Fulbright Greece - Fulbright Greece

Before your register carefully read all instructions of the Fulbright scholarship program of your choice as announced on the Foundation's website. Complete all required fields using a combination of upper and lower case letters (do not use just one or the other).

Please upload a photo*

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TITLE

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FIRST NAME*

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Following passport/ID

LAST NAME*

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Following passport/ID

DATE OF BIRTH*

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CITY & COUNTRY OF BIRTH*

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COUNTRY OF CITIZENSHIP*

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(if you hold dual citizenship, please specify both)

COUNTRY OF PERMANENT RESIDENCE*

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HOME PHONE

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MOBILE*

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EMAIL ADDRESS*

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FIELD OF STUDY / ART*

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OBTAINED ACADEMIC DEGREES IN HIGHER EDUCATION AND/OR ACADEMIC TRAINING*

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PROFESSIONAL EXPERIENCE*

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(selectively but reflecting a minimum of 5 years of experience in your field)

ARTISTIC AND/OR PERSONAL ACHIEVEMENTS*

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(highlights in your career)

SELECTED FIELD OF STUDY / ART (non-degree) IN THE U.S.*

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PROPOSED PROJECT TITLE*

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PROPOSED U.S. AFFILIATION*

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PLEASE DESCRIBE BRIEFLY YOUR PROJECT PROPOSAL INCLUDING THE CHOICE OF YOUR PROPOSED AFFILIATION AND HOW IT WILL COMPLEMENT YOUR CURRENT WORK*

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(max. 250 words)

ASSESS THE POSSIBLE IMPACT AND BENEFITS OF YOUR PROJECT IN THE U.S. FOR GREECE*

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DID YOU HAVE ANY ACADEMIC AND/OF PROFESSIONAL EXPERIENCE IN THE U.S. DURING THE LAST 5 YEARS?

DATES

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Location

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Purpose

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Did you visit the United States during the last 12 months?*

YesNo Invalid Input

Do you plan to travel to the United States in the next 6 months? *

YesNo Invalid Input

HOW DID YOU LEARN ABOUT THE FULBRIGHT ARTIST PROGRAM?*

ACKNOWLEDGEMENT AND ACCEPTANCE*

I have read and understood the selection criteria, eligibility requirements, and Fulbright Greece Terms & Conditions / Privacy Statement. Invalid Input

J1*

I am fully informed about the J1 Visa two-year-home residency requirement and its implications. Invalid Input

CERTIFICATION*

By signing below, I certify that the information provided in this form is true and correct. I also understand that any willful dishonesty may render for rejection of my registration. Invalid Input

Place and Date

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Digital Signature (use your mouse as pen)*

Sign Above

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Captcha*

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Arts Professionals Registration Form

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