Program:_________________________

 

Name:___________________________________ Student ID:________________________

 

Address:____________________________________________________________________

                                  Street                                                                     City                                                          State

 

Phones: ________________     _________________    Email:_________________________

                        Home                                         Work

 

Faculty references: Please have two faculty members who know you, and who would recommend you for this scholarship, sign your application.

 

____________________________________     ____________________________________

                       Faculty Signature                                                                                 Faculty  Signature

Date________________________________     Date________________________________

                

1. Are you currently receiving a scholarship of any kind, and if so, which scholarships?

 

 

2. Are there any special circumstances we should know about in considering your request for scholarship assistance?

 

 

 3. Do you have any previous foreign travel experience? Please describe the experience. 

 

 

4. What is the total cost of your program?_________________________________________

5.  Please write a brief essay (1-2 pages) about what you hope to gain personally from this opportunity and how it relates to your program of study.

 

Deadline for applications is January 30, 2009 for programs in May or summer term. Scholarships will be announced February 7, 2009.