Application: Language Program
Please complete the application below.
Address Line 2
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Bosnia and Herzegovina
British Indian Ocean Territory
Central African Republic
Democratic Republic of the Congo
Republic of the Congo
Papua New Guinea
Saint Kitts and Nevis
Saint Vincent and the Grenadines
Sao Tome and Principe
Trinidad and Tobago
United Arab Emirates
United States Minor Outlying Islands
Virgin Islands, British
Virgin Islands, U.S.
Visa type (if not U.S.)
Current Academic Status This School Year
High School Freshman
High School Sophomore
High School Junior
High School Senior
Not currently in school
Name of Most Recent University Attended
List all universities you have attended. Include 1) name of university, 2) country, 3) major subject, 4) dates attended, and 5) degree received.
If not a student, please state employer's name:
Please estimate your college GPA until now:
What program are you applying for?
Do *you* speak this language at home?
Do *your parents* speak this language to you at home?
Have you ever studied this language before?
If yes, describe in detail your experience learning this language including 1) how long you have studied, 2) where you studied, 3) what texts you have studied, 4) what skills you feel most comfortable with (speaking, listening, writing, and reading). The more information you provide the better.
Do you understand that this course is taught assuming participants have no background in the language? (If you have already studied the language, please contact ALLEX so we can discuss whether the course is appropriate for you. Many students who have studied the language for one or two semesters in the past, but who wish to improve their spoken skills, have found the course extremely beneficial.)
Do you plan to continue your study of this language in the fall?
If yes, where and what level course are you hoping to take? (Ex: "2nd year Chinese or Japanese at my home institution" or "I plan to teach English in China so will keep studying there."
Describe in detail any other language learning experience:
Have you ever traveled to China, Japan or Taiwan?
If yes, why did you travel to China, Japan, or Taiwan, under what circumstances (independent travel, study abroad, etc.) and when?
Have you ever traveled to any country besides China, Japan, or Taiwan?
If yes, why did you travel to these countries, under what circumstances (independent travel, study abroad, etc.) and when?
Do you plan to have a part-time job in the summer?
If yes, how many working hours will you be working?
Please share any other interesting information we should know about you when evaluating your application, e.g. intended career goals, study abroad experience, double majors, university clubs, future desire to use Chinese or Japanese, etc.
In 400 words or less, explain why you want to take this program.
Do you wish to be considered for scholarships?
In 200 words or less, explain why you wish to be considered for a scholarship. Are you currently on financial aid at your home institution? Are there any unique financial and/or merit circumstances that we should know about?
Do you need housing?
Where did you learn about the program?
As part of this application, a short video introduction is required using your webcam. Instructions will be sent to you by email upon submission of this form. Do you understand that a video interview is required?
I understand that this is an application for an intensive language program. The course meets two hours a day and requires 3 to 5 hours of outside study. Students must come prepared for each session. This is a full-time commitment. Given the intensity of the course, it is imperative that you attend EVERY course session; absences will not be tolerated. Students who miss more than two days without reason and without contacting the course instructor may need to drop the course without refund. Absences due to sickness should be documented with a doctor's note.
I give permission to ALLEX to use any photographs or videos taken of me during the summer program for research and publicity.
I understand and agree to the above conditions:
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