International Cultural Service Program Application Information

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International Cultural Service Program Application Information ICSP DEADLINE International students demonstrating financial need and exceptional merit are encouraged to apply to participate in Western Oregon University's International Cultural Service Program (ICSP). Students selected to participate in the ICSP receive scholarship assistance which is applied to their tuition. Please note that the scholarship assistance offered by this program is only a partial scholarship of approximately $9,000 per academic year. Recipients will still be responsible for covering the remaining tuition and living expenses with funds from other sources. Scholarships from ICSP reduce tuition, but cannot be converted to assist with living expenses or books. In return for this reduction in tuition, ICSP students are required to complete 80 hours per year of cultural service. This service generally takes the form of speaking about your country to local school classes and community groups. A criterion for selection is based on demonstrated financial need and academic history. A diversity of representative countries on the program may also be criteria for selection. Applicants are encouraged to provide as much information as possible about their financial support cultural service plan. Applications for the 2019-20 academic year must be received on or before 5:00 p.m., Monday, March 4, 2019. Students selected will begin the program and receive funding the following academic year which may begin fall term 2019. ELIGIBILITY Applicants must be an international student holding or will hold an F-1 student visa. Applicants must be fully admitted or admissible to a bachelors or masters program at Western Oregon University in order to be considered for ICSP. Therefore, ICSP applicants who are not currently students at WOU must have applied for admission to an undergraduate or graduate degree program before their application will be considered. Undergraduates must have a minimum 2.5 grade point average, and graduate students must have a minimum 3.0 grade point average. APPLICATION Late or incomplete applications will not be considered. Completed applications must include all of the following: Original application (typed or printed in black or blue ink) and ALL supporting documents. A two page personal biography. This biography should be in the form of an essay and not a mere listing of dates and facts. It should include information concerning the applicant's past experiences, future goals, education, influential experiences and special interests. Submit two letters of recommendation. The recommendation letters should be from people who know you well, but should not be from relatives/friends. They should attest to your ability to perform public speaking in the English language and/or provide the cultural service. Applicants are responsible for making sure that their recommendations are submitted as part of the completed application. Submit a copy of your latest transcript (high school for freshman, University or College for transfer students) indicating your academic progress. If your transcript does not use the 4.0 scale, please indicate how grade averages are determined. Return all application materials and recommendation letters to: Office of International Education & Development, Western Oregon University 345 N Monmouth Avenue, Monmouth, Oregon 97361

OFFICE USE ONLY Country Major Need G.P.A. Student Identification Number INTERNATIONAL CULTURAL SERVICE PROGRAM APPLICATION Please check the statement that applies to you: I am a currently enrolled international student at Western Oregon University. I have applied for admission to Western Oregon University for term (circle) Fall, Winter, Spring, and Year 20. 1. Name: Mr.( ) Ms.( ) (Family name) (First name) (Middle) 2. Home Address (street, city, country) Telephone Number 3. Current Mailing Address (if different): Telephone Number 4. E-mail address: 5. Date of Birth: 6. Country of Citizenship* Month / Day / Year *Note: Please indicate if you hold citizenship in more than one country or if you were born in one country and raised elsewhere. You may attach a cover letter or additional materials to describe your situation. 6. Please indicate the type of visa you currently hold or will hold as an international student at WOU (check one) F-1 Student Exchange Visitor J-1 Other (please specify) Have you (or someone on your behalf) applied for a U.S. permanent visa? Yes (indicate type) No 7. List any work experience you have had since leaving secondary school (attach a separate sheet, if necessary): 8. Have you attended a college or university in your country? Yes No If yes, list colleges and universities with dates attended: Name & Location Dates Attended

