Language
English (US)
The application deadline is
November 15, 2022.
Preliminary questions
Have you reviewed and do you meet all eligibility criteria requirements of the KF Exchange Program to the United States?
*
YES
NO
I am:
*
a Polish citizen permanently residing in Poland
a "Karta Polaka" holder currently residing in Poland
Do you hold U.S. citizenship or Green Card? Please note applicants cannot be U.S. citizens or dual U.S. citizens or permanent residents of the U.S. to participate in the KF Exchange to the U.S. Program.
*
YES
NO
Have you ever received a Kosciuszko Foundation Award?
*
YES
NO
If yes, when was it awarded to you?
How did you hear about the KF Exchange Program to the US?
Award Category
I am applying for (Select only 1 award category):
*
The Kosciuszko Foundation Grant
The Kosciuszko Foundation Fellowship
The Kosciuszko Foundation Teaching Fellowship
Have you applied or plan to apply for additional funding for this research from an organization other than the Kosciuszko Foundation?
*
YES
NO
If yes, what organization?
Back
Next
Save
Personal Information
Personal Email address
*
Professional Email address
*
example@example.com
Family name
*
First name
*
Middle name
Maiden name
Gender
*
Male
Female
Date of birth (mm/dd/yyyy)
*
-
Month
-
Day
Year
Date
Place of birth (City, Country)
*
Country of citizenship
*
0/50
Country of residence
*
0/50
Address (street/number/city/postal code)
*
Phone number
*
Passport ID page
*
Select File
Save file as: last name.passport
Cancel
of
A recent 2 inch by 2 inch (passport sized) full-face photograph of yourself. Please use a good quality photo that can be used for publications.
*
Save file as: last name.photo
If you have "Karta Polaka" or Karta Stałego Pobytu, please upload here
Please attach a document proving a Polish descent.
Emergency Contact Information
Emergency contact details
First Name
Last Name
Emergency contact email
example@example.com
Emergency contact number
-
Area Code
Phone Number
Back
Next
Save
Educational Background
Please list all post-secondary educational institutions (university level) from which you have received a degree. Please start with Your highest degree.
Institution 1
*
Field of study 1
*
Degree received 1
*
B.A.
B.Sc.
Eng Engineer
M.A.
M.Sc.
M.E.
MBA
MD
Ph.D. Student
Ph.D.
Ph.D habilitation
Date received
*
-
Month
-
Day
Year
Date
Institution 2
Field of study 2
Degree received 2
B.A.
B.Sc.
Eng Engineer
M.A.
M.Sc.
M.E.
MBA
MD
Ph.D. Student
Ph.D.
Ph.D habilitation
Date received 2
-
Month
-
Day
Year
Date
Institution 3
Field of study 3
Degree received 3
B.A.
B.Sc.
Eng Engineer
M.A.
M.Sc.
M.E.
MBA
MD
Ph.D. Student
Ph.D.
Ph.D habilitation
Date received 3
-
Month
-
Day
Year
Date
Please upload scanned diplomas
*
Select File
Save file as: last name.diploma
Cancel
of
Back
Next
Save
Professional Information
Prepare and upload documents in PDF format as required (*).
Employment institution name. If you are a student, name of the institution where you are enrolled as a student
*
City
*
Postion title (Ex: researcher, professor, student, etc..)
*
Phone number (Institution)
*
If you have more than one current position:
Employment institution name 2
City
Postion title (Ex: researcher, professor, student, etc..)
Phone number (Institution)
Upload your curriculum vitae/resumé in PDF format. Please do not include a photo of yourself in your CV.
*
Save file as: last name.cv
Upload a document confirming your current employment or enrollment in doctoral studies.
*
Save file as: last name.confirmation
Experience Abroad
Have you entered the United States on J-1 visa within the last 2 years?
*
YES
NO
List all professional, academic stays in the United States within last 5 years:(year, length of stay, purpose of your stay in the U.S.)
If you had a J-1 visa issued within past 3 years, please upload it here.
Save file as: last name.j1
Back
Next
Save
Research/Study Plans
This section collects information about your proposed project.
Category of research/studies:
*
Humanities
Science
Humanities
Economy
Linguistics and languages
Polish studies
Philosphy
Psychology
Literature
Archaeology
Law and politics
Art
History
Sociology
Other
Science
Mathematics and Logic
Biology
Chemistry
Physics
Geography
Geology
Engineering and technology
Medical and Health Sciences
Computer Science
Material Science
Agriculture
Other
Other:
Project title:
*
Example: “The Polish Institute of Arts and Sciences of America (PIASA): Mobilization of the Polish World War II Diaspora to Save Its Academic Potential”
Objective (maximum of 50 words).
