Estudio Internacional Sampere-Leonor Ulloa Scholarships /
Application Form
Eligibility
requirements: A candidate for a
2002 award must be a teacher or professor of Spanish and a registrant at MIFLC 2001; preference will be
given to teachers whose native tongue is English and who have never been to
Spain.
Application
instructions: Only candidates
who meet the eligibility requirements described above need apply. Please complete and return with supporting
documents as explained below. Deadline
for application: August 1, 2001
Name
__________________________________________________________________
Address:
________________________________________________________________
Telephone
no.: ___________________________________________________________
Title/position:
____________________________________________________________
Work
address: ____________________________________________________________
Work
telephone no.: ________________________________________________________
Email:
___________________________________________________________________
Professional
experience:
____________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
Degrees earned (include awarding institution and area of
specialization):
_____________________________________________________________________________
____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Experience abroad (study, work,
residence, leisure). Please include
dates and nature of the experiences:
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Please attach a statement, not to exceed 500 words, explaining why you wish to undertake a course of study at one of the Estudio Sampere sites in Spain and how said study will enhance your professional development. Also include a letter of recommendation from your supervisor at work (department chair, dean, school principal, etc.) showing institutional support of the study experience.
Application checklist:
________ Completed application form
________ Candidate’s statement
________ Supervisor’s letter of recommendation
Mail completed application to:
Sampere-Ulloa Scholarships, c/o R. Terry Mount; Dept. of Foreign Languages and
Literatures; University of North Carolina at Wilmington, Wilmington, NC 28403
Application deadline:
August 1, 2001