STUDENT APPLICATION TO THE MODERN LANGUAGES FUND

Department of Classical and Modern Languages

ROUND TWENTY-SIX (AY 2010-2011)

This form will create the Official Application for you after you enter your information.

After completion, PRINT IT and submit six (6) copies

DEADLINE: Lucy O’Farrill in Humanities 326 must have this application in hand no later than
Monday, October 26th, 2009, 3:30 p.m.
(Incomplete, Faxed or E-mailed applications will NOT be considered.)

Last name:
First name: Middle Initial:

SSN: Student I.D. Date of Birth:

Home Mailing Address:

City State Zip Code

If this is not a permanent address, please provide permanent address also.

Permanent Mailing Address:

City State Zip Code

Home telephone number: Work telephone number:

Current e-mail address:

An e-mail will be sent to this address to confirm receipt of application.

Amount of Travel Money funded by MLF:		I will register for classes in:
Round 23 (July 2007 travel)	$	Summer semester 2010 Yes No
Round 24 (July 2008 travel)	$	Fall semester 2010 Yes No
Round 25 (July 2009 travel)	$	Spring semester 2011 Yes No

You must be enrolled at U of L to receive these funds. If you are receiving financial aid, check with the Financial Aid Office as to how these funds will affect your award.

Dates of previous stays in area where this language is spoken:

MAJOR/DATE DECLARED:

MINOR/DATE DECLARED:
GPA:

CLASS STANDING: Fr. So. Jr. Sr. post-bac. Grad 1^st year 2^nd year

If you received funding from Round 24 or 25, you must file a report before you will be considered for funding in Round 26.

(Students must attach a photocopy of a current unofficial transcript to each of the six applications. Also attach a sheet showing courses you are currently enrolled in. Be sure to indicate the name of the instructor. Students in A&S may request unofficial transcripts in A&S Advising, Gardiner Hall, or through the Registrar’s web site.)

FUNDS FROM THIS AWARD WILL NOT BE AVAILABLE UNTIL JULY 2010.

I. PROPOSED PROJECT. In accordance with the guidelines provided, please describe the project for which you are requesting funds. Begin your description with a two- or three-line summary of the project. In your discussion, indicate how you and others will benefit from your project. Be as specific and detailed as possible. Include all relevant information.

II. Please indicate costs of your project in U.S. currency. Where possible verify all information. Be as specific as possible. If available, attach a brochure or flyer from the program you are interested in. Attach extra sheets if needed. Not all items apply to all projects.

A	Travel: Write the name of the program here:
B	Total published cost of program:		$
C	Other expenses (please explain):		$
D	TOTAL COST:		$
E	Do you intend to find additional funding elsewhere?		Yes No
	If yes, where?
F	Source:	Amount Sought	$
F	Source:	Amount	$

IV.Any other relevant information (use additional sheets if necessary):

SUBMIT ONE ORIGINAL AND FIVE (5) COPIES OF THIS APPLICATION INCLUDING TRANSCRIPT BY OCTOBER 26th TO:

>Modern Languages Fund

Attention: Lucy O’Farrill

Department of Classical and Modern Languages

326 Bingham Humanities Building

University of Louisville

INCOMPLETE, FAXED, OR E-MAILED APPLICATIONS WILL NOT BE CONSIDERED