The Washington University Summer Program

Göttingen Program Checklist

The completed application must be submitted to: Professor Kita, German Department, Box 1104, by Friday, January 22, 2016. Questions? Email

I Program Application

c Completed application form

c Signature of Approval of Academic Adviser

c Copy of transcript (WebSTAC printout sufficient)

c Two letters of recommendation

c 1 From the German Department of Washington University

c 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*à

SUMMER SCHOLARSHIP FOR GERMAN STUDY IN GÖTTINGEN

c Completed Program Application

c 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

c Academic plan indicating what German classes you plan to take in Spring 2016 and Fall 2016

c 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 MAJORSà

CECILIA HOSPES SCHOLARSHIP

c Completed Program Application

c 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 Kita, German Department, Box 1104, by Friday, January 22, 2016. 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 the end of May 2016. 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, 2016 until April 30, 2016? __________________

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/years 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 Kita, Box 1104 or by email to by January 22, 2016.

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:

c Completed Program Application

c Academic plan indicating what German classes you plan to take in Spring 2016 and Fall 2016

c 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 2016 and Fall 2016

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 Director of the Göttingen program, and must be accompanied by:

c Completed Program Application

c 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.