UCLA Center for Korean Studies

Basic Information

First Name *

Last Name *

Email Address *

Confirm Email Address.

Date of Birth (mm/dd/yyyy) *

City of Birth *

Gender *

Male
Female

Home Address *

Work Address *

Phone Number *

Married *

Yes
No

Passport Number *

Photocopy of Passport *

(NOTE: you must click "Upload" after you select a file)

Expiration Date (mm/dd/yyyy) *

Country of Citizenship *

Research Information

Title of Research Proposal *

Proposal *

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Proposed Visit

Beginning Date, starting at the beginning of the month (mm/dd/yyyy) *

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 *

(NOTE: you must click "Upload" after you select a file)

Occupation in Home Country *

Employer *

Letter of Recommendation (non-academics only)

(NOTE: you must click "Upload" after you select a file)

Letter of English Language Proficiency *

(NOTE: you must click "Upload" after you select a file)

Financial Support

Funding Options *

Personal
Employer

Funding Agency *

Funding Amount (USD $) *

Financial Support Letter *

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Dependents

Number of Dependents *

I agree to pay *