Caux Scholars Program 2016 Application Form

641 S. Street, NW
Washington, DC 20001 (202) 540 - 8345
Please type all information. Please also email a passport-sized photo to

Provide a brief, one-paragraph biography, written in the third-person, which summarizes your professional background and experiences, expertise, and accomplishments. Please note that this biography may be used in publications or announcements that provide information on our program. (Max: 150 words)
Current Address
Permanent Address
Family/Next of Kin
Work Experience

Note: Please provide the information below. A resumé or CV may be submitted in addition. List your most recent employment first.


Please supply two (2) written references, including at least one academic reference. These written references may be mailed directly to us in a sealed envelope or sent via email.

Names of those giving references:


How do you plan to pay for the program? Merit-based and need-based scholarships available *
Highlight the relevant funding option(s):

Academic History

Note: Please provide the information below. A resumé or CV may be submitted in addition. Please submit your most recent transcripts along with this application.

Graduate School

Personal data

List any foreign languages you speak, read and/or write, and indicate level of fluency:


In 500 words or fewer, please describe why you would like to participate in the CAUX SCHOLARS PROGRAM. We would like to know what motivates you, what you really care about and how this fits in with your hopes for your life, career and country. It will help distinguish you from other candidates for our limited number of places. Please email it as a typed document.


Please ensure the following:

  • I have mailed the $25 application fee. This fee can also be paid through PayPal ( My transcripts are being sent separately.
  • I am emailing a passport-sized photo to accompany this application.
  • I certify that the information in this application is accurate.
Scholarships information *

CSP offers ONE alumni scholarship per year. Eligibility and requirements are described on our website Through fundraising efforts, CSP offers merit-based and need-based scholarships that are given to scholars who have made important community contributions and who demonstrate leadership skills and a clear commitment to furthering the mission and values of CSP and Initiatives of Change in their chosen professional field.

It is important to note that all requirements must be submitted prior to the February 19, 2016 deadline. The Admissions Committee will review the files starting shortly after the deadline. Prospective candidates will be contacted for interviews.