2016-17 Graduate AY FLAS application

advertisement
U.S. DEPARTMENT OF EDUCATION
FOREIGN LANGUAGE & AREA STUDIES (FLAS) PROGRAM
Application for Graduate Academic Year 2016-17 Fellowship
1.
ELIGIBILITY
You must answer “yes” to question A and either question B or C to be eligible for academic year FLAS.
A.
Are you a US citizen or permanent resident? Yes
No
B.
Are you currently enrolled as a full-time student at Northwestern? Yes
C.
Have you submitted an application to a graduate program at Northwestern for AY 2016-17? Yes
2.
APPLICANT IDENTITY
No
Last Name
First Name
Street Address
Apartment/Unit #
City
State
Phone
E-mail Address
University ID
Net ID
Have you received prior support from FLAS?
Yes
3.
ZIP
Date of Birth
No
If so, when?
ACADEMIC INFORMATION
For currently enrolled students
Department
Anticipated degree
Year in Program (1st, 2nd, etc.)
For incoming students
4.
No
Expected graduation date
Department applied to
Anticipated degree
LANGUAGE PROFICIENCY
Proposed language of study for academic year 2016-17
Arabic
Swahili
Wolof*
Zulu*
*Note that Wolof & Zulu are only offered through course-share with UIUC and must be approved by the Department of Education Program
Officer. Consult with the FLAS coordinator before submitting an application for Wolof or Zulu.
What is your anticipated level in the proposed language of study
by the beginning of academic year 2016-17?
1st Yr
2nd Yr
3rd Yr
4th Yr
5th Yr
How many years have your studied this and other languages and when was the study undertaken? Enter the number of years you have
studied at each level.
Language
Language
Language
High School:
Undergrad:
High School:
Undergrad:
High School:
Undergrad:
Grad:
Other (specify):
Grad:
Other (specify):
Grad:
Other (specify):
U.S. DEPARTMENT OF EDUCATION
FOREIGN LANGUAGE & AREA STUDIES (FLAS) PROGRAM
Application for Graduate Academic Year 2016-17 Fellowship
5.
2
PROPOSED COURSE OF STUDY FOR ACADEMIC YEAR 2016-17
Please indicate your proposed course of study for academic year 2016-17. For each quarter, this should include one language course (Arabic,
Swahili, Wolof, or Zulu) and at least one course with significant African content. All courses that appear on the PAS course list meet the
criteria for significant African content, as well as courses offered through Middle East and North African Studies (MENA) that have significant
North African content. Note that your proposed language and African studies courses must be taken for graded credit and you must be
enrolled full-time during the year of your FLAS award.
The Selection Committee understands that departments will not have published course planners for 2016-17 at the time of application, but
asks you to make your best projection based on past schedules. The Selection Committee recognizes that plans may change once official
course schedules are available for 2016-17.
Independent Studies in either foreign language or African studies must be approved by the Department of Education Program Officer. Any
awards made that include independent studies will be contingent upon receiving Program Officer approval.
Fall 2016
Course #
Title
Instructor
Course #
Title
Instructor
Course #
Title
Instructor
Language Course
African Studies
Course
Winter 2017
Language Course
African Studies
Course
Spring 2017
Language Course
African Studies
Course
6.
CAREER OBJECTIVE SURVEY
What is your career objective after completing your degree? Check all that apply.
K-12 teaching
7.
College teaching
U.S. government service
Private sector
Non-governmental organization
Other
FINANCIAL INFORMATION (OPTIONAL)
FLAS fellowships are awarded on the basis of academic merit and other selection criteria as determined by the Department of Education
(DoED) and the Program of African Studies. However, in accordance with DoED requirements, competitive preference is given to students
who demonstrate financial need. Applicants will be grouped into categories of need based on the financial information provided. Students
who do not provide information will automatically be assigned to the “No Need” group. All other factors being equal, applicants with higher
need will be given competitive preference.
Financial need will be determined by using your Expected Family Contribution (EFC) value from the Free Application for Federal Student Aid
(FAFSA). If you wish to have your financial need considered, you must complete a FAFSA for the 2015-16 School Year and have it sent to
Northwestern University (Federal School Code 001739).
Do you intend to complete a FAFSA? Yes
No
U.S. DEPARTMENT OF EDUCATION
FOREIGN LANGUAGE & AREA STUDIES (FLAS) PROGRAM
Application for Graduate Academic Year 2016-17 Fellowship
8.
3
CERTIFICATION
By typing my name below, I certify that this information is true, complete, and given in good faith. I waive my right to see the letters of
recommendation. I understand that if I receive the FLAS, I will be required to:


Submit a post-award report to the U.S. Department of Education, and complete surveys periodically in the years following my
award.
Take pre- and post-award language proficiency assessments, administered by a qualified language instructor.
Type your name
Date
RECOMMENDERS’ INFORMATION: FOR CURRENT GRADUATE STUDENTS ONLY
Type the names of the individuals who will be providing letters of recommendation. It is the applicant’s responsibility to request the letters
and ensure they are submitted on time.
Language Recommender
Department
Other Academic
Recommender
Department
AUTHORIZATION: FOR INCOMING GRADUATE STUDENTS ONLY
Incoming graduate students do not need to submit separate letters of recommendation or transcripts. By checking the box below, you
authorize PAS to request access to your application file from the relevant department.
I authorize the Program of African Studies to view the application file I submitted to my department. Yes
No
When you have finished filling out this form, save it as a pdf and send, along with your
other application materials, to african-studies@northwestern.edu.
For complete application instructions, see Graduate Application Instructions on the FLAS
portion of the PAS website.
Download