American Institute of Indian Studies
Advanced Language Programs in India

 

Application
(Please type)

                                            Nine-month Language Program                                                Summer Language Program

                  Hindi               Bengali                  Tamil   ____ Urdu    ____ other (specify)                                                                       

Years of study in this language by 1 June :                                                  

Last name                                                                                        First Name                                                             Middle Name

                                                                                                                                                                                                                                               

Social Security number ________________    Passport number, date and place of issue  ________________

Citizenship (if not USA, explain residency status) ______________________     Sex___  Birth date and place _____________________

Father’s name (required by the Indian government) ______________________________________

Mailing address                                                                                                                                                                                                                     

                                                                                                                                                                                                                                               

Permanent address                                                                                                                                                                                                               

                                                                                                                                                                                                                                               

Telephone number                                                                               Email                                                                                                                     

University                                                                                                                                                                                                                              

Department                                                                                                           Educational Status                                                                               

Faculty adviser (name, address, e-mail) _____________________________________________________________________________

___________________________________________________________________________________________________________

                                                                                                                                                                                                                                               

Colleges and/or universities attended                         Dates                                        degree earned/date          major                              GPA

1.                                                                                                                                                                                                                                            

2.                                                                                                                                                                                                                                            

3.                                                                                                                                                                                                                                            

4.                                                                                                                                                                                                                                            

Please list all academic honors, fellowships, and the places and periods of any visits abroad for purposes of research or education

                                                                                                                                                                                                                                               

                                                                                                                                                                                                                                               

                                                                                                                                                                                                                                               


Please list the names of the persons you have asked to write recommendations on your behalf

1.     Language reference (name, title, address)                                                                                                                                                                    
                                                                                                                                                                                                                                               
                                                                                                                                                                                                                                               

2.     General reference (name, title, address)                                                                                                                                                                       
                                                                                                                                                                                                                                               
                                                                                                                                                                                                                                               

3.     General reference (name, title, address)                                                                                                                                                                       
                                                                                                                                                                                                                                               
                                                                                                                                                                                                                                               

Do you have any illnesses likely to interfere with your ability to carry out the proposed program of study?                                                               
Please explain                                                                                                                                                                                                                        

Please list any previous visits you have made to India
      date                                   location                                                                   purpose of visit
1.                                                                                                                                                                                                                                            
2.                                                                                                                                                                                                                                            
3.                                                                                                                                                                                                                                            

Please list the names of funding sources to which you have applied for financial aid for the period of the proposed program of study.  (Applicants to the Summer Language Program should note that the American Institute of Indian Studies offers some financial aid on a competitive basis, but expects students to seek out their own aid first)

                                                                                                                                                                                                                                               

                                                                                                                                                                                                                                               

                                                                                                                                                                                                                                               

Indian Consulate (i.e., New York, San Francisco) where you would obtain your student visa _____________________________

On a separate sheet, explain in one page or less how the proposed program of study will build on your previous language, area, and disciplinary training, and how it will contribute to your immediate and long-range academic and professional goals.  It is not necessary to talk about the value of overseas language training in general.  This statement is a crucial part of your application. 

Signature of applicant                                                                                                                            Date                                                                       

                                                                                                                                                                                                                        10/06