Application Form - University of Hawaii

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Bilinski Fellowships in Second Language Studies
Guidelines for Students
The Department of Second Language Studies has received grants from the Bilinski Educational
Foundation to assist high achieving PhD students who demonstrate financial need and meet residency
requirements. The Bilinski fellowship program consists of three fellowships, each of which targets a
different period in the PhD program.
1. Bilinski Dissertation Fellowship
This fellowship supports PhD students who have recently advanced to candidacy, or are about to
advance to candidacy. The funds are to be used for the payment of educational expenses and
necessary living expenses. Fellows are expected to work full time on their dissertation for the
duration of the fellowship period (i.e., no outside employment), and are expected to defend their
dissertation and complete the degree before the end of the fellowship period.
Amount of award:
Duration of award:
Application due date:
$12,500 per semester
Up to three (3) semesters, with the possibility of a fourth
semester for substantial fieldwork.
February 29, 2016
2. Bilinski Pre- Dissertation Fellowship
This fellowship supports students in the semester immediately preceding their anticipated
advancement to candidacy. The purpose of this fellowship is to free students from their teaching
duties so that degree requirements may be completed in a timely fashion. It is therefore not
permitted to concurrently hold this fellowship and a departmental GAship, or to hold outside
employment for the duration of the fellowship (one semester).The funds are to be used for the
payment of educational expenses and for necessary living expenses.
Amount of award:
Duration of award:
Application due date:
$20,000 per semester (from which tuition/fees must be paid).
One (1) semester.
February 29, 2016
3. Bilinski Pre-Dissertation Research Award
This award aims to support students in collecting data to develop the research design for their
dissertation in preparation of the dissertation proposal or prospectus. Eligible expenses include
ground/air travel, meals and accommodation, equipment, software, participant payments, etc. A
one-page report on the outcomes of the project is required upon completion of the award period.
Amount of award:
Duration of award:
Application due date:
Up to $5,000 per award
One (1) semester (where summer = one semester).
February 29, 2016
Bilinski Fellow Selection Criteria
1. Be a full-time PhD student in the Department of Second Language Studies at the University of
Hawai‘i at Mānoa.
2. Maintain good academic standing at all times.
3. Have demonstrated exceptional ability and potential in their field of study.
4. Have demonstrated financial need.
5. Be a United States Citizen or Permanent Resident.
Bilinski Dissertation Fellowship
1. At initial selection, be a student who advances to candidacy in the upcoming academic year.
2. In the event a fourth semester of Fellowship Fund support is requested, the dissertation
committee chair has to confirm that unusual circumstances warrant the extension.
3. Fellowship Funds are not to be awarded if the dissertation has already been substantially
completed.
4. A semesterly agreement form must be signed by the fellow and the dissertation committee chair
and submitted, documenting (i) continued financial need and (ii) progress in dissertation writing.
Bilinski Pre- Dissertation Fellowship
1. This fellowship supports students in the semester immediately preceding their anticipated
advancement to candidacy (typically the seventh semester in the Ph.D. program).
2. Must demonstrate high likelihood of advancing to candidacy.
Bilinski Pre-Dissertation Research Award
1. This research award supports students collecting data that will be used to support a dissertation
proposal/prospectus.
2. Must demonstrate high quality of research.
Notes:
1. Those who receive the Research Award are eligible to (subsequently or concurrently) apply for
the Pre-Dissertation Fellowship.
2. Those who receive either the Research Award or the Pre-Dissertation Fellowship are eligible to
(subsequently) apply for the Dissertation Fellowship.
3. Research Award amount is up to $5,000. The Selection Committee reserves the right to reduce
proposed budgets, and to award amounts below that requested in the application. In such cases,
the applicant will be consulted before any decisions are reached.