*
Example: The project will study the doctrinal basis for out-of-court dispute resolution in the United States. The main goal is to: explore the real nature of ADR, investigate the powers of different out-of-court institutions as well as instruments serving the purpose of law enforcement in the US.
0/50
Methods (maximum of 70 words).
*
Example: The methods used in the studies will involve: 1. Critical examination of the sources: statistic data on the local population, immigrants; memoirs, parochial jubilee books, schools, documents, records and jubilee books of the ethnic societies, records of the local ethnic festivals, documentary films; 2. Content analysis of the local and immigrants’ press; 3. Field studies: oral history, participant observation, in-depth interviews.
0/70
Where and with whom will the project be conducted:
*
Example: This study will be conducted with the help of the University of Science and Technology in New York, under the guidance of Prof. XXX XXXX, Vice President of the University of Science and Technology.
0/200
Proposed grant/ fellowship length (in months)
*
3 months
4 months
5 months
6 months
7 months
8 months
9 months
10 months
To complete your research/study
Proposed grant/fellowship start date:
*
-
Month
-
Day
Year
Date
Proposed grant/fellowship end date:
*
-
Month
-
Day
Year
Date
Your detailed research/study proposal (max. 500 words) in English.
*
Save file as: last name.proposal
For artistic projects, please upload your portfolio.
Choose File
Save file as: last name.portfolio
Cancel
of
Teaching Fellowship, please upload a detailed Teaching Plan/Course Syllabus proposal
*
Save file as: last name.plan
Host Institution
It is a requirement of the KF Exchange Program to the U.S. that you have made affiliation arrangements with a U.S. Host Institution
Host institution name
*
Email address of your primary contact at the host institution
*
example@example.com
Name of your primary contact person at the host institution
*
First Name
Last Name
Scanned copy of invitation letter from U.S. institution.
*
Save file as: last name.invitation
Back
Next
Save
Recommendations
Secure three recommendation letters and have your recommenders send them directly to the exchangetotheus@thekf.org. Below just list names of your recommenders and their contact details.
Name of the recommender 1
*
Professional relationship 1
*
Recommender's institution 1
*
Name of the recommender 2
*
Professional relationship 2
*
Recommender's institution 2
*
Name of the recommender 3
*
Professional relationship 3
*
Recommender's institution 3
*
Back
Next
Save
Agreements
For more information about our Date Protection and Privacy policies please visit: https://thekf.org/kf/scholarships/exchange-us/
I release to the Kosciuszko Foundation the right to use my name and other information contained in this application for Foundation's publications, reports and/or press releases in the scope necessary for the selection process, award announcements, and administration of the Exchange Program to the United States.
*
I consent
I do NOT consent
The Kosciuszko Foundation may use my name, photographs, videos, interviews, excerpts from my reports in the KF newsletters, publications produced by the KF, in slide presentations, videos, social media and/or on websites and in other similar forms of communication for promotional activities to raise awareness about the Kosciuszko Foundation's mission.
*
I consent
I do NOT consent
I give my permission for the information in my scholarship application to be shared with the individuals associated with and employees of the Kosciuszko Foundation.
*
I consent
I do NOT consent
The KF may use information from this application for alumni management (including member administration, networking activities, direct marketing, etc.):
*
I consent
I do NOT consent
I agree and understand that I am required to have three Recommenders send letters of reference to: exchangetotheus@thekf.org.
*
I agree
I understand that providing false information in my application may disqualify me from the Kosciuszko Foundation awards.
*
I agree
I Certify that the information I provided in this application is true and complete.
*
I consent
PLEASE NOTE THAT YOU MUST SUBMIT ALL REQUIRED SUPPORT DOCUMENTS ELECTRONICALLY BY THE APPLICATION DEADLINE. NO MATERIAL WILL BE ACCEPTED AFTER THIS DATE. NOTIFY THE KOSCIUSZKO FOUNDATION IMMEDIATELY ABOUT ANY CHANGES IN YOUR ACADEMIC STATUS OR RESEARCH / STUDY PLANS AFTER THIS APPLICATION HAS BEEN SUBMITTED! IF YOU HAVE ANY ADDITIONAL QUESTIONS PLEASE CONTACT: EXCHANGETOTHEUS@THEKF.ORG
Save
Submit
Print Form
Should be Empty: