John D. Holm Study Abroad Opportunity Scholarship
The John D. Holm Study Abroad Opportunity Scholarship was established to help provide international study opportunities to
undergraduate students from Cleveland State University who are socially and economically disadvantaged.
Deadlines Oct 15 for Spring, March 15 Summer, June 15 Fall
Eligibility
Current undergraduate student at Cleveland State University who is economically and/or socially disadvantaged
Approved or eligible for general study abroad approval
Studying abroad on an approved program that is 4 weeks or longer
Minimum cumulative GPA of 2.75
Instructions
Please fill out the information below. Attach a personal statement to this application form and submit both to the Center for
International Services and Programs by the established scholarship deadlines. Essays should be double-spaced, typed, contain
between 1,500-2,500 words and address the following:
Reasons for applying for the scholarship
Your social and/or economic need(s) for the scholarship (e.g. single mother who has to provide for child care,
already receiving educational need-based scholarships or loans, not being able to work to earn money while abroad,
etc.)
How you plan to pay for your intended study abroad program with or without this scholarship
Choice of study abroad program and how it advances your academic goals
Applicant’s Name ___________________________________________________________ CSU ID______________________
Home Address__________________________________________________________________________________________
Permanent Address (if different)____________________________________________________________________________
Phone ___________________________Email Address__________________________________________________________
Major/Minor ______________________________________________ Anticipated Date of Graduation _________________
Cumulative GPA _________________Academic Advisor_________________________________________________________
Conditions of Award
Awardees are encouraged to meet with the donor prior to and after their study abroad program.
Each recipient will be required to submit a reflection paper to the donor and/ or Center for International Services
and Programs no more than 3 months after their return to the U.S from abroad which highlights their experience of
study abroad and should include an analysis of the impact of their experience on their ideas about cultural
differences, future foci of academic study and career aspiration (up to 1,500 words).
By signing this application, you are confirming that you have read and understood the Instructions, Eligibility, and the
Conditions of the Award and accept them.
Signature: _________________________________________________________________
Date: ___________________
All applications should be submitted to:
Center for International Services and Programs
c/o John D. Holm Study Abroad Opportunity Scholarship
2121 Euclid Avenue, MC 106, Cleveland, OH 44115
Please contact us with any questions at studyabroad@csuohio.edu, Tel: (216) 687-3910, Fax: (216) 687-3965
Rev. 5/2012