Short-Term Study Abroad Scholarship Application

Last Name: *

First Name: *

Middle Name:

Cell Phone: *

E-mail: *

Banner ID: *

Gender *

Major: *

GPA: *

Classification: *

Approx. credit hours to date: *

Estimated graduation date *

Are you a NC resident?: *

If you are an in-state student, please let us know here.

Yes

Are you a first generation college student? *

If neither of your parents attended a four year college, you are a first generation college student. Please let us know here.

Yes

International Experience

Have you traveled abroad before? *

Yes

Previous international travel (if applicable)

If you have traveled abroad, please list all countries visited, the year visited and the type of travel(family vacation, volunteer program, faculty-led program, etc). If you have traveled with a faculty-led program, please indicate the program leader as well.

Financial Need

Are you paying for school yourself? *

If you are paying for 85% or more of your tuition and living expenses yourself, either with the help of loans or with your personal earnings, please let us know here.

Yes

How you are paying for school *

Please describe how your education expenses are covered, to the best of your knowledge.

Financial Need: *

I am filing a FAFSA for this academic year: *

Study/ Intern Abroad Program

Please list the international program for credit that you will participate in with these scholarship funds.

Program Type *

Semester Abroad

Year Abroad

International Internship for credit

College of Business Faculty-led Program

Have you applied to your selected program? *

Yes

Program Destination: *

Faculty-led Program Leader(if applicable):

Course Number(for faculty-led programs): *

Company Name/Faculty-led Program Name/ Partner Institution: *

For international internships, list the company name. For faculty-led programs, list the program name. For semester/year abroad, list the partner school name.

When will your international experience take place?

Semester: *

Year: *

ex., 2012

Please briefly describe:

Your career plans: *

Clubs and activities with which you have been involved: *

Reason for applying for scholarship: *

Certification and Signature

I certify that the above information is true and correct to the best of my knowledge. *

YES

I give permission for the scholarship committee to share pertinent information from my application with donors. (This allows donors to better understand the impact of their generosity.) *

YES, I allow the scholarship committee to share pertinent information from my application with the donors of our study abroad scholarship funding.

NO, I do not allow the scholarship committee to share pertinent information from my application with the donors of our study abroad scholarship funding.

My typed name will serve as my signature (Please type your full name): *

Leave this field blank

Walker College of Business

Short-Term Study Abroad Scholarship Application