Center for Southeast Asian Studies

Center for Southeast Asian Studies, Northern Illinois University
Application for Foreign Language and Area Studies Fellowship (FLAS)

NOTE: Fill in this form and then print it. There is not a button to submit it electronically.

DEADLINE: February 1

SECTION A: IDENTIFYING INFORMATION

1. Name: (Last, First, Middle)

2. Current Telephone #:

3. Email Address:

4. Social Security #:

5. Current Mailing Address:

6. Permanent Address:

7. Citizenship:        U.S. Citizen       U.S. Permanent Resident (attach copy of Immigrant Visa or Green Card)

8. Native Language:

SECTION B: LETTERS OF RECOMMENDATION

Names of Recommenders:
1.

2.

3. (Language Reference)

SECTION C: EDUCATIONAL BACKGROUND AND TEST SCORE

1. Previous and Current Degrees

College	Dates Attended	Major	Degree/Date	GPA (A=4.0)

2. Graduate Record Examination Score

Date-Taken

	Verbal	Quantitative	Analytical
Score
Percentile

If you did not take GRE, provide other scores and name of test (GMAT, LSAT, etc.)

SECTION D: PLAN OF STUDY

1. Check one: Incoming Student Continuing NIU Student

2. Graduate Department:

3. Degree Sought: MA PhD Other

4. FLAS language and level for which you are applying, i.e., beginning, intermediate or advanced

5. Academic year for which you are applying for the FLAS Fellowship

6. List any Southeast Asian courses you have taken in your graduate or undergraduate program

7. Are you currently enrolled or have plans to enroll in SE Asian Studies Concentration?
Currently Enrolled Will Enroll

8. Have you previously received FLAS Fellowship from our Center? Yes No

If you have, please state year of award and language studied:

9. If you plan to do fieldwork, indicate where and when. Prior approval from a USDE program officer is required for all FLAS awards to be used abroad. Additional information may be required.

10. Statement of Purpose: On a separate sheet, state your career goals. Explain your previous language learning experiences (formal and informal) and how you intend to use the language you would like to study at Northern Illinois University.

11. Check Career Goal/s

Language Reference Form: To be Completed by Language Recommender

SECTION E: APPLICATION CHECK LIST AND CERTIFICATION

It is the applicant's responsibility to make sure all application materials are received by the deadline.

1. Application Checklist: All materials must be submitted to the Center by February 1 or first business day thereafter in order for your application to be considered for funding. Transcripts, letters of recommendation and test scores can come separately from your other application materials, but please be sure that all required materials are received by the Center by the deadline.

	Enclosed	Sent Separately
	(please check only one)
Official application form
Statement of purpose
Application Checklist and Certification
Transcripts showing degree(s) granted and/or in process
GRE, LSAT or GMAT scores
Curriculum vitae
Two letters of recommendation
Language reference form

NOTE: If you have applied for a FLAS in the past, contact the Center to see what is already on file. If you are a continuing master’s or doctoral student at NIU, contact your department to see what they can forward to the Center on your behalf.

2. I certify that the information provided by me on this form is complete and accurate to the best of my knowledge. I understand that any misrepresentation may result in cancellation of my ward.

Applicant's Signature

Date:

Submit all documents to:

Center for Southeast Asian Studies
Northern Illinois University
520 College View Court
DeKalb, IL 60115
Email: cseas@niu.edu

Post Secondary Education	Private Sector / Non-Profit
Elementary/Secondary Education	U.S. Federal Government
Graduate Study	Foreign Government
International Agency in U.S.	State / Local Government
International Agency outside U.S.	U.S. Military
Private Sector/Profit	Other (Specify)