DSU Expert in Residence

Delaware State University

Expert in Residence Program
The Expert in Residence is designed in the following manner:

1. One (1) day lecture. a. Designed for Ambassadors, Diplomats, Foreign Experts, Heads of State, Industry Professionals, and Organizational Leaders.

2. One (1) week of lectures, research conversations, and development. a. Designed for Ambassadors, Diplomats, Foreign Experts, Industry Professionals, and Organizational Leaders.

3. One (1) month residential lectures, research conversations, and development. a. Designed for Industry Professionals and Organizational Leaders. (Any of the twelve months, with the understanding that December is a short month)

4. Three (3) months of residential lectures, research conversations, and development. a. Designed for Industry Professionals and Organizational Leaders. (Summer)

5. Six (6) months or one (1) semester of residential lectures, research conversations, and development. (Fall or Spring Semester) a. Designed for Industry Professionals and Organizational Leaders.

6. Twelve (12) months or one (1) year residential lectures, research conversations, and development. a. Designed for Industry Professionals and Organizational Leaders.
Expert in Residence Program Application
Name*

PrefixFirst NameMiddle InitialLast NameSuffix
Gender*

MaleFemale
Nationality*
Date of Birth*

MonthDayYear
Date
Age (last Birthday)*
Address*

Address

Street Address Line 2

CityState / Province

Zip CodeCountry
Cell*
(123)456-7890
Home*
(123)456-7890
Email Address: Personal*
example@example.com
- Passport Number
- Place of Issue
- Date of Issue
  
  MonthDayYear
  Date
- Date of Expiration
  
  MonthDayYear
  Date
- Please provide a copy of your passport bio page
  
  Cancelof
- Current Employer*
- Current Position*
- Years of Service*
- Work Phone*
- Email Address: Work*
  example@example.com
- Address*
  
  Address
  
  Street Address Line 2
  
  CityState / Province
  
  Zip Code
- Previous Employer*
- Previous Position*
- Years of Service*
- Address*
  
  Address
  
  Street Address Line 2
  
  CityState / Province
  
  Zip Code
- Educational Background:*
  
  Associate degree (undergraduate)Bachelor's degree (undergraduate)Master's degree (graduate)Doctoral degree (graduate)
- College or University*
- Certifications*
- Expert in Residence requested time slot:
  
  (One request per application)
  One (1) day lecture   One (1) week of lectures, research conversations, and development.   One (1) month of residential lectures, research conversations, and development.   Three (3) months of residential lectures, research conversations, and development.   Six (6) months or One (1) semester of residential lectures, research conversations, and development. (Fall or Spring Semester)   Twelve (12) months or one (1) year residential lectures, research conversations, and development.*
  
  Please select an Accommodation below, if needed.
  Note: Request is based off of One (1) month or longer residency time slot request.
  University Office Accommodations    Yes   No*
  University Residential Accommodations   Yes   No*
- Expert in Residence requested time slot:
  One (1) day lecture.
  One (1) week of lectures, research conversations, and development.
  One (1) month of residential lectures, research conversations, and development.
  Three (3) months of residential lectures, research conversations, and development.
  Six (6) months or One (1) semester of residential lectures, research conversations, and development. (Fall or Spring Semester)
  Twelve (12) months or one (1) year residential lectures, research conversations, and development.
  (One request per application)
  One (1) day lecture
  University Email   Email
  University Office Accommodations    Yes   No
  
  One (1) week of lectures, research conversations, and development.
  University Email   Email
  University Office Accommodations    Yes   No
  
  One (1) month of residential Lectures, research, conversations, and development
  University Email   Email
  University Office Accommodations    Yes   No
  
  Three (3) months of residential lectures, research conversations, and development.
  University Email   Email
  University Office Accommodations    Yes   No
  
  Six (6) months or One (1) semester of residential lectures, research conversations, and development. (Fall or Spring Semester)
  University Email   Email
  University Office Accommodations    Yes   No
  
  Twelve (12) months or one (1) year residential lectures, research conversations, and development.
  (One per application)
  University Email   Email
  University Office Accommodations    Yes   No
  
  One (1) month of residential lectures, research conversations, and development.
  University Office Accommodations    Yes   No
  
  Three (3) months of residential lectures, research conversations, and development.
  University Office Accommodations
  
  Six (6) months or One (1) semester of residential lectures, research conversations, and development. (Fall or Spring Semester)
  University Office Accommodations    Yes   No
  
  Twelve (12) months or one (1) year residential lectures, research conversations, and development.
  (One per application)
  University Office Accommodations    Yes   No
- Photography: Upload JPF Professional Headshot Photo*
  
  Cancelof
- Biographical Sketch: Microsoft Word format*
  
  Cancelof
- Additional documents:
  
  Cancelof
- Hobbies
- Declaration by Expert in Residence Applicant: To the best of my knowledge, I declare that the statements in this application are accurate, complete, and correct.
- Date: Month*
  
  MonthDayYear
  Date
- Signature*
- Should be Empty:

Delaware State University

Expert in Residence Program Application