University of Hawai‘i at Mānoa
Bilinski Fellowships Procedures and Guidelines
Page 1
Russell J. and Dorothy S. Bilinski Fellowship
Application Form
1. Name: ________________________________________________________________________
2. Admitted to the Ph.D. Program in SLS:
Year: _________ Semester: ________
3. Advanced to Candidacy:
Year: _________ Semester: ________
4. Defended Dissertation Proposal/Prospectus:
Year: _________ Semester: ________
5. Dissertation Committee Chair:______________________________________________________
6. Tentative title of dissertation: ______________________________________________________
________________________________________________________________________________
Advisor Nomination
I, ________________________________________________________________, nominate
(Printed Name of Applicant's Academic Advisor)
_________________________________________ for the Bilinski Dissertation Fellowship.
(Printed Name of Applicant)
Signature of Advisor: _________________________________ Date _________________
I, the applicant, hereby certify that all the information provided in this form is accurate to the best of
my knowledge, and I understand that any misrepresentation or fabrication will result in forfeiture of
the fellowship.
Signature of Applicant:
_________________________________ Date _________________
Signature of Applicant:
_________________________________ Date _________________
University of Hawai‘i at Mānoa
Bilinski Fellowships Procedures and Guidelines
Page 2
Checklist for Application Material:
The one-page application form, with signature of applicant and faculty advisor.
☐ Summary of dissertation research - maximum 2 pages (single-spaced, 12 point font)
This may be a shortened version of the dissertation prospectus. It should be written for a lay
audience, and include: the topic of the dissertation, the language(s) being studied, the method (if
appropriate), the expected outcomes of the dissertation, information on the benefits of the
research, and the potential for future research.
☐ Time-line for the completion of the dissertation – maximum 1 page (single-spaced, 12 point font)
Provide a clear statement of the current state of your dissertation, when the important
milestones towards completion will be achieved (data collection, data analysis, completion of
each chapter, submission to the full committee, and anticipated defense date).
☐ Current CV.
☐ A Financial Certification.
Important Dates:
Application due date:
Selection of awardees:
Award period begins:
University of Hawai‘i at Mānoa
Bilinski Fellowships Procedures and Guidelines
February 29, 2016
Around March 15, 2016
August 15, 2016
Page 3
Russell J. and Dorothy S. Pre-Dissertation Bilinski Fellowship
Application Form
1. Name: ________________________________________________________________________
2. Admitted to the Ph.D. Program in SLS:
Year: _________ Semester: ________
3. Anticipated defense of proposal:
Year: _________ Semester: ________
4. Dissertation Committee Chair: ______________________________________________________
5. Program requirements:
a.
Remaining credits from the required:_________________
b.
Foreign Language Requirements: Completed_________ Not yet completed _______
c.
Comprehensive exams date (anticipated): _____________________________
6. Tentative title of dissertation (if not known, state so): ____________________________________
________________________________________________________________________________
Advisor Nomination
I, ________________________________________________________________, nominate the
(Printed Name of Applicant's Academic Advisor)
above stated applicant for the Bilinski Pre-Dissertation Fellowship.
Signature of Advisor: _________________________________ Date _________________
I, the applicant, hereby certify that all the information provided in this form is accurate to the best of
my knowledge, and I understand that any misrepresentation or fabrication will result in forfeiture of
the fellowship.
Signature of Applicant:
_________________________________ Date _________________
University of Hawai‘i at Mānoa
Bilinski Fellowships Procedures and Guidelines
Page 4
Checklist for Application Material:
☐ The one-page application form, with signature of applicant and faculty advisor.
☐ Budget Form
☐Two-page (single-spaced, 12-point font) Proposal Summary. This should be written for a lay
audience, and include information on (i) the theoretical/empirical research question and its
importance to the field, (ii) the importance of the proposed data to answering the research
question, (iii) the precise plan for how the data will be obtained, (iv) timeline for the completion of
the data collection.
☐ Financial Certification Form.
☐ Current CV.
☐A Financial Certification.
Important Dates
Application due date:
Selection of awardees:
Award period begins:
University of Hawai‘i at Mānoa
Bilinski Fellowships Procedures and Guidelines
February 29, 2016
Around March 15, 2016
August 15, 2016
Page 5
Russell J. and Dorothy S. Bilinski Research Award
Application Form
1. Name: ________________________________________________________________________
2. Admitted to the Ph.D. Program in SLS:
Year: _________ Semester: ________
3. Estimated semester to Advance to Candidacy:
Year: _________ Semester: ________
4. Academic Advisor: ______________________________________________________________
5. Title of Project: _________________________________________________________________
________________________________________________________________________________
7. Award start date: State the preferred award start date: _______________
Advisor Nomination
I, ________________________________________________________________, nominate
(Printed Name of Applicant's Academic Advisor)
____________________________________________ for the Bilinski Research Award.
(Printed Name of Applicant)
Signature of Advisor: _________________________________ Date _________________
I, the applicant, hereby certify that all the information provided in this form is accurate to the best of
my knowledge, and I understand that any misrepresentation or fabrication will result in forfeiture of
the fellowship.
