Study of the U.S.

Institutes for Student Leaders (Comparative Public Policymaking) Program

FY 2021 Application Form

Important Note: The 2021 summer program may be conducted in-person at the host institution, the
University of Massachusetts, in the United States OR as a virtual program with all lectures and
activities designed for online synchronous and asynchronous learning due to COVID-19 travel
restrictions. Please know that even if you’re selected for the 2021 cohort, you may not be able to
participate in the in-person program. If you are willing to apply for the program (whether in-person or
virtual), please fill in the form below and send it to us as explained in the announcement.

Question before you start filling the form:

We are working with our office in Washington on the placements. Did you receive selection offer during
April/May 2020 for possible inclusion in the 2021 program? Please state “Yes” or “No” below.

Yes   No  

A. Current Academic Institution and City Name

Institution and City Name:      

B. Candidate’s Full Name, exactly as it appears on passport

Prefix:      
Last Name:      
First Name:      

C. Gender
Male:      
Female:      
D. Date of Birth (please spell out Month, Day, Year)

     
E. City of Birth:      

F. Country of Birth:      

G. Citizenship:
Primary:      
Secondary, if applicable:      
H. Country of Residence:      

I. Medical, Physical, Dietary or other Personal Considerations

     

J. Contact information
Address:      
City:      
Home State or Province:      
Home Country :      
Residence Phone no:      
Mobile No:      
Email:      

K. Emergency Contact

Name and Relationship:      

Phone number:      
E.mail address:      

L. About Family

Parent or Name Occupation

Guardian
Father            
Mother            

Address (if different from yours):      

Telephone:      
Email:      

Brothers/Sisters

Name Gender Age Occupation

                       
                       
                       
                       
                       
                       
                       
                       

List of siblings/relatives who have attended SUSI or any other US Government funded
exchange program in previous years:

Name Gender Name of the Your relation Their current

program and with them (e.g., Address and
year in which Brother, Sister, Occupation
they attended Cousin etc.)
e.g., SUSI 2016
or UGRAD 2017
etc.)
                             
                             
                              
                             

M. Education
Current
Education, Academic and Professional Training, including degree earned and fields of
specialization
Degree Year in Specialization/ City Expected Grade/GPA
School Institution Graduation
Date
                                   

Previous

N. Degree Earned
Scholarship Year Earned Specialization/ Institution City Grade/GPA
                             
                             
                             
                             
                             
                             
Are you currently on or have you ever earned any kind of scholarship (if yes, please provide
details) :
     
O. Work and Volunteer Experience:

     
P. Memberships in Associations, Clubs, etc:

     

Q. 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.
Purpose Travel Dates State/City Description
                        
                       

R. Previous experience in any other county abroad: Please list any and all trips the candidate has
made to any contry outside Pakistan and include approximate dates and the reason for travel.
Purpose Travel Dates State/City Description
                       
                       

S. Family Residing in the United States: Please list any immediate family members (parents and
siblings if unmarried/spouse and children if married) who are currently residing in the United
States, including city and state.
Name Relationship State/City Occupation
                       
                       
                       
                       

T. Have you or any of your family relatives (parents and/or siblings) ever applied for immigration
to the U.S.? If yes, which year was the petition filed? Was it approved?

     

U. Personal Statement (Please structure your essay in paragraphs and limit your response to 250 words,
single-spaced. Essays that exceed the word limit are penalized in the scoring.)
Tell us about yourself and your goals including the following:
 Why do you think your background and/or interests make you competitive for this particular
institute (please be as specific as possible)?
 What will you contribute to the group?
 How do you expect this experience will affect your future academic and professional career?
     

V. Short answer questions

 The short answer questions are an essential part of the selection process. Please structure your response
using paragraphs and limit your response to 150-250 words.

1) How essential is the policy to the success of a country? On a government level, how does the
policymaking sector work in Pakistan?

     

2) Imagine yourself as a policymaker in the Government sector of Pakistan. As a young, energetic

leader, how would you address potential consequences of having an outdated policy?