Göttingen Program Checklist
The completed application must be submitted to: Professor Kapczynski, German Department, Box 1104, by Friday, January 25, 2013.Questions? Email
I Program Application
Completed application form
Signature of Approval of Academic Adviser
Copy of transcript (WebSTAC printout sufficient)
Two letters of recommendation
1 From the German Department of Washington University
1 From an instructor from another department who is familiar with your work*
*Freshmen and Sophomores applying for the Summer Scholarship should either obtain this second letter from their 4-year academic advisor at Washington University, or should plan to provide an additional letter from that advisor for the fellowship application
II Fellowship Application
Interested students are strongly encouraged to complete the application for our two merit-based fellowship funds.
For Freshmen and Sophomores*
SUMMER SCHOLARSHIP FOR GERMAN STUDY IN GÖTTINGEN
Completed Program Application
If your original application does not already include a letter from 4-year academic advisor at Washington University, you must include a letter from that adviser for the fellowship application, commenting upon your academic achievement, your maturity and suitability for summer study abroad
Academic plan indicating what German classes you plan to take in Spring 2013 and Fall 2013
A brief letter of explanation (10-15 sentences) about your interests, goals and aspirations with German, with the Summer Program, and how this scholarship fits into those plans
For Rising Junior* and Senior German MAJORS
CECILIA HOSPES SCHOLARSHIP
Completed Program Application
A brief letter (10-15 sentences) explaining why you believe you are especially qualified for this academic achievement award
* Rising Juniors are eligible to apply for both scholarships – however, students who would like to be considered for the both the Summer and Hospes scholarships should submit both applications.
THE WASHINGTON UNIVERSITY SUMMER PROGRAM
IN GÖTTINGEN, GERMANY
IN CONJUNCTION WITH THE GOETHE INSTITUT
APPLICATION
This application must include your academic advisor's signature and must be returned to Professor Kapczynski, German Department, Box 1104, by Friday, January 25, 2013. A transcript must accompany your application. The Undergraduate Committee will review all applications and inform you of acceptance by mid-February.
Final payment will be billed to your account by March 2013. Upon remittance of final payment the regulations of the Goethe Institute apply regarding refunds for illness or no shows.
I understand that my acceptance into the Washington University Summer German Program depends completely upon the recommendation of the committee appointed to examine and pass upon my application. Furthermore, I understand that the credits awarded me for my study in Göttingen are based upon my performance there and the recommendation of the faculty member in residence. I agree to fulfill all the regulations, financial and otherwise, established by the Washington University German Department in cooperation with the Goethe Institut.
Signed______
(Student)
Date______
I am aware of my advisee’s intention to study abroad and give my approval.
Signed______
(Academic Advisor)
______
(Title)
Date______
A. General Information
Last Name: ______
First Name: ______
Date of Birth: ______Place of Birth: ______
Local Address:______
City, State, Zip: ______
Telephone: ______Email:______
Permanent Address:______
City, State, Zip: ______
Telephone: ______Email:______
At which address can you be reached from February 1, 2013 until April 30, 2013?______
U.S. Citizen? Yes__ No __If not, please list your citizenship:______
Parent's or Guardian's Name: ______
Address during the summer: ______
City, State, Zip______
Telephone: ______Email: ______
B.Health Insurance Information
Name of Insurer: ______
Address:______
City, State, Zip:______Telephone:______
Member Number: ______
Will your insurer cover you while you are in Germany? (yes / no)______
C. Financial Aid
If you intend to finance the summer program through financial aid, please list the name of your:
Financial Aid Advisor: ______
Telephone: ______
D. Academic Record
Major(s): ______Minor(s):______
Academic Advisor(s):______
Class Standing: (Circle one)Freshman Sophomore Junior Senior
Current GPA: Overall GPA:
Intended Date of Graduation: ______
Do you have Incompletes? ______
Comments? ______
______
List all German courses taken at Washington University including name of the instructor and grade received.
Current (or most recent) German course and instructor:
Course level: Instructor:
Describe any additional training in German. (List the number of months studied.)
Are you considering declaring a major/second major in German? ______
PLEASE NOTE THE REQUIREMENTS FOR A GERMAN MAJOR!
12 hours maximum 300 level courses
12 hours minimum 400 level courses
Are you considering declaring a minor in German? ______
PLEASE NOTE THE REQUIREMENTS FOR A GERMAN MINOR!
15 hours total of 300 and 400 level courses,
including at least one 400 level course
You will receive up to 8 (eight) hours of credit for the summer in Göttingen. These will count toward a major or minor only if they are awarded on the 300 or 400 level. The level of credits will depend on the course you take at the Goethe Institute. The number of hours will be based on your successful completion of the course of study in Göttingen and will be awarded on the recommendation of the Washington University faculty member in residence at the Goethe Institute. Attendance is required!
E. Travel Experience and Statement of Intent
Have you lived or travelled abroad before? ______
Please explain:______
______
State briefly and clearly your reasons for wishing to study in Göttingen. (You may attach a separate sheet.)
F. Letters of Reference
Please have two letters of reference sent to Professor Kapczynski, Box 1104, by the above deadline.
1. From the German Department of Washington University
Name: ______
2. Instructor from another department who is familiar with your work
Name:______
Title:______
Department: ______
APPLICATION FOR THE SUMMER SCHOLARSHIP
FOR GERMAN STUDY IN GÖTTINGEN
WASHINGTON UNIVERSITY
DEPARTMENT OF GERMANIC LANGUAGES AND LITERATURES
Eligibility:All Freshmen and Sophomores who have demonstrated interest and excellence in the study of German language and culture. Applicants must be currently enrolled in a German class, or have taken at least one semester of German at Washington University. The Summer Scholarships are not awarded on the basis of financial need.
Name: ______
Major (if declared): ______
Academic Interests: ______
Overall GPA: ______German GPA: ______
Honors: ______
Current German Class: ______
Former German Classes: ______
Have you ever been abroad before?
The application must be submitted to the Undergraduate Director of the Göttingen program, and must be accompanied by:
Completed Program Application
If your original application does not already include a letter from 4-year academic advisor at Washington University, you must include a letter from that adviser for the fellowship application, commenting upon your academic achievement, your maturity and suitability for summer study abroad
Academic plan indicating what German classes you plan to take in Spring 2013 and Fall 2013
A brief letter of explanation (10-15 sentences) about your interests, goals and aspirations with German, with the Summer Program, and how this scholarship fits into those plans
I.Academic Plan for German Courses, Spring 2013 and Fall 2013
II. Personal Statement for the Summer Scholarship for German Study in Göttingen
Please state briefly (in 10-15 sentences) your interests, goals and aspirations with German, with the
Summer Program, and how this scholarship fits into those plans.
APPLICATION FOR THE CECILIA HOSPES SCHOLARSHIP
WASHINGTON UNIVERSITY
DEPARTMENT OF GERMANIC LANGUAGES & LITERATURES
Eligibility:All rising Junior and Senior German majors who have a demonstrated interest and excellence in the study of German language and culture. Students who are not yet German majors must declare the major prior to applying for the award.
Name: ______
First Major: ______
Second Major: ______
Overall GPA: ______German GPA: ______
Honors: ______
Current German Class: ______
The application must be submitted to the Undergraduate Director of the Göttingen program, and must be accompanied by:
Completed Program Application
A brief personal statement explaining why you believe you are especially qualified for this academic achievement award
Personal Statement for the Cecilia Hospes Scholarship
Please explain briefly (in 10-15 sentences) your special qualifications for this academic achievement award.