Student Travel Individual Scholarship Form

This application is for Southern Arkansas University Foundation (SAUF) Student Travel individual scholarships only. (Faculty requesting a scholarship for a group should use the Group Academic Travel Scholarship Application.)

Student Travel Scholarship Eligibility Criteria:

Be enrolled and in good standing in an undergraduate or graduate program of SAU immediately before the dates of travel
Be a citizen of the United States (for study abroad only)
A faculty letter of recommendation
Provide SAUF a written summary and/or presentation to the SAUF Board of Governors following the conclusion of the trip

Travel Information

Name(Required)

First Last

Email(Required)

Enter Email Confirm Email

Phone(Required)

Student Identification Number(Required)

Class Level(Required)

GPA(Required)

Decalred Major(Required)

Decalred Minor(Required)

Name of conference, school, or independent study project(Required)

If trip is to a conference, will you be making a presentation?

Yes

Name of Presentation

Departure Date(Required)

Arrivial Date(Required)

Description & Goals of Travel(Required)

Have you previously received a SAU Foundation student travel scholarship?(Required)

Yes

Have you ever traveled outside the United States?(Required)

Yes

If so, how many times?

What countries have you visited?

Approximately how many states in the USA have you visited?

Travel Budget

Registration Fees per person(Required)

Transportation via(Required)

How many nights do you need lodging?(Required)

How much does lodging cost per night?(Required)

Food cost per day? Required Field(Required)

Other Informtaion

Total estimated cost of the trip(Required)

Amount to be paid by an SAU organization or department(Required)

Amount that you and/or your family will pay(Required)

Total Amount Requested(Required)

I certify that all statements in this application are true and that I meet the eligibility criteria listed above.

I authorize the release of scholarship information to scholarship donors and news media.

I understand that the scholarship may be subject to taxation as scholarship income and that I am responsible for determining the extent of my tax liability and for paying any resulting taxes.

I understand that if I receive this award, I will write a written summary and/or provide a presentation to the SAUF Board of Governors upon completion of travel and deliver it to the SAU Foundation.

Dean/ Department Chair approving the trip: Required Field

Prefix First Last