<p> GÖTTINGEN PROGRAM CHECKLIST </p><p>The completed application must be submitted to: Professor Kita, German Department, Box 1104, by Friday, January 22, 2016. Questions? Email [email protected]</p><p>I Program Application </p><p> Completed application form</p><p> Signature of Approval of Academic Adviser</p><p> Copy of transcript (WebSTAC printout sufficient)</p><p> Two letters of recommendation </p><p> 1 From the German Department of Washington University</p><p> 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</p><p>II Fellowship Application Interested students are strongly encouraged to complete the application for our two merit-based fellowship funds. </p><p>For Freshmen and Sophomores* SUMMER SCHOLARSHIP FOR GERMAN STUDY IN GÖTTINGEN  Completed Program Application  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</p><p> Academic plan indicating what German classes you plan to take in Spring 2016 and Fall 2016  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</p><p>For Rising Junior* and Senior German MAJORS CECILIA HOSPES SCHOLARSHIP  Completed Program Application  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</p><p>IN GÖTTINGEN, GERMANY</p><p>IN CONJUNCTION WITH THE GOETHE INSTITUT</p><p>APPLICATION</p><p>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.</p><p>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.</p><p>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.</p><p>Signed ______(Student)</p><p>Date ______</p><p>I am aware of my advisee’s intention to study abroad and give my approval.</p><p>Signed ______(Academic Advisor)</p><p>______(Title)</p><p>Date ______A. General Information</p><p>Last Name: ______</p><p>First Name: ______</p><p>Date of Birth: ______Place of Birth: ______</p><p>Local Address:______</p><p>City, State, Zip: ______</p><p>Telephone: ______Email: ______</p><p>Permanent Address:______</p><p>City, State, Zip: </p><p>______</p><p>Telephone: ______Email: ______</p><p>At which address can you be reached from February 1, 2016 until April 30, 2016?</p><p>______</p><p>U.S. Citizen? Yes__ No __ If not, please list your citizenship:______</p><p>Parent's or Guardian's Name: ______</p><p>Address during the summer: ______</p><p>City, State, Zip______</p><p>Telephone: ______Email: ______</p><p>B. Health Insurance Information</p><p>Name of Insurer: ______</p><p>Address:______</p><p>City, State, Zip:______Telephone:______</p><p>Member Number: ______</p><p>Will your insurer cover you while you are in Germany? (yes / no)______</p><p>C. Financial Aid</p><p>If you intend to finance the summer program through financial aid, please list the name of your: Financial Aid Advisor: ______</p><p>Telephone: ______</p><p>D. Academic Record</p><p>Major(s): ______Minor(s):______Academic Advisor(s):______</p><p>Class Standing: (Circle one) Freshman Sophomore Junior Senior Current GPA: Overall GPA: Intended Date of Graduation: ______</p><p>Do you have Incompletes? ______Comments? ______</p><p>List all German courses taken at Washington University including name of the instructor and grade received.</p><p>Current (or most recent) German course and instructor: Course level: Instructor: Describe any additional training in German. (List the number of months/years studied.)</p><p>Are you considering declaring a major/second major in German? ______</p><p>PLEASE NOTE THE REQUIREMENTS FOR A GERMAN MAJOR!</p><p>12 hours maximum 300 level courses 12 hours minimum 400 level courses</p><p>Are you considering declaring a minor in German? ______</p><p>PLEASE NOTE THE REQUIREMENTS FOR A GERMAN MINOR!</p><p>15 hours total of 300 and 400 level courses, including at least one 400 level course</p><p>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</p><p>Have you lived or travelled abroad before? ______</p><p>Please explain: ______</p><p>______</p><p>State briefly and clearly your reasons for wishing to study in Göttingen. (You may attach a separate sheet.)</p><p>F. Letters of Reference</p><p>Please have two letters of reference sent to Professor Kita, Box 1104 or by email to [email protected] by January 22, 2016.</p><p>1. From the German Department of Washington University</p><p>Name: ______</p><p>2. Instructor from another department who is familiar with your work</p><p>Name: ______</p><p>Title: ______Department: ______</p><p>APPLICATION FOR THE SUMMER SCHOLARSHIP FOR GERMAN STUDY IN GÖTTINGEN</p><p>WASHINGTON UNIVERSITY DEPARTMENT OF GERMANIC LANGUAGES AND LITERATURES</p><p>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. </p><p>Name: ______</p><p>Major (if declared): ______</p><p>Academic Interests: ______</p><p>Overall GPA: ______German GPA: ______</p><p>Honors: ______</p><p>Current German Class: ______</p><p>Former German Classes: ______</p><p>Have you ever been abroad before?</p><p>The application must be submitted to the Undergraduate Director of the Göttingen program, and must be accompanied by:</p><p> Completed Program Application</p><p> 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  Academic plan indicating what German classes you plan to take in Spring 2016 and Fall 2016</p><p> 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</p><p>I. Academic Plan for German Courses, Spring 2016 and Fall 2016</p><p>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</p><p>WASHINGTON UNIVERSITY DEPARTMENT OF GERMANIC LANGUAGES & LITERATURES</p><p>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. </p><p>Name: ______</p><p>First Major: ______</p><p>Second Major: ______</p><p>Overall GPA: ______German GPA: ______</p><p>Honors: ______</p><p>Current German Class: ______</p><p>The application must be submitted to the Director of the Göttingen program, and must be accompanied by:</p><p> Completed Program Application  A brief personal statement explaining why you believe you are especially qualified for this academic achievement award Personal Statement for the Cecilia Hospes Scholarship</p><p>Please explain briefly (in 10-15 sentences) your special qualifications for this academic achievement award.</p>