Scholar Development Grant Application

Summer 2017

Final Deadline: March 31st

Please submit your typed application to the SGA office in DSU 2045 or as an email attachment to . All incomplete applications or applications submitted after March 31st will not be considered.

Please submit a copy of your unofficial academic transcript with your application. Transcripts should be downloaded from Topnet in PDF form.

Name:

WKU 800#:

WKU Email:

Mailing Address:

Mobile Phone:

Major(s):

Minor(s):

GPA (Please use your “Overall GPA” as reported on your transcript):

Class Standing:

Please indicate why you are requesting funds (circle all that apply).

Conference Attendance

Equipment Purchase

Research Expenses

Test Prep (LSAT, GRE, MCAT, etc)

Other: ______

Conference Attendance:

Please briefly describe the conference and list the location/ dates of conference.

Equipment Purchase:

Please list two or three quotes (with sources) for each item to be purchased.

Research Expenses:

Please describe any fees or costs incurred for your research.

Test Prep:

Please list the name of the test prep course, the instructor/company, the date(s), and the location.

Other Expenses:

Please describe in detail other expenses for which you are requesting funding.

BUDGET TABLE

For all expenses, proper documentation (receipts, invoices, etc.) must be submitted for compensation.

Itemized List of TOTAL Expenses / Cost ($)
Total Expense of Project / $

Note: $250 will be the maximum amount awarded to an individual recipient per application. A maximum of $500 will be rewarded to an individual recipient during any academic year.

1.  What alternate sources of funding (Department, College, etc) are you seeking? Have you received any funding? If so, how much?

2.  Have you applied for the SGA Scholar Development Grant this academic year? If so, how much funding did you receive?

3.  Please describe extracurricular activities in which you are involved, especially those that demonstrate your leadership.

4.  Please attach a typed narrative of 250-500 words describing how you would use the requested funds, focusing on how these funds will enrich your academic experience. If you are attending a conference, please discuss your role. If you are conducting research, please describe your research.

5.  Please list two references, at least one being a WKU faculty member who can verify the contents of this application at the discretion of the selection committee. They will not need to submit any additional documents.