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 Information
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

Employment Information
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

Education
Educational Background:*

Associate degree (undergraduate)Bachelor's degree (undergraduate)Master's degree (graduate)Doctoral degree (graduate)
College or University*

Professional Certifications
Certifications*

Delaware State University

Expert in Residence Program Application