Scholars at Risk Network New York University

Apply to SAR

If you are a scholar experiencing threats to your life, liberty or academic career, or if you have been forced to leave your country because of such threats, and would like to request help from SAR please complete and submit the form below.

Confidentiality: Information provided is treated as confidential and used only for the purpose of arranging help where possible, including visits to SAR Network member institutions. If you prefer not to use the online form, you may print and mail or fax it, or contact Scholars at Risk by telephone.
* Required Information
Step One: Complete Form

Security

Is it safe for Scholars at Risk to contact you directly about your situation?
Yes. Please contact me directly.
No. Direct contact is not safe at this time. Please contact me through:


Personal Information
Title / First Name *
 Middle Name
 Last Name *
Phone *
 Mobile
 Email *
Address
Address (cont.)
Address (cont.)
City
 State/Province
Postal Code
Country *
M/F                     Date of Birth
    		Marital Status
 Nationality
Languages: Please list the languages in which you teach, research or conduct your work:
English-fluent
Needs English Training
Arabic
Chinese
Farsi
French
 Italian
Spanish
Russian
Urdu
 Other . Please indicate.


Academic / Professional Information
Field / Discipline
 Specialization
Highest Degrees
Degree type
 Subject
 Institution
Location
 Start Date
 End / Award Date
Employment
Institution / Organization
 Location
 Position
Start Date
 End Date
  


Threat or Risk Information
Please indicate your current location:*
Please describe the threats or risk you are experiencing and the help you are requesting from Scholars at Risk: *


Help / Opportunities Sought
Timing Requested
Location Requested

Opportunities sought:
Not Seeking
Seeking 1-3 month teaching
Seeking 3-6 months
Seeking 6-12 months
Seeking co-teaching
Seeking graduate study opportunity
Seeking research
 

Submitted by (if other than applicant)

Name
 Email / Phone Number

  
Arabic English French Spanish Russian

Member/Scholar Login


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