Application Form for Mandarin Fund Grant - Sp 08

(last modified 31 Oct 2007)

Name:________________________________ Date of birth:_________________

Social Security Number:__________________ Citizenship:__________________

Local Mailing Address: Home Address (if different):

_______________________________ ___________________________________

_______________________________ ___________________________________

_______________________________ ___________________________________

E-mail address:_________________________________

Local Telephone Numbers:__________________ _________________ ___________

home work mobile

Major/Minor field of study:_____________________ / ________________ ________

Expected graduation date:______________ GPA:__________

Have you taken a Gannon Chinese Language and Culture course in Fa07? Yes No If yes, what course?

Do you intend to take a Gannon Chinese Language and Culture course in Sp08? Yes No If yes, which course?

On separate paper, include a 250 word essay explaining why you would like to participate in the China Study Tour.

Is it also understood that upon return to U.S., grant recipients are required to write a brief essay regarding the educational value of their experience in order to receive the final payment of the grant? Yes No

Deadline: All applications must be received on or before 20 Nov 2007. Tour deposit must be received prior to or included with submission of grant application.

Notification: Grant recipients are to be informed by 30 Nov 2007.

Grants received are not to be deducted from amounts due.

Completed applications should be submitted to:

Gary Mahan, Ph.D.,

Box 3188,

Gannon University,

109 University Square,

Erie PA 16541

Or left off at PC 2212

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For office use:

Date application received: ______________ Application no.____________

Date deposit received:________________