2021 Student Application Form

General Information

Name*

First Middle Last

Other Name (i.e. maiden, former, preferred...)

Preferred pronoun*

Are you a US citizen/permanent resident?*

If no, please specify nationality

Email*

Current Phone Number (domestic)

Required for applicants from within the United States.

Current Phone Number (international)

Required for applicants from outside the United States.

Current Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Current address effective until

Education & Employment Information

Are you currently a student?*

If yes, answer next four questions:

School currently attending

Current Degree Program

Discipline/Major

Expected Graduation Date (month/year)

Are you applying to any degree programs for Fall 2021?*

If yes, please list the degree programs and schools you are applying to.

Current job title (non-students)

Place of occupation (non-students)

All applicants to SEASSI must submit a transcript from your current university (if applicable) and every college/university you have attended (Note: SEASSI transcripts are not needed). We will accept official transcripts or scans of official transcripts. Please list below the colleges and universities you have attended, separated by commas (School 1, School 2, ...)*

Financial Aid

Are you interested in applying for financial aid?*

If yes, what awards are you applying for? Please check all that apply.

FLAS Fellowship (apply by February 15, 2021)
SEASSI Tuition Scholarship (apply by April 5, 2021)

Please note that fellowships and scholarships have their own eligibility requirements, which you can find here.

Recommender #1 name (if applying for financial from SEASSI)

Recommender #1 email (if applying for financial from SEASSI)

Recommender #2 name (if applying for financial from SEASSI)

Recommender #2 email (if applying for financial from SEASSI)

Have you applied for other scholarships/awards to support your studies at SEASSI?*

If you know you will be recieving a scholarship to attend SEASSI, please specify name of award and the amount of funding.

Language Information

Which language do you wish to study at SEASSI?*

If you do not see your desired language, please contact us at seassi@seasia.wisc.edu.

Which level do you anticipate studying at SEASSI 2021?*

Note: Placement tests will be given to everyone on the first morning of classes.

If you have previously studied this language, please let us know: where you studied, textbooks used, duration of study.

Have you previously attended SEASSI?*

If yes, please list the summer(s) you attended and language(s) studied.

Are you ONLY able to attend SEASSI as a distance education student?*

Note: The offering of distance classes will depend on sufficient enrollments. Distance students will be admitted based on inability to attend SEASSI in person and access to adequate computer equipment and internet speed. If you mark “Yes” to the above question, SEASSI staff will contact you to evaluate the feasibility of your participation as a distance student. Attendance as a distance student may affect your eligibility for the FLAS Fellowship award.

Application Materials Checklist

Please fill in the following list of materials that we should expect to receive from you.

Non-refundable application fee of $25 – all checks or money orders should be made payable to SEASSI. (Please do not send Western Union or any other money transfers.)
Personal Statement of career/academic plans (approx. 1-2 pages)
Transcripts
Letters of Recommendation (if applying for financial aid)

Application materials may be sent separately or together via email to seassi@seasia.wisc.edu, or via hard copy to: SEASSI, 207 Ingraham Hall, 1155 Observatory Drive, Madison, WI 53706. Note that the application fee must be sent via check or money order payable to SEASSI.