Russian Language Flagship Partner Program
APPLICATION FOR ADMISSION: 2009-2010 Application Deadline: May 1, 2009 _________________________ __________________________ _______________________ Name (Last) (First) (MI) PSU Student ID (if available) Address: _______________________________ _______________________________ _______________________________ E-mail address: ______________________ Phone Number: ______________________
Birth date: ____/ ____ / ____ Citizenship or visa status: _____________________ If available: SAT/ACT scores: Verbal ________ Math _________ Your present PSU enrollment status (please check one): ____ Currently enrolled ____________________________________ ____ Accepted for admission on (date): ________________________ ____ Applied for admission ________________________________ Degree Sought: _______________ Expected Graduation Date _________________ *NOTE: Acceptance in the Russian Language Flagship is contingent on admission to Portland State University. You must apply separately for admission to PSU. Educational Background: Please list all high schools attended and post-secondary education obtained, with most recent first. Show dates of attendance, degree earned and GPA (if known). Example: PSU 2000-04 BA, history 3.5
1. ______________________________________________________________________ 2. ______________________________________________________________________ 3. ______________________________________________________________________ 4. ______________________________________________________________________ Have school transcripts been submitted to PSU? Please circle: Yes / no *If PSU does not have your transcript, please supply your most recent transcript.
How did you hear about the Russian Flagship Partner Program at PSU? _____________________________________________________________________________ My current area(s) of academic interest: __________________________________________ _____________________________________________________________________________ Funding: I want to be considered for a Flagship scholarship: (please circle) Yes / No
Housing: I am interested in living in the Russian Flagship Floor in Stephen Epler Hall in University Housing in 2009-2010: (please circle) Yes / No *To be considered for the Russian immersion floor, you must complete an application for PSU housing. Study Abroad Experience: Describe any experience you may have had studying, living or working abroad: _____________________________________________________________________________ _____________________________________________________________________________ Please attach the following personal statements: 1. Write a short essay in English explaining how you learned Russian (250 words). This essay is for placement purposes only. Please write it by yourself without help from another person. 2. Write a short essay in Russian explaining why you want to join the PSU Russian Flagship Program and what Russian means to your future career plans (250 words). Please supply the names and addresses of two teachers who will send recommendations: 1. _____________________________________________________________________________ 2. _____________________________________________________________________________ Application check list
A complete application includes the following items:
o Completed and signed application form for admission to the PSU Russian Flagship o Personal Statement in English o Personal Statement in Russian o Most recent high school or college transcript (if not on file at PSU, send to the address below) o Two letters of recommendation (sent directly from teachers in sealed envelopes).
Signature ________________________________________ Date _____________________ Mail application and statements to: PSU Russian Language Flagship Partner Program Foreign Languages and Literatures (FLL) Portland State University Email: russianflagship@pdx.edu P.O. Box 751 Fax: (503) 725-5276 Portland, OR 97207-0751