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Rural Internship
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Abhijit Sen Rural Internship Program
Application Form
NOTE:- ASRI is a research internship. You are requested to think through your area of research interest and acquire some insight about the research problem you would like to explore through this opportunity, for an effective application for the program.
नोट: ASRI एक रिसर्च इंटर्नशिप है। आपसे अनुरोध है कि आप अपनी रूचि के अनुसार रिसर्च के क्षेत्र पर अच्छी तरह से विचार करें और उस समस्या के बारे में कुछ जानकारी प्राप्त करें, ताकि कार्यक्रम के लिए प्रभावी आवेदन किया जा सके।
1. PERSONAL DETAILS
b. First Name
*
c. Last Name
d. Date of Birth
*
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Year
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
e. Mother/Guardian’s Name
*
f. Father/Guardian’s Name
*
g. Gender
*
- Select -
Female
Male
Transgender
Other
Prefer not to say
h. Caste
*
- Select -
OBC
ST
SC
GENERAL
i. Religion
*
- Select -
Hindu
Muslim
Sikh
Christian
Other
j. Are you a PwD candidate?
*
- Select -
Yes
No
k. Type of disability
l. Where do you reside?
*
- Select -
Rural Area
Urban Area
m. Where did you do most of your schooling from?
*
- Select -
Rural Area
Urban Non-Metropolitan City
Urban Metropolitan City
n. Are you a first-generation learner?
*
- Select -
Yes
No
o. Languages known
2. CONTACT DETAILS
a. Phone Number
*
b. E-mail Address
*
c. Permanent Address
i. Address:
*
ii. Locality:
iii. City/Town/Village:
*
iv. District:
*
v. State:
*
- Select -
Andaman & Nicobar (UT)
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh (UT)
Chhattisgarh
Dadra & Nagar Haveli and Daman & Diu (UT)
Delhi [National Capital Territory (NCT)]
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu & Kashmir (UT)
Jharkhand
Karnataka
Kerala
Ladakh (UT)
Lakshadweep (UT)
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Puducherry (UT)
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
vi. Pin code:
*
d. Current Address
i. Checkbox: Same as Permanent Address
ii. If not the same as Permanent Address:
1. Address:
2. Locality:
3. City/Town/Village:
4. District:
5. State:
- None -
Andaman & Nicobar (UT)
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh (UT)
Chhattisgarh
Dadra & Nagar Haveli and Daman & Diu (UT)
Delhi [National Capital Territory (NCT)]
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu & Kashmir (UT)
Jharkhand
Karnataka
Kerala
Ladakh (UT)
Lakshadweep (UT)
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Puducherry (UT)
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
6. Pin code:
3. DETAILS OF PARENTS/GUARDIANS
a. Mother/Guardian’s Highest Qualification
*
b. Mother/Guardian’s Occupation
*
c. Mother/Guardian’s Annual Income
*
d. Father/Guardian’s Highest Qualification
*
e. Father/Guardian’s Occupation
*
f. Father/Guardian’s Annual Income
*
4. DETAILS OF EDUCATION
a. Are you currently enrolled as a student?
*
- Select -
Yes
No
b. Type of University
*
- Select -
Central Public University
State Public University
Other Public Institute
Private Institution
c. Name of the College
*
d. Name of the Department
*
e. Name of University
*
f. Degree Program
*
- Select -
Bachelors
Masters
g. Discipline
*
- Select -
Science
Commerce
Arts
Other
h. Name of the Program
*
i. Year
*
- Select -
1
2
3
4
j. Address of the College/University
i. Address:
*
ii. District:
*
iii. State:
*
iii. State:
Andaman & Nicobar (UT)
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh (UT)
Chhattisgarh
Dadra & Nagar Haveli and Daman & Diu (UT)
Delhi [National Capital Territory (NCT)]
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu & Kashmir (UT)
Jharkhand
Karnataka
Kerala
Ladakh (UT)
Lakshadweep (UT)
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Puducherry (UT)
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
k. Upload College/University ID card
*
Files must be less than
2 MB
.
Allowed file types:
gif jpg jpeg png
.
5. MOTIVATION FOR THE INTERNSHIP
a. Which topic/issue related to rural India fascinates you?
*
(Think of it as a research question which you would like to explore and get to know more about through your field work during the internship)
b. Tell us about your personal journey.
*
(Who are you? How would you describe yourself? What are you passionate about?)
c. Why do you want to apply for this rural internship?
*
d. Which broad area does your research topic fit in
*
(For reference to the broad areas and sub-theme within each area, please refer to: Broad research areas):
Agriculture and Rural Livelihoods
Non-Farm Sector and Rural Economy Diversification
Labour, Livelihoods and Employment
Migration and Mobility
Social Identity and Inequality
Environment and Climate Change
Governance, Decentralisation, and Policy
e. Research Proposal: What do you want to research?
*
i. Please describe the topic/issue you want to explore/research in around 300 words.
*
[Provide a brief background context to your topic. How important is it for rural development/knowledge advancement? (background and introduction)]
ii. What is the problem and what, in your view, is causing this problem?
*
(hypotheses)
iii. How did you hear about it? Please tell us about some book/story/article/film/social media post that you read/watched related to this issue.
*
[Touch upon some previous related work done on the issue (literature review).]
iv. If selected, how would you like to explore this topic in a one- month period in a village?
*
(research methodology)
NOTE: If any of the above responses are found to be plagiarised or AI generated, it will lead to the disqualification of your application.
f. Please upload your CV here.
Files must be less than
2 MB
.
Allowed file types:
pdf doc docx
.
6. OTHER DETAILS
a. Dates of the college/university summer break
i. Starting from
*
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Year
2024
2025
2026
2027
2028
ii. Ending on
*
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Year
2024
2025
2026
2027
2028
b. Preferred location for in-person interview
*
- Select -
Delhi
Mumbai
Bhopal
Ranchi
Hyderabad
Guwahati
c. How did you get to know about the internship program?
*
- Select -
Campus event
social media
Friends/family
College department
faculty
College placement cell
student club
Other
Disclaimer
*
DECLARATION:
I declare that information furnished by me in the application form is true in all respects and nothing is concealed. In case any entry or information is found to be false, this shall entail automatic cancellation of my application. I hereby undertake that I have carefully gone through the eligibility conditions prescribed for the program. I am applying after satisfying that I meet the eligibility conditions.