Undergraduate Study Abroad Scholarships / 2016-2017 Application
Personal Information
Name
PID
Address
(include city, state, and zip code)
Phone number
Email
Program within College of Education (place an X in the appropriate blank):
Teacher Education____ Kinesiology____ Other ______
Year in Program: First ____ Second ____ Third ____ Fourth____ Internship Year ____
GPA(include transcript or grade report on last page )
Advisor
You Pay: In-state tuition _____ Out-of-state tuition_____
You Are a/an: Domestic student_____ International student _____
If you are an international student, what country are you from?
Do you speak languages other than English? If yes, list below.
Recommendation Information
List an advisor, professor, or community member who can speak to your qualifications (ability to handle challenges; openness to new experiences) and how this program will enrich your educational experience. Be sure to let your reference know you are listing them. The letter of recommendation should be submitted by your recommender no later than January 31, 2017 at 5:00 p.m.via
Recommender’s name
Relationship to you
Contact information
(phone and e-mail)

Name: ______

Study Abroad Program Information
College of Education credit-bearing program in which you intend to enroll (if you have not decided, place an “X” forthose you are seriously considering).
You can use the Office of Study Abroad program search toolfor details about these programs.

___Summer Sports Program Down Under -Australia
___A Day in the Life of Japan: Education, Popular Culture, and Society - Japan
___Learning, Technology, and Culture in Europe–Netherlands
___ Education, Society and Learning in South Africa – South Africa
___Cross-Cultural Teaching Abroad -South Africa
___University of KwaZulu-Natal-South Africa
Does this course fulfill a requirement for your program? If yes, which one?
Estimated financial need not yet covered (based on program costs):
How do you expect to pay for study abroad?
Previous Experience Abroad
Have you previously traveled abroad? Yes ____ No ____
If yes, for what purpose (school, leisure, work) and duration?

Essays:

Please answer the following questions in essay form. Your responses should not exceed 2 pages per question, double-spaced.Include your first and last name on each page of your essay.

1)Rationale for Interest in Study Abroad: How does study abroad fit into your long-term personal and/or careergoals? How will this experience enhance your study to become an educator?

2)Previous Experiences with New Environments or Situations: Write about a time when you experienced a new place, differences in culture, or differences in thought. How did you respond to this new environment or experience? What did you learn from this experience? This may include experiences locally, nationally, or abroad.

Academic record:

Include your transcript or grade reportas the last page of this document.

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