Sonja Haynes Stone Center

The Undergraduate International Studies Fellowship Application

Please review the entire form before you begin to make sure you have all the necessary information ready. Your application essay must be completed as a separate file (text or Microsoft Word) and submitted with this form. Please read the application essay instructions and complete the essay before starting the rest of the form.

All fields in this form are required unless otherwise noted

Personal Information

Last Name:
First Name:
Middle Initial:

Personal Identification Number (PID):
Social Security Number (SSN):

Birth Date:

Are you a U.S. Citizen?

Yes No

Contact Information

Local Phone Number:

Local Address:

Street:
City:
State:
ZIP:

Permanent Phone Number if different from local:

Permanent Address if different from local:

Street:
City:
State:
ZIP:

Email Address:

Preferred Method of Contact:

Email Letter

Current Academic Information

Year in school (Fr., Soph., etc.):

Are you a full time student?

Yes No

Expected Graduation Date:

Name of Departmental Advisor:

College or School:
Major:
Second major if any:
Cumulative Grade Point Average:

Previous College Attendance

If you previously attended schools other than UNC-CH, list each school and dates of attendance. For each entry, please stipulate whether or not you were eligible to continue enrollment at the time you left the school.

School	Enrollment Dates	Eligible for Enrollment?
		Yes
		Yes
		Yes

References

Reference letters from two (2) persons need to be provided for your application. At least one must be a faculty member at UNC-Chapel Hill who can comment on your overall ability to successfully complete a study-abroad program. These reference letters should be signed by the referee, sealed in an envelope, and delivered to The Stone Center soon after submitting this application.

Faculty Reference:

Name:
Title:
Academic Department:

Second Reference:

Name:
Title:
Department or Organization:

Employment

List any employment where your activities and experiences illustrate leadership roles, are relevant to your academic and career goals, or reflect aspects of your proposed study-abroad activities.

Employer	Dates of Employment	Position & Responsibilities

Stone Center Programs

List your current or previous interaction with the Stone Center including participation in programs and volunteerism.

UISF Proposal

What countries do you propose to visit if you receive the Undergraduate International Studies Fellowship?

Beginning date of Proposed Travel:

Ending Date:

Note: Your Proposed Travel is expected to be for at least one academic term.

Application Essay

Please attach an essay, no more than five (5) typed, double-spaced pages about the study-abroad program for which you seek support. Describe your academic and non-academic achievements and honors and provide insight as to why you were chosen for such recognition. Include in your essay a discussion of the leadership roles and extracurricular activities in which you are involved and how those experiences may have contributed to your interest in international travel. This may include community service activities that may have contributed to, or reflect, your academic and career goals as well. If you do not have significant extracurricular activity you may choose to provide a brief statement in your essay describing why there is minimal activity. The essay should also identify your academic, experiential and personal goals, and discuss how the study-abroad experience will contribute to achieving them. Indicate your proposed itinerary, travel schedules, and other particulars about your planned experience. Lastly, explain how the funds will help you overcome any financial difficulties.

Note: Your Application Essay is a key element in the committee's decision. Applicants are encouraged to produce a carefully crafted document.

Attach your essay file (plain text, PDF, or Word Document format):

Passport Issuance and Travel Abroad

Most countries will required a valid passport for entry and travel throughout their regions. If you do not currently possess a valid passport, do your forsee any obstacles to obtaining one?

No Yes

If yes, please explain. Note: obstacles might include felony convictions or pending charges.

Release

By checking this box, the applicant hereby grants the Stone Center permission to use the applicant's name and image in all media including photography, biography, and excerpts of this application in connection with public relations and publicity about the program including information listed in Stone Center newsletters, news releases, brochures, and on its website. Note: is is not mandatory for an applicant to approve this release as criteria for consideration for a UISF.

Honor Pledge

By checking this box, the applicant hereby agrees to conform to the codes of conduct, both within and outside of the classroom environment, as stipulated in The University of North Carolina at Chapel Hill Honor Code, and as detailed in the Instrument of Student Judicial Governance. Additionally, the applicant hereby attest that all information provided is true and accurate to the best of the applicant's ability.

After submitting this form, please remember to submit your other application materials to the Stone Center promptly. Review the application checklist and make sure that all parts of the application are completed.