Western Kentucky University
Student Government Association
Study Abroad & Student Teach Abroad Scholarship Application
Spring/Summer 2012
Due: April 6, 2012
Please submit your typed application to the SGA office in DUC 130 or as an email attachment to
sga@wku.edu. Include the application form and the faculty recommendation. Applicants under
consideration may be contacted to schedule an interview with SGA representatives. Please note that the
awards for study abroad/student teach abroad will be a maximum of $300 per academic term. Students
can be awarded up to $600 per academic year. A student who studies or teaches abroad before his/her
award is granted will be reimbursed by SGA. Please contact sga@wku.edu with any questions regarding
this process. On average, award recipients have a minimum GPA of 3.0.
PERSONAL INFORMATION
Student Name: _______________________________________ Date: ______________
Mailing Address: ___________________________________________________________
Phone: __________________________WKU Email Address: ____________________________
WKU ID#: _________________________Major: _____________________Minor: ________________
GPA: ______ Class Standing (e.g., freshman, sophomore, etc.) : _________________________
PROGRAM INFORMATION
Please select your reason for traveling:
Study Abroad
Student Teach Abroad
University / Country / City where you will be studying or teaching:
_______________________ / __________________________ / ____________________
Start/End Dates of the program: ______________________ / _______________________
Have you been accepted into this program? (circle one)
YES
NOT YET
Anticipated # of credits earned: _______ Anticipated cost of the program: $______
Course(s) for which you will be earning credit: _______________________________________
1. Please explain the capacity in which you will use the scholarship money given to you by the
SGA (i.e. travel expenses, food expenses).
2. Have you applied to, or been awarded by, any other sources (WorldTopper, Department,
College, Honors, etc)? To which sources have you applied? How much has been confirmed?
3. Please list any extracurricular activities in which you are involved.
4. Please provide a narrative (approx. 250-500 words) describing how this program is related
to and will impact your academic goals and personal growth.
Western Kentucky University
Student Government Association
Study Abroad Scholarship Application
Faculty Member Recommendation
Student’s Name: _________________________________________________________________
Faculty Name: ___________________________________________________________________
Faculty Email Address: ___________________________________________________________
How long have you known the scholarship applicant? __________________________________
In what capacity?_________________________________________________________________
Please rate the student applicant on the following qualities/traits on a scale of 1-5 (1 being poor and
5 being excellent)
Attendance/Punctuality: _____
Reliability: _____
Academic Competence: _____
Professional/Mature Attitude: _____
Interpersonal Relationships: _____
Please provide any additional comments or concerns below:
The SGA may contact you to confirm your recommendation of this student. SGA appreciates your time
and effort in supporting your student’s academic endeavors.