Study Abroad Adventure Scholarship
Application
Complete all fields. Please fill-in the text fields and then print and sign. Submit to the Office of International Affairs by deadlines
communicated on the study abroad webpage. Applications will not be accepted late.
Instructions:
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Fully complete application and attach typed essay.
Students are responsible for checking relevant deadlines on the Study Abroad website. Applications must be
submitted to The Office of International Affairs by 5:00pm on the due date and will not be accepted late.
Students must have a minimum of a 2.5 grade point average to be eligible for scholarships.
Students participating in multiple short term programs are limited to a maximum of $500 in total funding from this
office. Students involved in both short term and long term programs are limited to $900. Second requests may
receive a lower priority.
This scholarship may not be combined with Presidential or Cormier Honors study abroad scholarships unless
specific permission is granted from the Study Abroad Advisory Committee or Director of International Affairs.
Program Information:
Please select the appropriate program:
Name/Location of Program:
Approximate Dates of Program:
Name of Faculty Director (if faculty-led)
Semester/Academic Year
Student Information:
Legal Name (as appears/will appear on passport):
Longwood ID Number (L#):
Longwood Mailing Address:
Permanent Address:
Major:
Minor:
Cumulative GPA:
Expected Date of Graduation:
E-mail Address:
Cell Phone #:
Passport Number:
Date of Issue:
Date of Expiration:
Do you plan to receive your degree from Longwood?
Yes;
No
Have you received a previous study-abroad scholarship from Longwood?
Yes;
No
If yes, for what program?
Program Dates:
Amount:
Have you applied/will you apply for scholarships funds from another office or department at Longwood?
If yes, please specify:
Yes;
No
Essay Requirement:
Please answer the following question and staple it to your application. Essay must be typed and content will be given
significant weight.
WHAT MAKES YOU A GOOD CANDIDATE FOR A STUDY ABROAD SCHOLARSHIP, AND HOW
WILL THE EXPERIENCE SHAPE YOU AS A SCHOLAR AND AS A CITIZEN LEADER?
I understand that if I accept this scholarship and then later withdraw from the study program, I am required to return the award in
full immediately upon withdrawal. Should I fail to complete the program, fail to attend classes regularly, or fail to submit assigned
work, I will be obligated to refund the entire amount of the scholarship immediately upon returning home. I am aware that failure to
comply will result in a hold being placed on my academic record and honor board charges may result. I also confirm that the above
information is current and accurate to the best of my knowledge.
Signature ___________________________________________ Date __________________________________