Canadian Studies Summer FLAS Award Application

PLEASE PRINT THIS FORM and FAX  TO (207) 581-4223
or MAIL TO Canadian-American Center  / 154 College Ave  Orono, ME 04473


Application Deadline: May 1st

1. Name: ___________________________________________________________________________
                Last                                             First                                            Middle Initial

2. Local address: ____________________________________________________________________

___________________________________________________________________________________

3. Local telephone number: ________________ 4. E-mail address: ____________________________

5. University ID #: _______________________ 6. Graduate degree program: ____________________

7. Semester and Year in which you were admitted to the Graduate School: _____________________

8. Current GPA: _________________________ 9. Department: _______________________________

10. Major Advisor or Thesis Director: _____________________________________________________

11. Previous scholarships or awards: _____________________________________________________

12. Background in French studies:
 

Institution______________________________ Course Name: _______________ Year: _____ Grade: _____

Institution______________________________ Course Name: _______________ Year: _____ Grade: _____

Institution______________________________ Course Name: _______________ Year: _____ Grade: _____

Institution______________________________ Course Name: _______________ Year: _____ Grade: _____

Describe extracurricular language activities or the extent of your bilingualism (if applicable):

__________________________________________________________________________

__________________________________________________________________________

13. Please describe how your research and/or career plans relate to the French language.

14. If you have an immersion program in mind, please describe it.
     (Be advised that awards can be made only for six-week programs of instruction)
     French immersion programs at Canadian universities

15. Applicants for summer FLAS awards are asked to provide a copy of their transcript and a
      letter of support from their major advisor or thesis director.

Applicants may use the back of this page to answer questions 13 and 14

Return completed form, transcript, and a letter of support by May 1st to:

Prof. Raymond J. Pelletier 
Associate Director and Associate Professor of French
Canadian-American Center 
University of Maine
154 College Avenue  /  Orono, ME 04473
Tel.: (207)581-4220  /  FAX: (207)581-4223
raymond.pelletier@umit.maine.edu