UCLA Center for Korean Studiesr

Basic Information

First Name *

Last Name *

Email Address *

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Date of Birth (mm/dd/yyyy) *

City of Birth *

Gender *

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Home Address *

Work Address *

Phone Number *

Married *

Yes

No

Passport Number *

Photocopy of Passport *

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Expiration Date (mm/dd/yyyy) *

Country of Citizenship *

Research Information

Title of Research Proposal *

Proposal *

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Proposed Visit

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Ending Date (mm/dd/yyyy) *

Have you previously been a UCLA Visiting Scholar? *

Yes

No

Education Information

Highest Degree Earned *

Date Awarded (mm/dd/yyyy) *

Curriculum Vitae/Resume *

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Occupation in Home Country *

Employer *

Letter of Recommendation (non-academics only)

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Letter of English Language Proficiency *

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Financial Support

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Personal

Employer

Funding Agency *

Funding Amount (USD $) *

Financial Support Letter *

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Dependents

Number of Dependents *

I agree to pay *

A $540 - No Dependent

A $580 One dependent

A $620 Two dependents

A $660 Three dependents

A $700 Four Dependents