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_____________
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.
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Institution |
Dates of Attendance |
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Please project your course load for the 2010/2011 Academic Year .
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Semester |
# of Credit Hours |
Est. Tuition |
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Spring |
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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.
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Course and where taken |
Level |
Grade |
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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 In the event that I do not meet the qualifications, I understand that my award will be rescinded.
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Signature of Applicant Date
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Created: 1 February 2006, BAS Updated: 13 March 2010, BAS Comments to: IUPUI Max Kade German-American Center, mkgac@iupui.edu This home page sponsored and maintained by IUPUI University Libraries. URL: http://www.ulib.iupui.edu/kade/fellowship/applform.html |
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