1.
Last Name:
2.
First Name:
3.
Mailing Address: Street:
Street2: City: State: Zip
Code:
4.
Email:
5.
Daytime Phone:
6.
Evening Phone:
7.
University Where Currently Enrolled: Name
of University:
City,
State, Zip:
8.
Major(s) and minor(s):
9.
Student Classification (e.g.: sophomore):
10.
List the title, year, and (if possible) final grade of all university-level French courses taken (note: incoming freshmen should indicate the level and grade of the last course taken in their high school):
11.
Requested course-pair (e.g.: FRE 203/204, FRE 313/331, etc.)
12.
FOR CURRENT UNCG STUDENTS ONLY: we need the student ID number for all current
UNCG students. You may type in your ID number below, or you can call the
Department of Romance Languages and give your ID number over the phone
if you prefer.
13.
Briefly Describe Your French Background Please
list the specific French classes you have taken, the name of the instructors
and the final grades for each class:
14.
What High School Did You Attend (name and location)?
15. Briefly
(in 3-5 sentences) Describe Your Reasons For Wanting to Participate in
This Program:
16. Study
in a foreign country can be a stressful experience. Please describe what
strategies you would use to meet the challenge of being far from home,
immersed in a culture and language different from your own.
17. Briefly
describe how you plan to finance your trip (including whether you will be seeking a travel
subsidy for this purpose).
18. Questions/Comments:
19. Transcript
and Reference: IMPORTANT:
You
are required to submit a copy of your university transcript with one academic
letter of reference (on letterhead paper and preferrably from a language
teacher) along with this application. You can submit this application online
and mail your transcript and letter to: Roberto E. Campo, PhD