Harry C. Kelly Scholarship Application (NCSU Students Only)

General Information

Name *

First Middle Last

NCSU Email *

Backup Email *

Will be used in addition to your NCSU email to ensure you are receiving communications

Mailing Address *

This should be an address that you are able to regularly check

Street Address Address Line 2 City State ZIP Code

Best Phone Number *

This may be a cell phone or land line number, but needs to be the one you are most likely to answer

Academic Information

Please select your current academic standing *

Select your anticipated semester of graduation *

Have you formally declared more than one (1) MAJOR? *

Yes
No

How many MAJORS have you formally declared? *

Enter a value up to 3

Please enter a number from 1 to 3.

Please select the college of your MAJOR *

Please enter your MAJOR *

Please select the college of your 1st MAJOR *

Please enter your 1st MAJOR *

Please select the college of your 2nd MAJOR *

Please enter your 2nd MAJOR *

Please select the college of your 3rd MAJOR *

Please enter your 3rd MAJOR *

Have you formally declared any MINORS? *

Yes
No

How many MINORS have you formally declared? *

Enter a value up to 3

Please enter a number from 0 to 3.

Please select the college of your MINOR *

Please select the college of your major

Please enter your MINOR *

Please select the college of your 1st MINOR *

Please select the college of your major

Please enter your 1st MINOR *

Please select the college of your 2nd MINOR *

Please enter your 2nd MINOR *

Please select the college of your 3rd MINOR *

Please enter your 3rd MINOR *

Do any of your declared MAJORS and/or MINORS require the study of Japan or Japanese?

Yes, Foreign Languages and Literatures: Asian Language Concentration Major
Yes, Japanese Language Minor
Yes, Japanese Studies Minor
No, none of my majors nor minors require the study of Japan or Japanese language

Proposed Learning Experience Information

Please enter the name of the institution hosting the program you plan to attend

Please enter the name of the program you plan to attend *

Please enter the city/town and prefecture of the program your plan to attend

Please provide a brief description of the program and your expected learning outcomes *

Please enter the number of weeks your program lasts *

Please enter the number of days per week your program requires

Please enter the number of hours per day your program requires

Please enter the total estimated cost of attending your desired program. This includes the cost of the program itself plus items not covered by the program, i.e. airfare, meals, housing, etc. *

Please select the academic term during which you plan to attend your program *

Fall Term
Spring Term
Summer 1 Term
Summer 2 Term

Please enter your anticipated departure date *

Please enter your anticipated return date *

Please describe any additional plans you may have while in Japan, whether they be academic or otherwise *

Personal Statement & Letter of Recommendation

In under 300 words, explain (1) what you hope to gain from your experience in Japan and (2) how receiving the funds you are requesting will enhance this experience. *

Letter of Support *

Please upload ONE letter of recommendation from an instructor or professional who knows you well and can explain how they believe this experience will impact you.

Accepted file types: pdf, Max. file size: 195 MB.

Consents and Agreements

The following consents are required to complete this application and to be eligible for any scholarship awards.

Please read carefully and check boxes beside items for which you give your consent and/or commitment to fulfill. *

I hereby consent to the use of any information provided by me in this application form by the Director of the North Carolina Japan Center and anyone appointed by the Director to a scholarship selection committee solely for, and limited to, the purpose of evaluating this application
I hereby consent to the use of my academic record (transcript, etc.) being used solely for the evaluation of this application.
If awarded a scholarship of any amount by the NC Japan Center, I hereby agree to publishing at least one (1) social media post per week pertaining to my study abroad experience that adheres to guidelines that will be provided to me and that includes the hashtag #ncjapancenter and that the NC Japan Center will have the right to share across other social media platforms.
If awarded a scholarship of any amount by the NC Japan Center, I hereby agree to sharing my experience upon return to NC State at a venue chosen by the NC Japan Center that I can reasonably accommodate.
If awarded a scholarship of any amount by the NC Japan Center, I hereby agree to share a profile picture and short biography for use on the NC Japan Center website.

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