Knight

Science Journalism
Fellowships

APPLICATION FORM
Name
First Middle Last

E-mail Date of Birth Present Position Business Address: Street City Home Address: Street City State State

Social Security Number Citizenship: Employer U.S. Other (specify country)

Zip Code

Business Telephone

Zip Code Home

Home Telephone Business

Which address should we use for correspondence?

Education
High School College or University Major Field Other Studies Dates Dates Degree

Previous Fellowships, Scholarships or Awards

Publications: Not listed elsewhere

Employment: Beginning with present position

1 Dates Position 2 Dates Position 3 Dates Position 4 Dates Position Organization Supervisor Organization Supervisor Organization Supervisor Organization Supervisor Annual Salary Annual Salary Annual Salary Annual Salary

Letters of Recommendation
(6 copies of each)

Please ask for letters from four people familiar with your work, who may comment on your abilities and potential as an expositor of technology and science to the public. Also, please ask recommenders to comment on your level of commitment to science journalism. Please list the names of the writers and ask them to mail their recommendations to reach us by March 1 to: Knight Science Journalism Fellowships MIT E32-300 77 Massachusetts Ave., Cambridge, MA 02139 Organization Organization Organization Organization Telephone Telephone Telephone Telephone

Name Name Name Name

Employers Letter
(6 copies each)

Unless you are self-employed, we request one letter from your organizations publisher, editor, manager or director, supporting your application and granting a nine-month leave of absence, if you are awarded a fellowship. In addition, we ask for one letter from your immediate supervisor, commenting on your qualifications. Title Title Telephone Telephone

Name Name How did you learn about the Knight Fellowships?

I certify that all information in this application is correct.

Signature

Date

REQUIRED MATERIAL
1 Professional autobiography: Tell us about your career, being sure to discuss two things: 1) how and why you moved from one stage to the next and 2) what difference your work has made to the world. Not to exceed 750 words. (6 copies)

Professional goals: Tell us what you would do during a fellowship year and how that would fit in with your professional goals. Not to exceed 500 words. (6 copies)

If you are a freelance, give us a list of all your jobs in the last 12 monthswhat you did, for whom and, if your client is not widely known, give us some idea of who or what it is. A few words for each job is sufficient. (6 copies)

Samples of professional work: (6 copies each of 6 samples) Select works that best show your interests and abilities. All samples should have been published or broadcast within the last 24 months. Do not submit any item that is irreplaceable. (Materials will not be returned.) If original work is not in English, please provide an English translation. Written work: All clippings should be copied onto 8 1/2 X 11 paper. Please try to avoid reducing type size. Instead of whole books, submit one chapter. With newspaper series, send only the first and last articles, with a brief outline of other items in the series. Editors should indicate their involvement (assignment, copy-editing, picture selection, picture use, layout, etc.). To be submitted on NTSC formatted video cassette or audio cassette (6 copies) with a total running time of up to 30 minutes and a typed manuscript or synopsis (6 copies) indicating where each item (program, story or segment) begins on the tape. Directors or producers should indicate their involvement (assigning, editing, directing, producing). Submit work samples as printouts on paper, and, if possible, provide the URLs. Submit photos or artworks either as published clippings, or, if you prefer, make new copies for us.

Televison or radio work

Web work: Photographers and illustrators:

Do not put materials in binders or notebooks. All materials (including 6 copies of the application form) should be mailed to: Knight Science Journalism Fellowships MIT E32-300 77 Massachusetts Avenue Cambridge, MA 02139

All application material must be received by March 1

If you have any questions, please call 617-253-3442.

MIT is an equal opportunity/affirmative action employer.