SAGE Scholarship Instructions and Application Form.

advertisement
SAGE SCHOLARSHIP INSTRUCTIONS &
APPLICATION FORM
The SAGE office has scholarship funds for both short-term and semester study abroad programs for students
in financial need. The award of these funds is competitive and will be based on the number of applicants and
the quality of the applications received.
In order to apply, you must be enrolled at Valencia and in the process of applying to or have already been
accepted into a short-term or semester program. Awards range from $500 to $1500 for short-term programs
and from $1000 to $5000 for semester programs.
Scholarship award payments will be made directly to your program provider for both short-term and semester
programs.
PLEASE NOTE: If the SAGE office is purchasing your airline tickets directly, you cannot apply the scholarship
amount to the ticket purchase. In the even that you cancel, there is no refund and you will keep the ticket for
future use.
DOCUMENTS TO SUBMIT FOR A SHORT-TERM PROGRAM SCHOLARSHIP AWARD:
 SAGE Scholarship Application Form (signed and dated)
 Unofficial transcript
 One letter or email recommendation from a Valencia faculty or staff member giving supporting reasons
why you should receive this award.
DOCUMENTS TO SUBMIT FOR A SEMESTER PROGRAM SCHOLARSHIP AWARD:
 SAGE Scholarship Application Form (signed and dated)
 Unofficial transcript
 One letter or email recommendation from a Valencia faculty or staff member giving supporting reasons
why you should receive this award.
 Study Abroad Budget Worksheet (fill out the entire form)
 Course Pre-Approval Form (signed by the program dean)
 Consortium Agreement for Study Abroad (signed by the Academic Advisor, program dean, and Financial
Aid Advisor)
 Upon Scholarship Approval: Submit your program invoice. Valencia will make the check payable
directly to the program provider.
1
SAGE SCHOLARSHIP INSTRUCTIONS &
APPLICATION FORM
PART 1: PERSONAL INFORMATION
Student Name:
Date:
Address:
VID#:
E-mail Address:
Phone Number:
Age:
Ethnicity:
Single Parent?
Gender:
Registered Disability?
Major:
Armed Forces Veteran?
Current GPA:
Employer Name & Status
(Full/Part-Time):
Annual Salary:
Have you ever studied or
traveled abroad before?
Are you receiving financial aid?
Pell Grant? Please describe.
Has Valencia ever fully or
partially funded a study abroad
program for you? If so, how
much was received?
PART 2: PROGRAM INFORMATION
Destination:
Faculty Program Leader (if applicable):
Program Dates:
Scholarship Essay:
Explain why Valencia should choose you as a
scholarship recipient and how you qualify:
 State your educational and career goals,
extracurricular activities, and any community
service you have performed.
 If you have a financial hardship, please
explain. For example, are you a single parent?
Are you not receiving financial aid? Are you
unemployed and finding difficulty supporting
yourself?
Preference will be given to students who have
not been funded for a study abroad program in
the past. Preference will also be given to
students who can demonstrate a financial need.
How do you plan to fund this program? List all
funding sources.
How will you share your experience with
Valencia students when you return?
Ideas: upload photos to the SAGE Flickr
account, blog about your experience, share your
experience on Facebook, talk about your
experience at a student information session,
write a testimonial, create a video testimonial for
the website.
2
SAGE SCHOLARSHIP INSTRUCTIONS &
APPLICATION FORM
For Semester Study Abroad Programs Only:
Program Provider Name, Contact Information,
and URL:
Program Total Cost:
Will you be seeking course credit for this
program?
UPON YOUR RETURN: Please note that your acceptance of this scholarship will require you to provide the
following upon completion of your activity. Initial each item below and sign the form.
Initials
Item
Complete the Study Abroad Program Evaluation and Reflection Form.
Write a Thank You Card addressed to your scholarship donor. You will receive this information by email upon
approval of your scholarship.
I will attend a donor recognition event or a media announcement at the request of the donor or the College.
I will provide the SAGE office with photos and/or videos of my program to upload to the SAGE Flickr account.
I will provide the SAGE office with a written and/or video testimonial of my experience.
Electronic Signature:
Date:
Please send this form and all attachments by regular mail or email to: studyabroad@valenciacc.edu. For
questions, contact the SAGE office:
Tel. 407-582-3188
190 S. Orange Ave.
Orlando, FL 32801
Fax 407-582-3003
Skype: valencia.sage
FOR SAGE OFFICE USE ONLY: (Attach checklist and score form)
Scholarship Donor:
____
ECA Grant
____
Valencia Foundation
Award Amount: $__________________
3
Download