Prospective Reviewer Survey 2019


	Fulbright U.S. Scholar Program: Peer Review Thank you for your interest in joining a Fulbright U.S. Scholar Program Peer Review committee. These passionate, dedicated reviewers are vital in the review and selection process. The Institute of International Education (IIE) organizes committees based on discipline expertise and world region experience. For applications submitted for the 2021-2022 competition, the majority of applications will undergo peer review starting in mid-late October through late November 2021. The peer review team will confirm receipt of your information and will update you during the confirmation process (summer 2021 for the fall 2021 review cycle). Note: Prospective reviewers should reside in the U.S. Please complete this short survey and email your current CV/resume to PeerReview@iie.org (if you have not done so already). Personal Information Title: Other title: First Name: Preferred Name (nick name): Last Name: Email Address: Preferred Phone Number (if in U.S.) Please answer question 1 (Title:) before continuing. Please answer question 1 (First Name:) before continuing. Please answer question 1 (Last Name:) before continuing. Please answer question 1 (Email Address:) before continuing. Your answer to question 1 (Email Address:) must be a valid email address. Your answer to question 1 (Preferred Phone Number (if in U.S.)) must be a valid U.S. or Canadian Phone Number. Please confirm your interest and availability. I am available to review applications on a peer review committee this year. Please answer question 2 before continuing. Please complete the questions below. Institutional (Employer) Information Note: Prospective reviewers should reside in the U.S. Academic or Professional Title: Home Institution (Employer): School: Department: Mailing Address: City: State (if in U.S.) Zip Code: Country Please answer question 3 (Academic or Professional Title:) before continuing. Please answer question 3 (Home Institution (Employer):) before continuing. Please answer question 3 (City:) before continuing. Your answer to question 3 (Zip Code:) must be a valid U.S. or Canadian Postal Code. Please answer question 3 (Country) before continuing. Professional Discipline Discipline (select the general field closest to yours): Sub-Discipline (enter your sub-field; ex. civil engineering, photography): Specialization (enter your area(s) of expertise): Country or World Region expertise (if applicable): Please answer question 4 (Discipline (select the general field closest to yours):) before continuing. Please answer question 4 (Sub-Discipline (enter your sub-field; ex. civil engineering, photography):) before continuing. Please answer question 4 (Specialization (enter your area(s) of expertise):) before continuing. Please answer question 4 (Country or World Region expertise (if applicable):) before continuing. Have you ever received a Fulbright U.S. Scholar grant? (This includes all programs within the U.S. Scholar program, including the Fulbright Arctic Program, German Studies Seminar, International Education Administrator Seminars, NEXUS, and New Century Scholars.) Yes No Please answer question 5 before continuing. If you have received a Fulbright U.S. Scholar grant, please list your grant information below, starting with the most recent if you have received more than one. If you received a multi-country grant, select "multi-country" in country drop-down list; do not list each country separately. Country Academic Year (ex. 2013-14) Country Academic Year (ex. 2009-10) Country Academic Year (ex. 1995-96 The peer review process is managed by IIE on behalf of the U.S. Department of State. After you submit this form and email your current CV/resume, the peer review team at IIE will be in touch. The team can be reached at PeerReview@iie.org. Thank you. 100% Complete Powered by Verint