Confucius Institute Study Abroad Scholarship Application (Summer 2016, China) Last Name, Middle Name, First Name: University: Student ID#: Phone: ( College: Major: ) Email: Summer address: Please indicate your current status: Undergraduate Graduate Other (Specify): Have you submitted your deposit and CISP application form to confirm your participation for the Study Abroad Trip? Yes No If yes, date of submission: Grade Point Average (GPA): (cumulative GPA of 2.5 or above is required) CONFUCIUS INSTITUTE STUDY ABROAD SCHOLARSHIP APPLICATION CRITERIA & INFORMATION The all-inclusive program fee is $9,500. The Confucius Institute offers two levels of Study Abroad Scholarship, making the final cost at $3,500 or $5,500: Level I: A scholarship of $6,000. The final program fee that you pay is $3,500. Level II: A scholarship of $4,000. The final program fee that you pay is $5,500. The factors that determines your scholarship includes your GPA, past coursework, past participation in Chinese language and culture language and activities, and how you will benefit from participating in this program. The following items need to be submitted in order to be considered for the CI scholarship: 1) A signed copy of this scholarship application form. 2) A signed copy of the program registration form. 3) Evidence of your Chinese language proficiency (e.g., HSK exam test certificate, unofficial transcript) 4) A copy of your unofficial transcript showing your cumulative GPA of 2.5 or above. 5) Submit names, title, and contact information (Phone and e-mail) of two references (at least one from a faculty at home university). 6) Write an essay (no more than two single-spaced typed pages) describing your knowledge of the Chinese language and culture, and the Confucius Institute, and explaining how you will benefit from this program. Contact Dr. Haigang Zhou (h.zhou16@csuohio.edu) or or Ms. Yuling Xie (y.xie17@csuohio.edu, 216-523-7142) if you have any questions regarding this scholarship. AFFIRMATION & SIGNATURE I affirm that the information provided by me and contained within this application is correct and accurate. I understand that misrepresentation in this packet will disqualify me from consideration as a candidate for the award. Applicant Signature: X Date: