Online Application

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I. Personal information

Mr.     Ms.     Dr.
Family Name: First Name: Middle:
Date of Birth: [MM/DD/YYYY]  
Birth City: Birth Country:  
Citizenship: Permanent Legal Residency:  
Sex (M/F):      
Reply Address:  
Street Address 1:
Street Address 2:
Street Address 3:


City: State: Country: Zip:
Legal Address:  
Street Address 1:
Street Address 2:
Street Address 3:


City: State: Country: Zip:
Email:
Telephone (Day): Telephone (Evening):  
If you are now in the U.S., give date of entry:
Type of VISA:
Student [F]     Exchange [J]     Official [A]     Visitor [B]    Immigrant
Profession:
1. Name of Employer:
Position: Dates:  
Address: Telephone:  
2. Name of Employer:
Position: Dates:  
Address: Telephone:  
II. Written Statement & Personal Background
Please make your answers as detailed, as relevant to the question asked, and as carefully considered as possible. Experience suggests that answers to these questions are particularly helpful (along with the required three evaluation reports) in assessing an applicant's potential for completing a year of study at MIT.

1. Please write a short, one-page autobiographical statement covering each of the following:
[a] the evolution of your current professional interest:
[b] your current activities in your job and community:
[c] relevant previous experience.
2. What do you hope to do in five years following your year at MIT [1 page]?
3. Describe the program of study that you would like to undertake at MIT. Be specific about the areas in which you want to do formal course work and in outlining plans you have for undertaking independent study and/or research.
All colleges & universities attended, & degrees received or expected:
1. College or University: (include Location)
Major Field: Dates Attended:  
Degree Awarded: Date Awarded:  
2. College or University: (include Location)
Major Field: Dates Attended:  
Degree Awarded: Date Awarded:  
3. College or University: (include Location)
Major Field: Dates Attended:  
Degree Awarded: Date Awarded:  
Have you previously applied for admission to MIT?
Freshman    Transfer    Special    Graduate    Never
Time of Application:
If Graduate Applicant, Indicate Department:
III. Cultural & Personal Background

Where, when and for what purpose have you traveled outside of your own country?
Language Proficiency:
1. Language:
Speak: Fluently    Not Fluently          Read: Fluently    Not Fluently 
2. Language:
Speak: Fluently    Not Fluently          Read: Fluently    Not Fluently 
3. Language:
Speak: Fluently    Not Fluently          Read: Fluently    Not Fluently 
Date on which you have taken or plan to take the Test of English as a Foreign Language [TOEFL]:
Date: [MM/DD/YYYY] Score:
Number of years you have used English:
Marital Status: Single    Married     Divorced    Widowed 
Name of Spouse: # of Children:  
If Single, do you intend to marry before you come here? Yes     No
Names of the three people who wrote your recommendations:
1. Name: Position:
Address:
2. Name: Position:
Address:
3. Name: Position:
Address:
IV. Financial Resources

ARE YOU FINANCIALLY CAPABLE OF PAYING FOR YOUR OWN TRAVEL, SUBSISTENCE AND TUITION?     Yes    No 
We estimate the budget in the US as follows: Living expenses in 2014-2015 for a single fellow will be approximately $2,500 a month. Health insurance cost is estimated at $3,360 for Visiting Scholars and Research Fellows.
There are three possibilities:

VISITING SCHOLAR:
In exceptional cases, fellows must have earned a Ph.D. or other relevant advanced degree and have made distinguished contributions in fields that are relevant to the areas of study in the Department of Urban Studies and Planning at MIT. The cost for a Visiting Scholar in 2014-2015 is $11,500.

RESEARCH FELLOW:
Has been awarded support from selected U.S. government agencies to pursue the SPURS non-degree program and does not take subjects for credits. The cost for a Research Fellow in 2014-2015 is $11,500. In special cases, one or two subjects may be taken for credit for the academic year. Tuition charges will be adjusted accordingly in addition to the SPURS fee of $11,500.
If not, please specify what requests for assistance you have made:
1. To your own government, other local agencies or your employer:
2. To U.S. Foundations, U.S. Government, or International Agencies:
 
 

“SPURS not only opened our minds to how the world worked. But Inspired us to think big and make a difference in our own countries. The connections I made largely shaped my work after MIT.”

Illac Diaz, Phillippines
2005-2006 Entrepreneur