APPLICATION FORM US DEPARTMENT OF EDUCATION US DEPARTMENT OF EDUCATION This is my application for a FIPSE scholarship to study in FIPSE US-Brazil Program Fund for the Improvement of Brazil during one semester with credits transferred to my Postsecondary Education (FIPSE) academic program at TTU or UNM. US-Brazil Program Name: ______________________________________ Contact Information Study Major: _________________________________ Texas Tech University Dr. Alon Kvashny Academic Advisor: ____________________________ U.S. Program Director Dept. Landscape Architecture Mailing Address: _____________________________ Texas Tech University, MS2121 Lubbock, TX 79409-2121 City ____________________ State: ______________ Phone: 806-742-2218 ext. 252 Fax: 806-742-1954 DISCOVER BRAZIL! Zip: __________ Phone: (___) __________________ Email:
[email protected] An international Program for E-mail: _____________________________________ University of New Mexico Texas Tech and University of New Mexico Dr. Scott Collins Undergraduate and Graduate Students in Class: Freshman O Sophomore O Department of Biology Interdisciplinary Studies, Engineering, Geosciences, Junior O Senior O MSC03 2020 1 Biology, Agricultural Sciences and related fields. Albuquerque, NM 87131 Graduate MS O Graduate PhD O Phone: (505) 277-6303 Email:
[email protected] Scholarship covers round-trip air travel, basic liv- Portuguese/Spanish classes taken: ____________ ing expenses in Brazil and one month intensive __________________________________________ Portuguese course in Rio or Sao Paulo. Credit hours transferred to your transcript. Universidade Federal de Minas Gerais Registration is open to go to Brazil for the 2015 Dr. Lucio Flavio S. Villar Study and live like a local student. spring semester ONLY. Brazilian Program Director Basic planning for the program: Dept. of Engineering 1. Review your plans with your advisor and Phone: (+55-31) 3409 1820 schedule a meeting with Dr.