9. Are you currently enrolled or have you ever attended a college or university in the U.S.? Yes No If yes, GPA of your grades. If yes, list current and previous colleges or universities attended in the U.S., number of credit hours earned, and any financial aid received: Name & Location Dates Attended Credit Hours Earned Type of Aid Amount 10. List any activities and organizations in which you have participated and any honors you have received (attach a separate sheet, if necessary no more than 1 page): 11. I wish to pursue the following at WOU: Bachelor s Master s Post-Baccalaureate 12. Major Field of study Expected date of degree completion 13. What do you plan to do after completion of your studies at this institution? 14. Are you married? Yes No Will your spouse (husband/wife) be with you? Yes No Is your spouse a student? Yes No If yes, name of school Is spouse a U.S. citizen? Yes No Name of spouse Occupation of spouse Annual income of spouse 15. Will/do you have children living with you in the U.S.? Yes No If yes, how many? 16. Does your country have any restrictions on sending money abroad for educational expenses? Yes No If yes, please explain: 17. Father s Occupation Father s yearly salary (in U.S. dollars) Mother s Occupation Mother s yearly salary (in U.S. dollars) 18. How many children live with your parents (including yourself)? 19. Total yearly income of father and mother (in U.S. dollars). Include salaries, investments, business or farm income, rental income, retirement income, etc. $

20. Please complete the following budget indicating the resources and expenses you will have for the 2017-18 academic year. For a list of estimated expenses visit http://www.wou.edu/provost/international/tuition_fees.php. Base the amount on a 9-month academic year and enter it in U.S. dollars. If the amount is 0 please enter 0. A B Estimated Expenses for 2019-20 Estimated Resources for 2019-20 Anticipated cash or savings on hand when you arrive Tuition & Fees: Pick one: UG = $21,498 GR = $19,923 Insurance (health & accident) US $2,025 Financial Support from parents, relatives or friends If on campus: Room & Meals US $10,389 Anticipated earnings in 2019-20 If off campus: Rent Income of your spouse (if married) Food Utilities (phone, gas, electricity, garbage) Books & Supplies US $1,300 Government Support Transportation/Personal US$ 2,430 Loans Other * Explain Grants Scholarships *Other sources of assistance (explain below) A. Total estimated Expenses for 2019-20 Difference between column A and B B. Total of all resources Available in 2019-20 *Add information about circumstances affecting your ability to pay above expenses. Also, if you have already attended a U.S. institution, explain why you now need financial assistance (attach a separate sheet, if necessary): 21. Will you be able to provide the amount of money listed above in total resources (column A) for every academic year you plan to study at this institution? Yes No. If not, why?

Information about Cultural Service The program is dedicated to involving international students in our communities as educational and cultural resources. Below are questions relating to the required cultural service as outlined on the ICSP website, and in the guidelines. It is common for students on this program to speak about their country with a wide variety of age groups, school classes, and community organizations. Applicants who are able to share information about their cultures on more than one topic have an advantage over students who limit what they are prepared to present about one specialized area. 22. Native language Other languages spoken 23. Command of spoken English (check one): Excellent Good Fair Poor Give your TOEFL/IELTS score (or equivalent test): Score Name of test Be sure to answer completely the following questions. For questions 24 26 please use a separate page or pages to outline your answers (please type). 24. List community projects and/or voluntary work you have performed. (LIMIT TO 1 PAGE) 25. As you will be called upon to share your culture with a wide variety of audiences, list all the topics you are prepared to address as you represent your country and cultural background. Include a list of the materials you have to illustrate your presentations (examples: Power Point materials, photographs, instruments, national dress, artifacts, etc.). Also, please list or describe subjects or skills you can teach or demonstrate which reflect the cultural arts of your country (examples: artwork, dance, games, cooking, music, etc.). Note: It is not necessary to attach sample presentation materials such as CDs. (PLEASE LIMIT TO 2 PAGES ONLY) 26. It will be helpful if you include any previous experiences (if any) of sharing your culture with others. What did you do and for what type of audience? (LIMIT TO 1 PAGE) Additional Application instructions and information: You must submit two recent letters of recommendation with your application. The recommendation letters should be from people who know you well, but should not be from relatives/friends. They should attest to your ability to perform public speaking in the English language and/or provide the cultural service. You must submit a two page personal biography with your application. This biography should be in the form of an essay and not a mere listing of facts. It should include information concerning your past experiences, future goals, influential experiences and special interests. You must submit a copy of your latest transcript (high school transcript for freshmen, University or College transcript for transfers) indicating your academic progress. If your transcript does not use the 4.0 scale, please indicate how grade averages are determined. Student Certification I affirm that all information reported on this application is true and complete to the best of my knowledge. I will promptly inform the International Students and Scholars Affairs Office of any changes in the information submitted as part of this application. Failure to provide correct information will be cause for removal from the program. I am aware that this information may be subject to independent verification by the institution. Your Signature Date