Application
Distinguished International Scholars Program
Application may be completed using a computer or filled out in pen (please print).
For an electronic version that can be filled out using MS Word,
e-mail Gayle Christensen at gaylec@upenn.edu.
Deadline: March 19, 2010
Name of Penn faculty member:
Phone number:
Email:
Department/School:
Undergraduate course:
Academic Term:
Max Enrollment in Course:
Name of Distinguished Scholar:
(Please attach CV)
Position:
University/Institution:
Name of Department Chair/Dean:
Signature of Department Chair/Dean:
________________________________________________________________________
Date
Signature of Penn faculty member:
________________________________________________________________________
Date
All applications require the approval of the unit applying to host the scholar. For SAS,
this is the department chair. For other units, it may be the dean or undergraduate dean of
the school. The faculty member will be responsible for hosting the scholar during the
visit. This includes coordinating all travel and lodging arrangements, as well as planning
all educational and social activities during the visit. The host department or school will
receive a grant of $20,000 to cover expenses related to the visit such as an honorarium,
visa fees, and the costs of lodging, meals, and travel.
Note: Please see the program description, and Q & A letter for help completing the application. For
additional copies of the application material or if you have questions regarding the application, please
email Gayle Christensen at gaylec@upenn.edu.
Application
Distinguished International Scholars Program
Course Description:
(One or two paragraphs describing the course with an emphasis on the visiting scholar’s
role)
Proposed Activities:
(One or two paragraphs describing the activities planned for the visit)
Impact Statement:
(One or two paragraphs describing the impact the visit will have on undergraduate
education at Penn)
Note: Please see the program description, and Q & A letter for help completing the application. For
additional copies of the application material or if you have questions regarding the application, please
email Gayle Christensen at gaylec@upenn.edu.