Signature of Applicant:
_________________________________ Date _________________
University of Hawai‘i at Mānoa
Bilinski Fellowships Procedures and Guidelines
Page 6
Budget Form
Item
Source for estimate
Amount
Air Travel
Ground Travel
Meals
Accommodation
Equipment (list items here,
attach additional sheet if
necessary)
Software: (list items here, attach
additional sheet if necessary)
Participant Payments:
Other (list items here, attach
additional sheet if necessary)
University of Hawai‘i at Mānoa
Bilinski Fellowships Procedures and Guidelines
Page 7
Total Budget
Checklist for Application Material:
☐ The one-page application form, with signature of applicant and faculty advisor.
☐ Budget Form
☐ Two-page (single-spaced, 12-point font) Proposal Summary. This should be written for a lay
audience, and include information on (i) the theoretical/empirical research question and its
importance to the field, (ii) the importance of the proposed data to answering the research
question, (iii) the precise plan for how the data will be obtained, (iv) timeline for the completion of
the data collection.
☐ Financial Certification Form.
☐ Current CV.
☐ A Financial Certification.
Important Dates
Application due date:
Selection of awardees:
Award period begins:
University of Hawai‘i at Mānoa
Bilinski Fellowships Procedures and Guidelines
February 29, 2016
Around March 15, 2016
August 15, 2016
Page 8
Financial Certification for the Bilinski Dissertation Fellowship, Bilinski Pre-Dissertation Fellowship,
and Bilinski Research Award
1. Name: _________________________________________________________
3. a. Undergraduate degree date: __________________________
b. Undergraduate Institution: _____________________________________________________
c. Undergraduate education funded by:
Federal Grants/Loans ☐
Other Grants/Loans ☐
Work ☐
Personal Savings ☐
Other:_______________________________________________________________________
3. a. Master's degree date: ___________________________
b. Master's degree institution: ___________________________________________________
c. Master's education funded by:
Department Financial Aid ☐
Federal Grants/Loans ☐
Other Grants/Loans ☐
Work ☐
Personal Savings ☐
Other:_____________________________________________________________________
4. Current source(s) of financial support, including their ending date:________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
5. How will you complete your degree if you do not receive the Bilinski Fellowship? Please list any
other sources of financial support to which you expect to have access (e.g., grants, employment,
etc.).
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
University of Hawai‘i at Mānoa
Bilinski Fellowships Procedures and Guidelines
Page 9
Bilinski Fellowships
Financial Certification Page 1 of 3
One of the missions of the Bilinski Educational Foundation is to support students who have financial
need. The Bilinski Selection committee must therefore weigh the academic merit of each application
against the financial need of the applicant. In your own words, please explain how you qualify for the
Bilinski Fellowship/Award in terms of financial need. Include any factors that you think are relevant,
including (but not limited to): current salary, total household income, current rent and living costs,
total accumulated debt, cost of supporting dependents, etc.
(1000 words maximum)
Type your answer here
University of Hawai‘i at Mānoa
Bilinski Fellowships Procedures and Guidelines
Page 10
Bilinski Fellowships
Financial Certification Page 2 of 3
I, the applicant, hereby certify that all the information provided in this form is accurate to the best of
my knowledge, and I understand that any misrepresentation or fabrication will result in forfeiture of
the fellowship.
Signature of Applicant: _________________________________ Date _________________
University of Hawai‘i at Mānoa
Bilinski Fellowships Procedures and Guidelines
Page 11
Bilinski Fellowships
University of Hawai‘i at Mānoa
Bilinski Fellowships Procedures and Guidelines
Financial Certification Page 3 of 3
Page 12
University of Hawai‘i at Mānoa
Bilinski Fellowships Procedures and Guidelines
Page 13
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