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Download the IUPUI Max Kade German Fellowship Application.

IUPUI Max Kade German-American Graduate Fellowship APPLICATION

Applicant Information

 

Applicant's Name: Last____________________ First________________ Middle_______________

Student I.D. Number _________________________

 


Current
Address ______________________________

              ______________________________

              ______________________________
Permanent
Address ______________________________

              ______________________________

              ______________________________

Telephone (     )                                    

Email                                                    


Age            Male           Female         Ethnicity                                                 

 

 

 

Education

 

Degree Objective at IUPUI (MS, PhD, JD, etc.)                                                                                                                

 

Date of Acceptance into Graduate/Professional Program (Month/Year)                           

Undergraduate GPA (On a 4.0 scale)_________

 

Graduate/Professional GPA (if applicable)_______

 

List all Undergraduate and Graduate/Professional programs attended (most recent first). Please list additional entries on a separate sheet of paper.

 

 

Institution

 

Dates of Attendance

 

Major

 

Degree

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Please project your course load for the 2011-2012 Academic Year .

 

 

Semester

 

# of Credit Hours

 

Est. Tuition

 

 

 

Fall

 

 

 

 

 

 

 

Spring

 

 

 

 

 

 

Are you a nonresident for fee payment purposes?        Yes             No         

 

What is your total educational debt (i.e. tuition, books) $_________________

 

Language Background

 

List German language courses or equivalent background.


 

Course and where taken

 

Level

 

Grade

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Certification

I will use the Max Kade Fellowship as intended to advance my Graduate/Professional educational pursuits. The information submitted herewith is accurate. I fully understand my obligation incurred by my receipt of the Fellowship. In the event that I do not meet the qualifications, I understand that my award will be rescinded.

 

Signature of Applicant                                                            Date                  


Created: 1 February 2006, BAS
Updated: 9 March 2011, EHT
Comments to: IUPUI Max Kade German-American Center, mkgac@iupui.edu
URL: http://www.maxkade.iupui.edu/fellowship/applform.html

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