Polish Studies Initiative 2016 Scholarship Competition for Polish Language and Study Abroad Programs

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1 Polish Studies Initiative 2016 Scholarship Competition for Polish Language and Study Abroad Programs The Polish Studies Initiative aims to support the study of Polish language and culture through summer intensive language, study abroad, and internship programs. Scholarships are available for both undergraduate and graduate students who are interested in pursuing more advanced training via Maymester or summer program (beginning MAY 2016 or SU 2016). Interested students should consult the eligibility requirements below, and submit the application found on the PSI website: slaviccenter.osu.edu/psi_scholarships.html. The amount of the award will range from $500-$1,000, depending on the stage of academic career and intended program. Eligibility: 1) Applicants must be enrolled as OSU students at the time of application as well as throughout the period of the award. 2) Undergraduate students must be in good academic standing (3.2 GPA or higher). 3) Graduate students must be pre-candidacy, still in coursework, and have no outstanding incompletes. Application deadline: February 1, 2016 For a list of study abroad programs, both in the U.S. and abroad, please see the Resources page on the PSI website A complete application includes the following: 1) The completed Application Form in PDF format for the Polish Studies Initiative Scholarship available online at 2) A one-page double-spaced Statement of Intent (see page 3 of the application). 3) An attached Advising Report or Unofficial Transcript. 4) Completed Budget Estimate form.

2 Polish Studies Initiative Scholarship Page 1 Polish Studies Initiative at OSU Scholarship Application 2016 APPLICATION DEADLINE is February 1, 2016 This form is to be used in evaluating scholarship applicants and should be filled out carefully following the instructions provided on the attached Application Procedures form. Every question should be answered or have the indication N/A written in the proper space. Please type or print: Name: (last) (first) (middle/maiden) Present Address: Telephone: Permanent Address: (no.) (street) (city) (state) (zip) (no.) (street) (city) (state) (zip) Telephone: Majors: Degree Sought: BA BS Master s Minors: Doctorate GPA: Faculty/Academic Advisor at OSU: Expected Completion Date: Have you applied for any other scholarships for your proposed summer program? Yes No If yes, please list the scholarship(s): Have you applied for any other kind of funding (travel, tuition, etc.)? Yes No If yes, please list the award(s):

3 Polish Studies Initiative Scholarship Page 2 Polish Studies Initiative at OSU 2016 Scholarship Application Proposed Program (Internship, Language, or Study Abroad): How many quarters/semesters of Polish or related course work have you completed? quarters: other: semesters: Estimate your current level of Polish proficiency (lang. applicants only): superior advanced intermediate elementary Have you ever studied in Poland? Yes No If yes, where did you study? Duration: Have you ever lived/studied in Eastern Europe (other than Poland), the Former USSR, or Turkey? Yes No If yes, please describe: What are your long-term career goals? Please indicate the specific program or activities you plan to complete during the summer of your scholarship:

4 Polish Studies Initiative Scholarship Page 3 Colleges and Universities Attended (including length of time spent at The Ohio State University) COLLEGE OR UNIVERSITY CITY/STATE DATES OF ATTENDANCE DEGREE EARNED DATE AWARDED/ EXPECTED FIELD/SPECIALIZATION Statement of Intent: Include a one-page double-spaced statement of intent describing your interest in Polish language and area studies and how a Polish Studies Initiative Scholarship will help you achieve your academic and career goals. Advising Report /Unofficial Transcript: Attach an advising report or unofficial transcript to your application. Certification of Truth Statement: I affirm that the information I have provided on this application form, and any additional material that I submit related to the Polish Studies Scholarship Competition at The Ohio State University is complete, accurate, and true to the best of my knowledge. I agree to submit other materials that are required for this scholarship application. I understand that furnishing false or incomplete information on any part of this application or related materials may result in disciplinary action under the Administrative Code of The Ohio State University. Legal Signature of Applicant Date

5 Polish Studies Initiative Scholarship Page 4 Summer Instruction Budget Estimate Polish Studies Initiative Scholarship Summer 2016 Name: (last) (first) (middle/maiden) At which institution do you plan to study during the summer of your scholarship or hold an internship? Name of Institution: Cost of the Program Tuition/Fees: Room and Board: Travel Expenses: Other Program Costs (if any). Please be specific: Please supply fax, phone, , and/or website address of contact person at host institution. Signature Date

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