax Number __________________________________________

8.             Date and Place of birth__________________________________

9.             □ Female                              □ Male

10.          Citizenship ___________________________________________

11.          Country of permanent residence (if different from the country of citizenship) ________________________

12.          If residing in the United Sates currently, visa status (F-1, J-1, resident alien etc.) and the date until which your visa is valid
                ____________________________________________________________________________________

13.          If applicable, U.S.  Immigration Number (number on your resident alien card ) _____________________

14.          If applicable, (United States) Social Security Number __________________________________________

15.          Educational History    (beginning with the current or the most recent institution attended; please add lines as necessary)

Name and location of School          Program and degree obtained        Years of Attendance     Language of instruction

                1. _________________________        _____________________         _______________     ____________

                2. _________________________        _____________________         _______________     ____________

                3. _________________________        _____________________         _______________     ____________

16.          Employment History (beginning with the current or the most recent position)

                                Name and location of employer                       Position held                        Years of employment

                1.             ___________________________                  __________________        _________________

                2.             ___________________________                  __________________       __________________

                3.             ___________________________                  __________________       __________________

17.          Native Language (s) ___________________________

                Other languages ______________________________

                If English is not native language, please check if applicable

                English was a medium of instruction ____

                I have taken an English proficiency test and my score was _____

(Please note that if English is not your native language or if English was not the medium of instruction, you need to express mail a copy of your English proficiency test score in addition to indicating your score here. You may also submit a sample of written work instead of a test score. )

18           Name, title, affiliation, and address of person who will write your recommendation letter.

                Name:

                Title:

                Affiliation:

                Address:

                e-mail:

19.          How did you hear about the program?

20.          Do you have any special needs?  (please note that your special needs will not have an impact on  your chance of admission. It is for our information so that we can be prepared to meet your needs in case you do attend the program.)    

21.          Funding for attendance (please check where applicable)

                1.  ____ I will need full funding.

                2.  ____ My employer or university may provide partial or full funding.  Please send a copy of my acceptance letter to the following person at the following address or  email)                

______________________________________________________________________________________

                3.  ____ My employer or university will definitely provide partial funding.  The amount or the nature of funding is ( e.g. travel or accommodations, or an amount in USD equivalent ) ________________________

Please send a copy of my acceptance letter to the following person at the following address or (email)

______________________________________________________________________________________

                4.  ____ My employer or university will definitely provide full funding.  Please send a copy of my acceptance letter to the following person at the following address or (email)

______________________________________________________________________________________

                5.  ____ I do not need funding.

22.          Any other information you would like to communicate to us: