[Federal Register Volume 59, Number 52 (Thursday, March 17, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-6387]


[[Page Unknown]]

[Federal Register: March 17, 1994]


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JAMES MADISON MEMORIAL FELLOWSHIP FOUNDATION
 

Fellowship

AGENCY: James Madison Memorial Fellowship Foundation.

ACTION: Request for information.

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SUMMARY: The information sought on these proposed forms will help 
implement the James Madison Memorial Fellowship Act of 1986. The 
information gathered will enable the Foundation to select James Madison 
Fellows from among applicants in an annual national competition for 
fellowships. The information provided by applicants on application 
forms, by those whom they ask to evaluate their candidacies on 
evaluation forms, and by educational institutions on transcript request 
forms will be used by an independent review committee to select those 
candidates whom the committee will recommend for fellowships to the 
Foundation. The forms (except the voluntary survey form) will be used 
for no other purposes; the voluntary survey form will be used for 
statistical analysis only and will not be seen by the independent 
review committee nor used for selecting fellows.

DATES: Comments must be submitted in writing on or before March 31, 
1994 in the Federal Register.

ADDRESS: Send written comments to: James Madison Memorial Fellowship 
Foundation, 2000 K Street, NW., suite 303, Washington, DC 20006.

FOR FURTHER INFORMATION CONTACT:
James M. Banner, Jr., (202) 653-8700.

SUPPLEMENTARY INFORMATION: As required by the Paperwork Reduction Act 
of 1980, the James Madison Memorial Fellowship Foundation has submitted 
a copy of the proposed forms to the Office of Management and Budget for 
its review (40 U.S.C. 3540(h)). Organizations and individuals desiring 
to submit comments on these information collection requirements should 
direct them to the Office of Information and Regulatory Affairs, room 
3002, New Executive Office Building, Washington, DC 20503; Attention: 
Daniel J. Chenok. The annual public reporting burden for this 
collection of information is estimated to average 6 hours per response 
for an anticipated 1,000 applicants.
    For the reasons set forth in the preamble and under authority of 20 
U.S.C. 4501 et seq., the following information will be solicited 
annually on application and related forms from fellowship applicants to 
the James Madison Memorial Fellowship Program. Applicants will be both 
experienced high school teachers of American history, American 
government, and social studies (senior fellow applicants) and 
graduating college seniors and recent college graduates who wish to 
become secondary school teachers of the same subjects (junior fellow 
applicants). To avoid duplication in the text below, unless otherwise 
indicated, the information is solicited from both senior and junior 
fellows. That information solicited only from applicants for senior 
fellowships is preceded by ``SR:'' (SR: thus); that information 
solicited only from applicants for junior fellowships is preceded by 
``JR:'' (JR: thus).
Application Forms:

Questions Requiring Factual Information Only

    Affirmation of wish to be considered for a James Madison Fellowship 
and agreement to abide by Foundation regulations governing a 
fellowship: signature and date;
    Type of fellowship for which you are applying;

Legal name and residence;
Home telephone number;
Work or campus telephone number;
Current [JR: campus] address;
How legal residence is established: place of registration to vote, in-
state tuition eligibility, other;
Congressional district of legal residence;
Whether or not applicant is a U.S. citizen or U.S. national Yes or No;
Date of birth;
Sex;
Social Security Number (optional);
SR: School name;
SR: Name of school principal or head;
SR: School address;
SR: School type (check one): public, private, parochial;
SR: School location (check one): urban, suburban, rural;
JR: Name of the institution from which you will receive or did receive 
your baccalaureate degree;
JR: Institution president's name;
JR: Institution address;
JR: College type (check one): public, private;
JR: College type (check one): college, university;
JR: Cumulative grade point average as of January or upon graduation;
JR: Date degree expected or received (month/year);
Name of baccalaureate degree sought or held.

