College of DuPage Foundation Scholarship Application COD Veterans Expedition & Teambuilding (VET) Scholarship 2016 Twelve $960 scholarships will be awarded for 2016. Rockies Speech 1120: Small Group Communication This is a unique and adventure-based way to meet the Contemporary Life Skills requirement or the speech requirement for AAS degrees. Explore leadership, teamwork, roles, conflict management, ecological awareness and personal development in the Colorado wilderness. Class: July 1 (5 to 6:50 p.m.). Field study: July 9 to 15. Eligibility: A veteran of the US Armed Forces (Status will be verified by Veterans Student Services) o Preference will be given to students that are still serving or separated within the last 10 years. A brief (approximately 15 minute) interview with Jose Alferez, Manager of Veterans Student Services is required. Deadline for application: April 29, 2016 (Turn in to Field Studies/Study Abroad office BIC 3509) Section I: Personal Information First Name: Last Name: Colleague ID: Address: City: Preferred email: Preferred phone number: State: Zip Code: Section II: Information Study abroad site: COD Veterans Expedition & Teambuilding (VET) Scholarship 2016 Sponsoring organization: College of DuPage Dates of program: 7/1 (Classroom) and 7/9 to 7/15 (Field Study) Approximate costs: Program tuition/fees: $1365 (Trip fee of $960 + Tuition $405) Scholarship Coverage: The VET Scholarship will cover the $960 fee which includes air/ground transportation, most meals, lodging, backpacking and camping equipment, hot springs, whitewater rafting and wilderness permits. Total paid by student: $405 (If you are eligible for it, we recommend you utilize the Illinois Veterans Grant or Illinois National Guard Grant). Please speak to the Veterans Student Services Office about how to use education benefits to cover this cost. List previous study abroad experiences for college credit (program, location, dates): ________________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ 1. Submit a Statement of Purpose (200-500 words) o o o o Who are you? What are your educational goals at COD? Why did you choose this specific program and destination? Why do you think field studies is a good choice to you? How does this program fit in with your personal/academic/professional goals? Important Note: This course is considered strenuous. Participants must be comfortable backpacking up to 10 miles a day with a 40-pound backpack over rugged terrain at altitudes possibly exceeding 11,000 feet, with optional excursions above 14,000 feet. Section III: Certification I certify that this is my permanent, legal address and that all other information is true and correct to the best of my knowledge. I authorize College of DuPage to release my grades, transcripts and information contained in this application to the sponsoring scholarship committee and will allow the use of my information and photograph for publicity purposes. I understand that in order to receive payment I must adhere to the stipulations of the scholarship as well as the COD Standards of Conduct and Academic Progress throughout the Field Studies program and academic year. Signature Date Please contact Jose Alferez at 630-942-2444 or alferezj@cod.edu to schedule your interview and submit your application with supporting documents.