Office use only Date: GPA: Total Hrs.: Program: Approval? Amount: Notified on: School of Professional Studies Study Abroad/Student Travel Grant Application (Domestic and International) You must type and fully provide the information requested below. Late applications will not be accepted. Please submit the applications to cortney.basham@wku.edu (Tate Page Hall 262). Name: WKU ID#: WKU Email: Mobile Phone #: Name of Program: Primary Destination(s): Departure and Return Dates: SPS Program you are enrolled in: Sponsor of Program (Faculty Led, KIIS, or thirdparty provider). Please name the faculty or provider sponsoring this program. Length of Program (#weeks, 1 semester, year): Total Credit Hours Earned Through Program: Have you previously participated in a Study Abroad Program while a student at WKU? If so, which one(s)? BUDGET SHEET Some programs charge students one fee for all services (such as flight, in-country transportation, etc.), but some programs shift costs of certain necessities to students (such as flights, visas, etc.) that are not part of the overall program fee. If your program charges you an all-inclusive price, then just list that single price below under total costs. If your program’s expenses can be itemizes, then please list (on the next page) your individual expenses associated with your program. University College Study Abroad/Student Travel Grant Budget Form (Domestic and Study Abroad) Funding Amounts: Up to $500 for International Travel Up to $250 for Domestic Travel AMOUNT REQUESTED ITEM Travel Flight $ Lodging $ Ground Transportation (taxi, bus, and train) $ Mileage-Personal Vehicle only (Check with the Honors College for most up to date rate) $ Per Diem (For Domestic Subsistence Rates, visit http://www.gsa.gov/portal/content/104877) (For Foreign Subsistence Rates, visit http://www.defensetravel.dod.mil/site/perdiemCalc.cfm) $ Miscellaneous $ TOTAL COSTS $ You are encouraged to seek other sources of funding, such as from, WorldTopper Grant, Golden Key, Departmental Funds, etc. Please list the sources and amounts of alternative funding you have sought: Narrative: Below, please provide a typed, double-spaced narrative of approximately 250 words describing how this program is related to your academic goals and how you anticipate this program will impact your intellectual and personal goals and development. International Travel Applicants Complete This Page Letter of Recommendation To be considered for the University College Study Abroad Grant, a WKU faculty member must submit a letter of recommendation speaking to your academic and personal maturity and promise for study abroad education. Applicants must submit a hard copy of the recommendation letter with this Grant application. Final Submission By completing this document and submitting it as an attachment you are declaring the veracity of the financial information reported above and understand the terms, rules, and conditions of the grant you are applying for. If the University College chooses to award funds to support your academic travel, any legal liability and responsibility still reside with the organization sponsoring the academic program and not with the University College itself. Please make sure you are familiar with all rules and guidelines, particularly those concerning risk management, that are part of your chosen academic program.