Personal Information

Full Name

Telephone (Primary)

Telephone (Other)

Email Address

US Citizen

Yes No

Permanent Resident

Yes No

Sex

Male Female

Date of Birth

(Academic Year)

Address Line 1

Address Line 2

City

State/Province/Region

Zip/Postal Code

Country

(Home)

Address Line 1

Address Line 2

City

State/Province/Region

Zip/Postal Code

Country

Academic Information

Completed Academics (include the institution and date of completion):

B.A. / B.S.

Major / Minor

M.A.

Field of Concentration

Ph.D.

Field of Concentration

School of Current Enrollment:

Professional Objectives

Describe briefly your professional objectives (you may elaborate in the Statement of Purpose):

Current Academic Work and Accomplishments

List African Studies courses or courses with substantial African content that you have taken:

Describe current or completed research:

Publications / awards / honors:

Language Study

Give details of Zulu / Xhosa / Siswati / Ndebele language study (include the institution, date, and instructor):

1st Year

2nd Year

Other

Relevance of Advanced Zulu GPA to Career Development

State briefly how your enrollment in this program will contribute to your current academic career and/or professional plans, and explain why you think your present training in Zulu is inadequate to achieve these ends (you may elaborate in your Statement of Purpose):

Career Commitment

State briefly how thus far you have demonstrated a commitment to the achievement of the goals stated in your answer to the previous question:

Previous Visits to South Africa

If you have lived or traveled in South Africa for more than a few weeks, indicate where and when such a visit or visits took place, and explain why you were not able to gain a conversational mastery of isiZulu as part of that experience:

Statement of Purpose

Type a statement of not more than 300 words regarding your previous academic or professional work and experience, including course work, non-course educational experiences, teaching or other relevant employment and professional career plans that you believe specifically qualify you for a Summer Fulbright-Hays Group Projects Abroad Fellowship to study intermediate or advanced Zulu:

Supporting Letters of Reference

Please supply the names, positions, and email addresses of the referees you chose:

Name	Position	E-mail Address

Your letters of recommendation should be mailed directly to the Project Director at the following address:

Audrey N Mbeje, Ph.D.
Director of the Fulbright-Hays Zulu GPA
University of Pennsylvania
African Studies Center
648 Williams Hall
Philadelphia, PA 19104
Tel. 215.898.4299