STUDY OF THE UNITED STATES INSTITUTES (SUSI)

FOR STUDENT LEADERS

2011 SUMMER PROGRAMS

SUSI for Student Leaders on New Media and Politics:

Participants are expected to be highly motivated and exemplary undergraduate students
from colleges, universities, and other institutions of higher education. While all
candidates will have a strong interest in new media and politics, their fields of study
might vary, and can include disciplines such as Graphic Design, History and Government,
Information Technology or Computer Science, Foreign Policy, International Affairs,
Journalism, Literature, Media, Photography, and Public Relations. The Institute will take
place over the course of five weeks from approximately June 25 to July 30, 2011, and will
be hosted by Southern Illinois University in Carbondale, Illinois.

SUSI for Student Leaders on Global Environmental Issues:

Participants are expected to be highly motivated and exemplary undergraduate students
from colleges, universities, and other institutions of higher education. While all
candidates will have a strong interest in the environment, their fields of study might
vary, and can include disciplines such as Agriculture, Biology, Ecotourism, Engineering,
Environmental Law, Environmental Science, International Affairs, Public Policy, and
Sustainable Development. The Institute will take place over the course of five weeks
from approximately July 2 to August 6, 2011, and will be hosted by the University of
Montana in Missoula, Montana.

General Qualifications:
- Be fluent in English;
- Be 18 and 25 years of age or younger;
- Have completed at least one semester of university and have at least one semester of
coursework remaining in their university studies;
- Be committed to returning home to complete their degree;
- Demonstrate strong leadership qualities;
- Indicate a serious interest in learning about the United States;
- Have a sustained high level of academic achievement, as indicated by grades, awards,
and teacher recommendations;
- Have demonstrated commitment to community and extracurricular university activities;
- Have had little or no prior study or travel experience in the United States or elsewhere
outside of their home country;
- Be mature, responsible, independent, confident, open-minded, tolerant, thoughtful, and
inquisitive;
- Be willing and able to fully participate in an intensive academic program, community
service, and educational travel;
- Be comfortable with campus life, prepared to share living accommodations, and able to
make adjustments to cultural and social practices different from those of their home
country;
- Students with limited or no prior travel or study in the U.S. will be given
preference.
 STUDY OF THE UNITED STATES INSTITUTES (SUSI)
FOR STUDENT LEADERS
2011 SUMMER PROGRAMS

All candidates must submit a complete application according to the attached

format and translate all information into English. Please note that submitting a CV
alone is not adequate for application purposes.

Please return the completed application form and nominating justification

electronically to reniartii@state.gov by December 23, 2010.
 STUDY OF THE UNITED STATES INSTITUTES (SUSI)
FOR STUDENT LEADERS
2011 SUMMER PROGRAMS

Application Form

Incomplete applications will not be considered.

A. Title of Institute (Select either New Media and Politics or Global Environmental
Issues):

B. Nominee's Full Name, as it would appear on his/her passport.

First Name:
Middle Name:
Last Name:

C. Gender:

D. Date of Birth (please spell out Month, Day, and Year):

E. City of Birth:

F. Country of Birth:

G. Citizenship:

H. Residency:

I. Medical, Physical, Dietary or other Personal Considerations: Please state if the

candidate has any existing medical conditions or is currently taking any prescription
medication. This will not affect candidate selection, but will enable the host institution to
make any necessary accommodations:

J. Candidate Contact Information:

Address:
City:
Home State or Province:
Postal Code:
Home Country:
Email Address:
Phone and Cell Phone:

K. Academic Major and Institution Name:

Major:
Institution Name:
 STUDY OF THE UNITED STATES INSTITUTES (SUSI)
FOR STUDENT LEADERS
2011 SUMMER PROGRAMS

L. Work and Volunteer Experience, including dates (month-date-year):

M. Year in School (Students who have completed their fourth year/final year are
ineligible. Students in master’s programs are ineligible.)

N. Memberships in Associations, Clubs, etc. including dates (month-date-year):

O. Previous Experience in the United States: Please list any and all trips the candidate
has made to the United States and include approximate dates and the reason for travel.

P. Family Residing in the United States: Please list any immediate family members who
are currently residing in the United States, including city and state.

Q. Evidence of English Fluency (TOEFL, IELTS, or any other exams to demonstrate your
English fluency)

R. Grade point average: Please scan and send your university academic transcript

S. Two Recommendation Letters (one MUST be from the Head of Department) justifying
participation of nominee in the institute, which should describe:
- Why the U.S. Embassy should nominate this candidate by reviewing the candidate’s
accomplishments and potential leadership
- How the candidate’s participation would contribute to his/her general professional development
- How might the candidate’s share his/her experience with others at home both in his/her
institution and in his/her community
- What else the U.S. Embassy should know about the candidate that would qualify him/her in the
institute

T. Personal Statement: Please structure your essay in paragraphs and limit your
response to 250 words, which SHOULD describe:
- Your background and/or interests makes you competitive for this particular institute
(please be as specific as possible)?
- How will it affect you personally?
- How do you expect this experience will affect your future academic and professional
career?
- What will you contribute to the group during the program?