APPLICATION FORM FOR 2010 TAIWAN –U.S. SISTER RELATIONS ALLIANCE AMBASSADOR SUMMER SCHOLARSHIP PROGRAM
 

INSTRUCTIONS:

This application form MUST be typed and completed by the applicant. Each question must be answered clearly and completely. Detailed answers are required in order for the TUSA Education Committee to consider your application and also to make the most appropriate arrangements. If necessary, additional pages may be attached.
 

1. PERSONAL DATA

a.FULL NAME

Title：
Last Name：

First Name(s) & Middle Initial:

Please scan your Student ID Card and email it to:

apply@taiwanusalliance.com

b. PLACE OF BIRTH

c. NATIONALITY

 

d. YOUR CONTACT INFORMATION

1) Select someone who can get information to you at anytime, anywhere.


2) Your Summer contact information

Permanent Address (Parents Home):

Your Current Mailing Address

Cell Phone Number：
           
   E-mail：

e. GENDER

Male      Female

f. MARITAL STATUS

  Single       Married

g. DATE OF BIRTH

  (Day／Month／Year):

h. HEALTH CONDITION  

Excellent Good Fair

i. Do You Have Any Chronic Diseases?

  No

  Yes. If yes, Please specify,

j. IN CASE OF EMERGENCY, List the  person you wish to be contacted:

Name:

 Relationship:

Address:

Tel/Cell:
     
E-mail:


2. LANGUAGE PROFICIENCY

  a) Have you studied the Mandarin Language Yes  No

  If yes, please state how long for assignment to the appropriate class 

   

   Class level: (indicate one) Beginner  Novice  Intermediate  Advanced

       (NOTE: Proficiency in the Mandarin language is not required.)

  b)  I will apply for early decision of admission on Feb. 15: Yes  No              

3. EDUCATIONAL BACKGROUND      

Level

Name of Institution

Location

Date Graduated

Undergraduate Level Education

 

Graduate Level Education

 

 

4. REFERENCES
 

Name

Position

Business, Telephone , E-Mail or Mailing Address

 

Reference narratives should be emailed to: apply@taiwanusalliance.com and MilneLarryD@uams.edu
.

5. PREVIOUS EMPLOYMENT (Use one line for each position)
 

Position

Company/Organization

Period of Employment

 Responsibilities




6. PRESENT STATUS
 

a.  Name and Address of College/Univ now Attending

 

 b. Cumulative GPA  
 c. DATES OF ATTENDANCE 
  

d. College/ Department contact

Contact Name:

Address：

Tel：

Fax：    E-mail：


e. MAJOR

f. SCHOOL YEAR

Classification (Fr, So, Jr, Sr,)

7. PLEASE SUBMIT TWO 300 WORD ESSAYS ON: 

1) WHAT IS THE MOST IMPORTANT THING YOU FEEL THE TUSA EDUCATION COMMITTEE SHOULD KNOW ABOUT YOU? 


2) WHAT ARE YOUR CAREER PLANS AND HOW DID YOU ARRIVE AT THEM? 

8. DECLARATION: I declare that:

I am not concurrently holding a Taiwan’s nationality;
I am not an exchange student resulting from an agreement signed between my home institution and with any Taiwan university/college;
I have neither received any Mandarin scholarships in the past nor currently studying in a program at the same educational level as the scholarship for which I am applying.
The information I have given on this application is complete and accurate to the best of my knowledge.
   
   

Applicant’s Signature  Date

 

Please read and click "Submit Application" at the bottom of this page.

Application Guidelines:

1. Complete the application on-line at taiwanusalliance.com. All required documents must be in our office not later than31 March 2010. Announcement of scholarship awardees will be made on 20 February for early admission decision and 5 April 2010 for regular admission.  For those who indicate a desire for early decision, you will have another chance to be evaluated on April 5th should the initial decision not be successful.

2. Eligibility Requirement:

a) Citizenship: Only U.S. citizens may apply. A U.S. Passport is essential for traveling abroad. Scholars should apply for U.S. passport at least 4 months before departure.

b) Academic Preparation:
* Full-time undergraduate or graduate student at an institution of higher education in the United States.
* Must have a GPA of at least 3.0 on a 4-point scale and be of good moral character.
* Mandarin language proficiency is not required.  An appropriate class will be assigned according to your proficiency.

3. Where and When: Training will be based at the National Pingtung University of Education (NPUE) in Taiwan. Study period will be July and August, 2010. Six credit units will be awarded by NPUE after completion of the program. Each U.S.student will be assigned a Taiwanese peer to facilitate learning Chinese language and culture.

4. A stipend of NT$25,000 (U.S. $800) per month for two months (July & August) will be awarded to each scholarship recipient. The scholarship is to cover tuition, dormitory fees, four excursions,and incidental insurance. Meals are not included, and you must provide your airfare to and from Taiwan.

5. Health: A student selected for a scholarship is required to have a pre-departure medical examination, the result of which must indicate that he or she is physically and psychologically healthy; the results of a HIV and TB test must be included (valid within 6 months). This medical exam is required for admission to NPUE.

6. Documents required before your application will be considered:

a. Typed, fully completed 2010 TUSA Summer Scholarship Application.
b. Two letters of recommendation, preferably from your professors.  Ask your professors to e-mail their letters to:  apply@taiwanusalliance.com.     
c. Two essays, 300 words each. Essays may be attached to the TUSA application form.

7.  TUSA contact: apply@taiwanusalliance.com and MilneLarryD@uams.edu