Section 1: Applicant Information

First

Last

Are you 18 years old or older and a U.S. Citizen?

• Yes
• No

Email

Phone

Street Address

Apt./Unit No.

City

State

Zip

Occupation / Current School ot Employer / Retired

Section 2: SPSCA Membership Eligibility

7. Are you currently a member of the Seattle–Perugia Sister City Association?

• Yes
• No

8. If yes, how long have you been a member?

9. Please briefly describe any involvement you’ve had with SPSCA activities or events (if applicable).

Section 3: Italian Language Background

10. Have you previously studied Italian?

• No prior study
• Beginner
• Elementary
• Intermediate
• Advanced

11. Where and how have you studied Italian? (e.g., formal classes, self-study, online courses, immersion, family background) How long?

12. Please describe your current Italian language skills (speaking, listening, reading, writing — approximate comfort level)

13. Have you spent time in Italy before?

• No
• Yes (please explain where, when, and for how long)

Section 4: Motivation & Learning Goals

14. Why are you interested in studying Italian at the University for Foreigners in Perugia?

15. What specific language skills do you hope to improve during this one-month program? (e.g., conversational fluency, pronunciation, grammar, cultural understanding)

16. How do you plan to continue studying or using Italian after returning from Perugia?

Section 5: Personal Connection & Cultural Interest

17. Please describe your personal, cultural, or professional interest in Italy and/or Perugia. (This may include family heritage, academic interests, arts, food, history, travel, community engagement, membership and/or participation in other local Italian organizations, etc.)

18. How do you believe this experience will contribute to cross-cultural understanding between Seattle and Perugia?

Section 6: Ambassadorial Role & Community Impact

19. As a scholarship recipient, how would you represent SPSCA while in Perugia? (Consider cultural exchange, community engagement, or informal ambassadorial roles.)

20. How do you plan to share your experience with SPSCA or the broader Seattle community upon your return? (Examples: presentation, written reflection, event participation, social media, newsletter article.)

Section 7: Practical Considerations

21. Are you available to attend the full one-month program in Perugia during 2026?

• Yes
• No

22. Do you have a valid passport or expect to obtain one in time?

• Yes
• In process
• No

Section 8: Personal Statement

24. Please share anything else you would like the selection committee to know about you. (This may include personal growth goals, challenges overcome, or what makes this opportunity particularly meaningful to you.)

25. How did you hear about SPSCA’s scholarship program?

Applicant Signature (typed):

Date

Submit