Hanying Xu International Spirit Scholarship Endowment
Application Form
1. Student's Full Name (As it appears on passport):
__________________________ ____________________ ______________
(Family Name/Last Name) (First of Given Name) (Middle Name)
2. Emplid/Student ID Number:
_______________________________________
3. Date of Birth:
_______________________________________
4. Country of Citizenship:
_______________________________________
5. Student's Current Address:
_______________________________________ _______________________
(Street and Number) (City)
_______________________________________ _______________________
(Province/State) (Country)
6. Mailing Address (If different than current address):
_______________________________________ _______________________
(Street and Number) (City)
_______________________________________ _______________________
(Province/State) (Country)
7. Phone Number:
_______________________________________
8. Email Address:
_______________________________________
9. Expected Date of Graduation:
_______________________________________
10. Expected Degree(s) (Please list if Undergraduate, Graduate, or PhD with degree):
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11. Participation in extra-curricular activities at UND and in the community. (Activity Name
Years Involved – What you did – Leadership Positions Held). Feel free to attach an
additional page if more space is needed.
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12. Honors and Awards. Feel free to attach an additional page if more space is needed.
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13. Volunteer Experience. (Organization Hosting ActivityActivity Name Time/Hours
Served What you did) Feel free to attach an additional page if more space is needed.
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14. Any Additional Information you would like the selection committee to consider related to
your application.
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15. University Transcripts. (Unofficial copies are accepted.) If you are a transfer, graduate, or
PhD student please include previous college transcripts along with your current UND
transcript.
16. Two Letters of Recommendation. Including at least one from a professor or academic
advisor, second may be from one of those two as well or an employer, extra-curricular
activity advisor, etc.
17. Statement/Essay of Goals. Including, but not limited to your field of study, why you
chose it, how you have been working towards it, and your future goals. 500 word limit.
Please do not exceed word limit.
Double check to make sure this application includes:
1. This completed form.
2. List of Extra-curriculars, Honors/Awards, and Volunteer Experience (May be listed
on application where noted or attached if more space is needed).
3. Most recent copy of your current university transcript (Unofficial is acceptable), please
include college transcripts from colleges and universities you may have transferred from
and from your other degrees you may have received.
4. Two letters of recommendation including at least one from a professor or academic
advisor, second may be from one of those two as well or an employer, activity advisor, or
someone who knows you very well.
5. Statement/Essay of Goals including, but not limited to your field of study, why you
chose it, how you have been working towards it, and your future goals. 500 word limit.
Do not exceed this limit!
This application should be returned to the Office of International Programs:
International Centre
2908 University Ave Stop 7109
Grand Forks, ND 58202-7109
United States of America
In applying for this scholarship award, the undersigned applicant certifies and agrees that:
(a) Applicant is a future or current student at the University of North Dakota
(b) That all information above is accurate to the best of the applicant’s knowledge
(c) If I am awarded this scholarship, I agree to be informed and knowledgeable about
the United States Immigration and Naturalization Service regulations for
international students and to comply with the regulations
Dated this ______ day of ____________________, 20____.
________________________________________
Signature of Applicant
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