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Irish American Scholar Program – 2006-2007 Application Form
Name: __________________________________________Telephone: ______________ School U.S. Institution: ______________________________ E-mail_____________________
Current Address: _________________________________________________________
_________________________________________________________
Home Address: __________________________________________________________ Home _______________________________ E-mail _____________________
Home Telephone: ___________________________ Age: ____ Marital Status: ________
Special Needs: ___________________________________________________________
GPA at end of fall semester 2005 (must be at least 3.2): ___________________________
Number of academic hours completed: _____________ Years in college: ____________
I desire to study in Northern Ireland (full-year applicants receive priority):
______ Entire 2006-2007 school year
______ Fall 2006 semester only
______ Spring 2007 semester only
List your choice of institutions in order (1 = first choice, 2 = second choice, 3 = third choice): ______ BIFHE ______ Queens University ______ University of Ulster
Applicants must see that four copies of the following documents are submitted by the applicant’s home college or university and postmarked by February 1, 2006.
§ A completed nomination form from the applicants college or university § A copy of the applicant’s academic transcript through the fall 2005 semester § A 500-word essay stating the applicant’s education objectives while studying in Northern Ireland
§
Two letters of recommendation – one from the
applicant’s academic advisor and one from a faculty member or administrator at
the applicant’s institution |