Questions Requiring Factual and Explanatory Information

    Beginning with secondary school from which you graduated, list in 
chronological order all secondary schools and colleges you attended, 
including academic summer or special schools and courses. If more than 
four months elapsed between any phase of your education or between your 
education and your initial full-time teaching position, indicate your 
main activities during that period.
    If you are a teacher, beginning with your first full-time teaching 
position, list in chronological order all full-time teaching positions 
you have held, including summer or special positions. List your current 
position and responsibilities. If more than three months elapsed 
between any phase of your professional career, explain the reasons for 
those breaks.
    Why did you choose to become a secondary school teacher of American 
history, American government, or social studies? What do you hope to 
achieve as a secondary school teacher? How does secondary school 
teaching fit into your long-term career plans?
    List and briefly describe the school, college, and community 
activities in which you have participated without compensation that may 
have influenced your decision to become a teacher, that may have 
contributed to your preparation for teaching, or that may relate to 
your responsibilities as a teacher. Indicate the dates, and degree of 
your involvement and explain the significance of these activities to 
your personal and professional aspirations.
    List any awards, scholarships, fellowships, and appointments you 
have received in recognition of your achievements, activities, and 
leadership.
    If you are a teacher, briefly describe and provide examples of your 
methods and approaches to classroom instruction. Be specific.
    If you are a teacher, briefly describe your school and/or school 
district. Explain any particular circumstances about your school or 
district that affect your teaching.
    What strengths of character, intelligence, personality, and ability 
do you have that contribute toward your success as a secondary school 
teacher of American history, American government, or social studies?
    What limitations of character, intelligence, personality, and 
ability must you work to overcome in order to perform successfully as a 
secondary school teacher of American history, American government, or 
social studies?
    Describe the course of graduate study you will pursue. Indicate the 
university you plan to attend, the specific degree you will seek, the 
subject of the degree, and the school of the university in which you 
will be enrolled. Include a list of courses related to the history, 
principles, and interpretation of the Constitution you plan to take; 
additional electives that you may be permitted to take; and which 
electives you plan to take. Place an asterisk next to those courses you 
will take during your first year of study. The Foundation expects that 
your graduate education will closely approximate the course of study 
you describe here and that you will notify the Foundation and explain 
changes in this course of study that may be necessary or desirable.
    Describe how the educational plans outlined above will enhance your 
career as a teacher of American history, American government, or social 
studies and how they relate to your professional plans.
    Briefly describe one or two books that you have read in the last 
year that have most affected you and explain why. These books do not 
need to be related to the Constitution or to your professional plans.
    What interesting, unusual, or significant information about you, 
your family, your beliefs, or your interests do you wish to bring to 
the attention of the fellowship review committee?

Applicant's Essay Form

    In an essay of no more than 600 words, present and justify your 
views about the importance of the study of the Constitution to young 
students and to their future lives and communities, to your own career 
aspirations, to your contributions to public and professional service, 
and to citizenship in a constitutional republic.

Applicant's Signature and Date

Request for Evaluation Form

    Applicant's name:
    I hereby ______ waive ______ do not waive my right of future access 
to the contents of this evaluation: signature and date.
Applicant's Signature and Date
    This evaluator is (check one):
    SR: A school superintendent, principal/head, department chair, or 
other supervisor who can evaluate the applicant's qualities as a 
teacher of American history, American government, or social studies and 
attest to the applicant's potential for graduate study;
    SR: A colleague or supervisor who can attest to the applicant's 
depth of interest in those subjects;
    SR: A person other than a supervisor or colleague who can attest to 
the applicant's commitment to civic, professional, and collegial 
activities;
    JR: A dean, faculty member, or other college official who can 
attest to the applicant's potential for and commitment to a career of 
teaching American history, American government, or social studies in 
the secondary schools, and the applicant's potential for graduate 
studies;
    JR: A faculty member who has taught the applicant in his or her 
major field of undergraduate study who can attest to the applicant's 
preparation and depth of interest in these studies and to the 
applicant's quality as a student;
    JR: A person other than a dean, faculty member, or other college 
official who can evaluate the applicant's personal strengths and 
personal limitations (i.e., of character, intelligence, personality, 
and ability) and the applicant's commitment to civic activities and 
public service.
    Evaluator should discuss the applicant's strengths and weaknesses, 
as well as knowledge of and efforts to overcome those weaknesses, in 
the following areas: intellect, character, and vision; academic 
abilities and completion of a graduate school program; abilities and 
commitment as a secondary school teacher of American history, American 
government, or social studies; ability to work with others.
    How long and in what capacity have you known the applicant?
    Please rate the applicant in relation to other individuals you have 
known under similar circumstances (approximately ____ individuals over 
approximately ____ years) on the following grounds--historical 
knowledge, intellectual curiosity, independence of thought, involvement 
in civic activities, oral and written communication skills, motivation 
and energy, interpersonal skills--and on the following scale: 
outstanding (top 5%), unusual (top 10%), very good (top 25%), above 
average (top 40%), average (middle 20%), below average (lowest 40%), no 
knowledge.
    Evaluator's name, title, affiliation, address, signature and date:

Voluntary Survey Form

    Check one box beside the category providing descriptions of the 
race or national origin with which you most closely identify yourself: 
America Indian or Alaskan Native; Asian or Pacific Islander; Black, not 
of Hispanic origin; Hispanic; White, not of Hispanic origin; other 
(please specify).
    Source(s) from which you learned about the James Madison Memorial 
Fellowship Program (check one): Faculty Representative; Career 
Counseling Office; Financial Aid Office; Department Chair in History, 
Political Science, or Education; School Social Studies Coordinator; a 
James Madison Fellow; colleague; periodical or newsletter; campus 
newspaper advertisements; other (please specify).
    Fellowship applied for (check one): Senior, Junior.
    Name:
Paul A. Yost, Jr.,
President.
[FR Doc. 94-6387 Filed 3-16-93; 8:45 am]
BILLING CODE 6820-05-M