Please complete the following online application form. This is the first step in the application process for the Scott Kloeck-Jenson Fellowships. After submitting this form, you will receive an email confirmation with instructions on next steps to complete your application.

Before proceeding with this form read through all the fields to make sure that you can completely answer the questions. Once you have submitted the form you cannot return to it for editing. All fields are required. Keep your answers brief.

This form has been disabled and is available for information purposes only. Information on Summer 2014 awards should be available in late 2013.

Applying for which fellowship?
   
First Name
Last Name
   
Email Address
Address used must be a UW-Madison address. Non-UW addresses will generate an error message on submission of this application.
   
UW Student ID Number
(10 digit)
   
Madison/Campus Address
(incl zip code)
Phone Number
   
Permanent/Home Address
City, State, Postal Code
Country
   
Are you a US citizen?
There are no nationality restrictions on receiving an SKJ Fellowship. Non-US recipients will simply need to submit different documentation when collecting their award.
   
What do you consider your hometown (city, state/province, country)?
We will send a news release to the hometown newspapers and other media outlets of Fellowship recipients.
   
Department of Study
Faculty Advisor
Advisor's Email Address
Your advisor should also provide one of your two letters of recommendation. Applicants are responsible for contacting references and requesting letters of reccomendation.
   
Name of person who will provide your second letter of recommendation
Email Address
   
Proposed Destination
Country at a minimum; please include the name of the primary city & state or province if possible.
   
Proposed Departure Date
Proposed Return Date
Time abroad should be approximately 10 weeks and should be reflected in the dates provided above. If time abroad is less than ten weeks please provide an explanation in your statement/s.
   
Briefly summarize the social justice aspects of your work
(700 characters max; approximately 100 words)
Provide a brief summary statement of how your proposed work abroad will address issues of social justice. You should be sure to expand upon this in more detail in your proposal/statement (to be submitted separately).
   
List other sources of support & approximate amounts ("n/a" if none)
 
 

Questions about the SKJ Fellowship or application process should be directed to Mark Lilleleht, Program Coordinator, Global Studies, by email or phone at 608.265.6070.