LCA Graduate Application Print, complete, and mail to: LCA Graduate Coordinator 1238 Van Hise Hall 1220 Linden Drive Madison WI 53706 Date ________________ Name _____________________________________ Daytime phone number ________________________ E-mail address ______________________________ The application deadline is December 30th. Admission consideration is only for Fall. Graduate Degree Tracks (check one): The Graduate School Major Code is 596 for all options _____ Languages and Cultures Master’s Degree _____ Languages and Literatures Ph.D. (Master’s degree is a prerequisite for admission) _____ Civilizations and Cultures Ph.D. (Master’s degree is a prerequisite for admission) _____ Religions of Asia Ph.D. (Master’s degree is a prerequisite for admission) Language Options: Check the language(s) you plan to use to fulfill the language requirements _____ Arabic (Taught in the Department of African Languages and Literature) _____ Filipino/Tagalog _____ Hindi _____ Indonesian _____ Nepali (Only offered during the summer session and only at an elementary level) _____ Pali _____ Persian _____ Sanskrit _____ Tamil (Only offered during the summer session and only at an elementary level) _____ Pashto _____ Thai _____ Tibetan _____ Turkish _____ Uzbek _____ Urdu _____ Vietnamese Previous Language Training: Level of Competence: High=Native or near native, Intermediate=Usable in communication, Low=Elementary Type of Training: native, graduate, undergraduate, high school, self-taught, tutored, etc.. Language #1 __________________________ Years of study ______ Type of training ___________________ Level of competence: Speaking ______ Reading ______ Writing ______ Language #2 __________________________ Years of study ______ Type of training ___________________ Level of competence: Speaking ______ Reading ______ Writing ______ Language #3 __________________________ Years of study ______ Type of training ___________________ Level of competence: Speaking ______ Reading ______ Writing ______ Faculty Adviser: Applicants are encouraged to acquaint themselves with the current work of the Department and the academic interests of the faculty members. To the extent possible, they are encouraged to contact a faculty member who could be a future adviser to discuss their work in the Department. The consent of a faculty member to work with candidates is a prerequisite of their admission to the Ph.D. program. After they are admitted, students are free to change their adviser if they so desire. Please list at least two faculty members you are interested in working with. 1) __________________________________ 2) __________________________________ The following faculty are eligible to be a faculty adviser: Robert Bickner Gudrun Bühnemann Preeti Chopra Donald Davis, Jr. Vinay Dharwadker Joseph Elder Anna Gade Anne Hansen Ellen Rafferty Uli Schamiloglu Advanced Opportunity Fellowship (AOF) Eligibility (Please check all that apply): _____ United States Citizen or Permanent Resident (required for consideration) _____ African American _____ Native American or Alaskan native -- tribal affiliation: _____ Mexican American/Chicano/a, or Puerto Rican _____ Cambodian, Hmong, Laotian, or Vietnamese or _____ McNair Student: student who participated in a McNair Program or meet all three of the following criteria: _____ Legal Resident of Wisconsin _____ First generation to complete a Bachelors degree _____ Participated in a TRIO program (Upward Bound, Talent Search, Educational Opportunities Centers, Student Support Services) Mail this completed LCA Application to: LCA Graduate Coordinator 1238 Van Hise Hall 1220 Linden Dr Madison WI 53706