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Knight Science Journalism Fellowships at MIT
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2012–13 Fellowship Application Form

The first step of applying to the Knight Science Journalism Fellowships is to fill out the form below. If you prefer not to fill out the online form, you may contact us to request a PDF.

Note: Required information is marked with an asterisk: *

About you:

First Name*

Middle

Last name*

Date of Birth*

(mm/dd/yyyy)

Citizenship*

U.S. Other (specify: )

Employment information:

Current Job Title*

Employer (publication or program)*

What year did you become a journalist?*

Do you already cover science, health, environment or technology?*

Yes No

If you answered "no", be sure to address your interest in pursuing science journalism in one of your supplementary essays.

Contact information:

Email*

Work contact information:

Street Address *

 

City*

State/Province*

(if none, enter "None")

Postal Code*

(if none, enter "None")

Country*

Work Phone*

Home contact information:

Street Address *

 

City*

State/Province*

(if none, enter "None")

Postal Code*

(if none, enter "None")

Country*

Home Phone*

Mobile Phone

Letters of recommendation:

As part of your application materials, we ask for three letters of recommendation. Please list the people you've asked to send letters:

1.*

2.*

3.*

Employer's letter

We ask non-freelancer's for a letter of support from your supervisor. Please tell us your supervisor's name. (Freelancers, type "freelance").

1.

Previous Fellowships, Scholarships or Awards:

Please list any awards or fellowships you've received, separated by a semi-colon (;).

English Proficiency
If you have taken the IELTS or TOEFL exam, we'd like to know your score. If you have not, but English is not your native language, we'd encourage you to take the IELTS exam, but it is not mandatory.

If you have taken the IELTS exam, on
what date did you take it?

What was your overall
IELTS score?

 

IELTS Listening?

 

IELTS Reading?

 

IELTS Writing?

 

IELTS Speaking?

If you have taken the TOEFL exam, on what date did you take it?

What was your
TOEFL score?

How did you learn about the Fellowship? Please check all that apply

Poynter/ Romanesko Online

E-mail from Knight Science Journalism at MIT

Word of mouth

Announcement from professional organization - please specify organization:

Other please specify:

 

 

Ready to submit?

Please review your information to confirm accuracy.
Hit the submit button only once. You will see a confirmation message when your application form has been received.

 

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