I.
Personal Data
Applicant Name:
Vassar ID #:
Date: e-mail address:
Address - Street:
City: State:
Country:
Zip code:
Phone number:
(Please email the office at fellowships@vassar.edu if you change any of your contact information!)
Date of graduation from Vassar: Field of Concentration at Vassar:
Scholarships, Fellowships and Honors awarded at Vassar:
(Name of Scholarship/Honor, date)
Proposed language of study: Country where you will study:
(Note: Vassar College does not fund projects or Fellows who plan to travel to or study in any country that is under US
State Department Travel Warning. Applicants should pay close attention to these warnings, which can be found easily at www.state.gov
.)
Level of proficiency in proposed language:
(None, Conversational, Proficient, Fluent)
Programs to which you are applying:
Timeline of your study: From To
Previous study of other languages at the college level (indicate duration):
Travel & Experience Living outside the United States:
Please list countries or areas lived in or visited, including the date, duration, and reasons for travel. If you have not traveled abroad, please state so.
Graduate work completed (program/courses, institution, dates):
Fellowships received after Vassar:
(Fellowship name, granted by, year)
Confidentiality Waiver: Please download, print, sign and scan a confidentiality waiver from our website http://fellowships.vassar.edu/fellowships/other/index.html
and send it to fellowships@vassar.edu
as a PDF file. Applications will not be considered without it.

APPLICANTS SHOULD REQUEST THAT LETTERS OF RECOMMENDATION BE SENT BY
THE WRITERS DIRECTLY TO FELLOWSHIPS@VASSAR.EDU BY THE DEADLINE.
(Please provide this email address to your writers.)
Please note at least one of these letters must be from a faculty member at Vassar College.
Please list two references:
Full Name: Email: Official Position:
Full Name: Email: Official Position:
IF YOU WOULD LIKE TO CHECK IF YOUR LETTERS HAVE BEEN RECEIVED, PLEASE WAIT UNTIL
AFTER THE DEADLINE.
NOTE: If you wish to have a letter of recommendation copied from another fellowship application already submitted to this office, please indicate the fellowship name and year after the recommenders name below. This is not done automatically and will only be done if indicated in writing on your application. Letters should only be moved if what you are now applying for is the same (or similar) as what you applied for in the other application.
Fellowship & Year: Recommender :
Recommender : Fellowship & Year:
II. Professional plans for the future - Intentions for study or a career in International Law,
Sociology or Diplomatic service (limit 250 words)
Page 2 of 6

III. Personal statement - Each applicant should include a statement giving fuller information concerning his/her plans and objectives. (limit of 1000 words)
Page 3 of 6

IV. Resume - Each applicant should include a 1-2 page resume. (copy and paste here)
Page 4 of 6

School:
Tuition:
Room/Board:
Transportation:
Health Insurance:
Books:
Other (itemize):
TOTAL COST:
NEED in US dollars
(cost – funds available):
V. Budget - It is helpful to the committee to have some financial information about the applicants. All information on this page is confidential and will be reviewed only by the Committee. Estimate cost (in
US dollars) of next year’s proposed study at each institution to which you’ve applied
(you may use ‘11/’12 figures).
INCOME/FAMILY FINANCIAL BACKGROUND:
If self-supporting, your occupation:
If married, spouse’s occupation:
Income:
Income:
Personal Assets:
Summer earnings:
Savings/trust funds:
Family contribution: Parents:
Anticipated Loans: From banks:
Funds awarded from graduate school:
Spouse (if applicable):
From parents:
Other (itemize):
(Fellowships, Assistantships, etc.)
Please complete this section even if self-supporting .
Father’s occupation: Income:
Mother’s occupation: Income:
Number of children in your family: younger: older:
TOTAL FUNDS AVAILABLE not including loans (in US dollars):
NEED/ BASED ON COST OF PROGRAM(S) YOU ARE APPLYING TO.
Please keep this section neat/concise. You may copy/paste fields below onto the next page for more programs if necessary.
School:
Tuition:
Room/Board:
Transportation:
Health Insurance:
Books:
Other (itemize):
TOTAL COST:
NEED in US dollars
(cost – funds available):
School:
Tuition:
Room/Board:
Transportation:
Health Insurance:
Books:
Other (itemize):
TOTAL COST:
NEED in US dollars
(cost – funds available):
School:
Tuition:
Room/Board:
Transportation:
Health Insurance:
Books:
Other (itemize):
TOTAL COST:
NEED in US dollars
(cost – funds available):
Page 5 of 6

Special/circumstances: Describe any special circumstances that you would like the committee members to be aware of when they are making their decisions.
VI. Transcripts - It is necessary for the Committee on Fellowships to have a copy of your Vassar transcript including first semester grades for your senior year if you are currently enrolled.
Graduating seniors must provide an unofficial transcript and current schedule with their application. We will obtain unofficial Vassar transcript for alumni only.
To download a copy of your unofficial transcript and schedule from Ask Banner:
Open your transcript in Ask Banner: o For a Mac: save as a pdf file: (Select print, select the pdf button on bottom of the print box, select “save as a pdf” from the drop down box o For PC: save as a text file o Name the file as follows: your last name.first initial.trans.pdf or .txt o (for example: doe.j.trans.pdf for a Mac user/ doe.j.trans.txt for a PC user)
Applicants who have attended other undergraduate schools or who have completed any graduate work must present transcripts of this work.
Please scan transcripts and send to fellowships@vassr.edu
. If your JYA grades appear on your Vassar transcript, you do not need to provide an official transcript from the program.
If you are submitting transcripts from other institutions, unofficial copies are acceptable.
Please review the submission instructions before submitting your application! http://fellowships.vassar.edu/fellowships/graduates/cornelisen/index.html
Page 6 of 6