APPLICATION FOR THE SPOUSE EDUCATION FUND OF THE COMMUNITY COMMITTEE FOR INTERNATIONAL STUDENTS (Insert your photo here) The application must include all of the following information: First Name_____________________________________Last Name ______________________________ Address______________________________________________________________________________ Telephone Number______________________________Email address______________________________ Country of Citizenship____________________Country of Birth____________________Type of visa______ Date of arrival at Stanford__________________________Expected date of departure___________________ Name of spouse/domestic partner____________________Country of Citizenship______________________ Department of spouse/domestic partner_______________________________________________________ Current status of spouse/domestic partner: International student ____ Post-doc ____ Visiting scholar_______ Other ___ (please explain)_______________________________________________________ If your spouse/partner receives funding from Stanford, please explain: _________________________________ Have you received a SEF grant in the past?______________If so, what year(s)?_________________________ EDUCATIONAL BACKGROUND Specify the subject matter, institution, and any certificate, diploma, or degree awarded EMPLOYMENT AND/OR VOLUNTEER ACTIVITIES Please list employment or volunteer activities most relevant to this application 2014 SEF Application PROPOSED USE OF AWARD How would you use the award? Be specific. List particular courses (1st and 2nd choices) and institutions you would attend, or specify the conferences or other learning opportunities you would pursue. If requesting a Stanford Continuing Studies course, list both the title and number of the course you propose to take. Be sure to check carefully that the course(s) you select will be available between January and December of 2015, and that you are eligible to enroll. (Please note: SEF funds are not available for the study of English as a Second Language, except for programs in Teaching ESL.) 1. 2. PROPOSED BUDGET Please list the costs of each course/program you are proposing and all possible sources of funding. Costs: Tuition: Books/Supplies: Total Costs: Financial sources: Amount you can contribute: Amount you can receive from other sources: Amount of grant requested: PURPOSE Briefly state your goals for the future and indicate how your proposed educational experience would enhance these goals. I affirm that my spouse/partner is a current international student, post-doc or visiting scholar at Stanford University, and that all the information presented on this form is accurate. (Your name):__________________________________________ INTERVIEWS Interviews will be conducted with every applicant between Monday, November 17 and Thursday, November 20. They will be scheduled every half-hour, from 9:30 AM to 3:30 PM. Immediately upon completion of your application, please log on to the link below and sign up for an appointment time. http://www.signupgenius.com/go/10C0D48ABAF23A13-sefinterview 2014 SEF Application