Studium Application

Name

This field is for validation purposes and should be left unchanged.

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Email*

Phone*

How long do you wish to be a Visiting Scholar? What are your preferred dates?*

Applications may be for a week to four months. If there are different date options, please indicate.

Do you have any special needs (dietary, other)?*

Please share a brief description of your project.*

Professional Reference

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Phone*

Personal Reference

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Phone*

Please attach a copy of your curriculum vitae with this application.*

Max. file size: 8 MB.

Submission of this application implies that you are able to pay the Studium fee. If your application is accepted for a month-long stay or longer, you will be expected to send a $100 deposit to confirm your place. It will be 50% refundable within five (5) days notice. Scholarships may be awarded upon application.

Professional Reference

Personal Reference

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