Visiting Scholar/Honorary Fellow Request Form

Thank you for your interest as a visiting scholar or honorary fellow in the Department of Asian Languages and Cultures at the University of Wisconsin - Madison. To better assist us, please provide the following information.

Family Name*
Given Name*
Date of Birth*
MM slash DD slash YYYY
Proposed Start Date*
MM slash DD slash YYYY
Proposed End Date*
MM slash DD slash YYYY
Email Address*
Address Line 1*
Address Line 2
Address Line 3
City/Province*
Country*
Postal Code
Professor you are requesting to work with*
Highest Degree Earned*
Briefly describe your research proposal (2-3 sentences)*
If invited as a visiting scholar/honorary fellow, would you be willing to take part in a language exchange with current undegraduate students?*
- Yes
- No
Curriculum Vitae*
Max. file size: 24 MB.
Research Proposal*
Max. file size: 24 MB.