FALCON Application

(The on-line application form is used for preliminary purposes only; you may be asked to complete a hard copy if you are accepted into the program.)

E-mail Address:
Family Name:
First Name:
Middle Name:
Cornell ID:
Current Address:
Telephone Numbers:
Permanent Address and Phone:
Final date you can be reached at current address:
Birthdate (month/date/year):
Sex:	MaleFemale
Current Status:	High School Undergraduate Graduate Post-Doctoral Employed Unemployed
	If currently employed, where? Occupation:
Present or most recent college attended:
Major(s):
Degree:
Date expected:
Previous degrees, years, majors:
Citizenship:
Birthplace (city, state, country):
Native Language:
Check the FALCON course sequence(s) for which you wish to apply: If applying to the Academic-Year Program (Fall and Spring), please request the appropriate Cornell application (see links on FALCON ChineseorJapanesepage) and/or fill out the FALCON Full-year Supplement (non-degree candidates only).  Be sure to send your $25 application fee and social security number within two weeks of applying on-line. Chinese or Japanese Intensive Beginning Summer Course (160)  Chinese or Japanese Full-year, Summer, Fall, and Spring Terms (160, 161, 162)  Chinese or Japanese, Fall and Spring Terms Only (161, 162) (placement by exam)  Intensive Intermediate Summer Course (Japanese 203-204; Chinese 201-202;       placement by exam; offered if enrollment permits; does not continue in Fall Term)

Language Experience :
1. Which language are you applying for?	Chinese    Japanese
2. Have you studied this language formally?	Yes    No Dates: Institution:
3. Have you ever lived or traveled in a country where this language is spoken?	Yes     No Dates of stay: Purpose: Before, after, or during formal instruction?
4. Was this language spoken in your home?	Yes     No By whom? In what age period of your life? Were you regularly spoken to in language?  Yes    No Did you regularly answer in this language? Yes     No
5. Fill out the chart below for each language you have studied.  After submitting the entire application once, hit "Back," and redo the chart for your next language.  Resubmit, and continue in this way until you have told us about every language you have studied besides your native language.  Estimate answers to the best of your ability.
Language Studied: Number of hours per week in class 1st Year: 2nd Year: 3rd Year: Number of hours of work in language lab per week 1st Year: 2nd Year: 3rd Year: Number of hours of preparation outside lab per week 1st Year: 2nd Year: 3rd Year: Percent of class time conducted in the language 1st Year: 2nd Year: 3rd Year: Percent of class time conducted in English 1st Year: 2nd Year: 3rd Year: Percent of time spent on speaking 1st Year: 2nd Year: 3rd Year: Percent of time spent on reading/translations 1st Year: 2nd Year: 3rd Year: Grades received 1st Year: 2nd Year: 3rd Year: Books covered: Where did you study this language? Name of school/institution: City/State/Country:

FLAS Fellowship

You qualify for this merit-based fellowship if you: are a U.S. Citizen or permanent alien resident AND will have an undergraduate degree by the start of the program  You must fill out a separate FL AS application form. You will need GRE (or equivalent) scores submitted to Cornell's institutional code 2098, Dept. of Asian Studies. Application and supporting credentials (including two letters of recommendation,transcripts, fee, and supplement) must be received by the FALCON Program no later than February 11, 2002.  Please check one: interested in applying; need forms  interested in applying; already have forms  not interested/not eligible  Personal Statement NOTE:  You do not have to hit "return" at the end of each line. We recommend that you SAVE YOUR ESSAYS in a word processing file.  Rarely (but sometimes) we receive an incomplete application due to server error.  We will notify you if you need to resubmit.  Write a brief outline of your career goals and how the FALCON Program relates to them. Include other relevant information, such as past work: Where did you hear about the FALCON Program?   How easy was this form to use?   Additional comments: Now you may submit your completed application to FALCON, or clear it to start over. I certify that the information contained in this application and supporting documents is complete and accurate, and I understand that submission of inaccurate information may be sufficient cause for denial of admission or termination of enrollment.