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