applicationgaeltachtsummerawards

IRISH LANGUAGE SUMMER GAELTACHT AWARD APPLICATION (This form is intended for Lehman College students only All other students should visit www.fulbright.ie for the correct form Lehman students should scan and submit this form to irish.studies@lehman.cuny.edu) COVER PAGE APPLICANT DETAILS: APPLICANT NAME PERMANENT ADDRESS EMAIL ADDRESS CONTACT NUMBER APPLICATION CHECKLIST: COMPLETED APPLICATION FORM ACADEMIC TRANSCRIPT REFERENCE NAME OF REFEREE EMAIL ADDRESS STATEMENT OF PROPOSED ACTIVITY TO ASSIST THE COMMISSION WITH FUTURE PUBLICITY PLEASE INDICATE HOW YOU HEARD ABOUT THIS AWARD: CURRENT LANGUAGE INSTRUCTOR INTERNET (PLEASE SPECIFY SOURCE) Google www.fulbright.ie Other EMAIL ALERT NEWSPAPER RADIO IRISH LANGUAGE SUMMER GAELTACHT AWARD APPLICATION PERSONAL HISTORY NAME PERMANENT MAILING ADDRESS CONTACT TELEPHONE NUMBER EMAIL ADDRESS DATE OF BIRTH MARITAL STATUS COUNTRY(IES) OF CITIZENSHIP HAVE YOU STUDIED IN IRELAND BEFORE? IF YES PLEASE SPECIFY WHEN, WHERE, DURATION AND COURSE OF STUDE OCCUPATION IF STUDENT, PLEASE SPECIFY YEAR IN UNDER-GRADUATE OR POST-GRADUATE STUDY CURRENT EMPLOYER / ACADEMIC AFFILIATION IRISH LANGUAGE SUMMER GAELTACHT AWARD APPLICATION ACADEMIC QUALIFICATIONS/EXPERIENCE COLLEGES, UNIVERSITIES, PROFESSIONAL SCHOOLS ATTENDED, MOST RECENT FIRST Institution Degree (Discipline) Grade Awarded Year awarded/expected* Please attach / submit YOUR MOST RECENT ACADEMIC TRANSCRIPT NAMES AND DATES OF ACADEMIC / PROFESSIONAL HONOURS, AWARDS, FELLOWSHIPS ETC, MOST RECENT FIRST Date Title/Name of award and awarding body PAPERS PUBLISHED/ACCEPTED FOR PUBLICATION/PRESENTED AT CONFERENCE MOST RECENT FIRST Date Title of Article / Presentation & Publication / Conference ACADEMIC OR PROFESSIONAL POSITIONS IF ANY, MOST RECENT FIRST Dates Institution / Employer Position EXTRACURRICULAR ACTIVITIES Dates Organisation / Activity Role / Association IRISH LANGUAGE SUMMER GAELTACHT AWARD APPLICATION PROJECT PROPOSAL Details NAME / LOCATION OF COURSE THAT YOU WISH TO ATTEND DATES / DURATION PROPOSED COSTS Tuition Travel Accommodation Meals /Subsistence Other (please specify) TOTAL HAVE YOU APPLIED FOR THE COURSE OR MADE CONTACT WITH THE OFFERING INSTITUTION? IF SO, WHAT IS THE STATUS OF YOUR APPLICATION / COMUNICATION? LIST ANY OTHER SCHOLARSHIPS / AWARDS THAT YOU HAVE RECEIVED OR FOR WHICH YOU ARE APPLYING SPECIFY THE FUNDS AVAILABLE TO YOU FROM OTHER SOURCES FOR YOUR SUMMER VISIT TO IRELAND REFERENCE NAME TITLE ORGANISATION EMAIL ADDRESS IRISH LANGUAGE SUMMER GAELTACHT AWARD APPLICATION PROJECT PROPOSAL Statement / Rationale Please outline in NO MORE THAN PAGES • your motivation and preparation for studying the Irish language and this particular course, • your learning objectives for the course, • how this course will impact / benefit your future studies of the Irish language