University of Puget Sound
Application for the Miki Memorial Scholar Award
2016-17
The completed application is due by 4:30 p.m. on March 1, 2016
Return to: Jan Leuchtenberger, Wyatt 110
Personal Data
Name
Undergraduate Major
Current Address
Telephone Number
Email Address
Date and Place of Birth
Citizenship
Please provide brief answers to the following three questions:
What are your plans regarding postgraduate study and career possibilities?
Do you have any health issues that may influence your ability to carry out your proposed
course of study, or any accommodations that you will need in Japan?
Are you aware of any reasons why you may be unable to pursue a Miki Memorial
Scholar Award for the full 12 months? If so, please explain.
LETTER OF REFERENCE
University of Puget Sound
Application for Nomination
Miki Memorial Scholar Award
Name of Nominee
Nominee’s Waiver: I hereby waive my right of access to this form once it is completed.
Signature of Nominee
Date
The student named above is applying for nomination by the University of Puget Sound
for the Miki Memorial Scholar Award. The award would enable him or her to devote a
postgraduate year to Japanese language study in Japan. Your estimate of the candidate,
including your comments on the candidate’s character, intellect and integrity, would be
appreciated. Also, your candid assessment of the candidate’s independence, cultural
sensitivity and resourcefulness would be helpful. Thank you for your help.
Your name
Your title
Address
Your signature
Please answer the following questions:
1.
Please comment, if applicable, on the student’s Japanese language
proficiency.
2.
Please comment on the candidate’s character, intellect and integrity. How
does this student compare to others you have taught?
3. Please comment on the student’s capacity to live and work responsibly and
independently in Japan. Do you believe this student has the cultural sensitivity and
resourcefulness to be successful on this program? Do you have any concerns about this
student’s ability to make the most of this opportunity and to successfully complete a year
of independent language study in Japan?
Please return this form to:
Miki Memorial Award Committee
Jan Leuchtenberger, Director of Asian Studies
University of Puget Sound
1500 N. Warner CMB 1054
Tacoma, WA 98416-1054
jleuchtenberger@pugetsound.edu
Deadline for receipt of letter is March 1st.