Page 1 of 3 SGA Scholar Development Grant Application [Spring/Fall 2011 Due April 9, 2011] [ Name: Student ID #: Phone #: WKU Email: Local Mailing Address: Please indicate why you are requesting funds (Check all that apply). __ Conference Attendance __ Equipment Purchase __ Research Expenses __Test Prep (LSAT, GRE, MCAT, etc) __ Other: _______________________________ Conference Attendance: Please list the location and dates of conference. Equipment Purchase: Please list two or three quotes (with sources) for each item to be purchased. Research Expenses: Please describe any fees or costs incurred for your research. Test Prep: Please list the name of the test prep course, the instructor/company, the date(s), and the location. Page 2 of 3 Other Expenses: Please describe in detail other expenses for which you are requesting funding. BUDGET TABLE For all expenses, proper documentation (receipts, invoices, etc.) must be submitted for compensation. Itemized List of Expenses Cost ($) Total Expense of Project $ Note: $250 will be the maximum amount awarded to an individual recipient per application. A maximum of $500 will be rewarded to an individual recipient during any academic year. What alternate sources of funding (Department, College, etc) are you seeking? Have you received any funding? If so, how much? Have you applied for the SGA Scholar Development Grant this academic year? If so, how much funding did you receive? Please list any extracurricular activities in which you are involved. Please attach a typed narrative of approximately 250-500 words describing how you would use the requested funds, focusing on how these funds will enrich your academic experience. If you are attending a conference, please discuss your role. If you are conducting research, please describe your research. Please submit your typed application to the SGA office, DUC 130, or as an email attachment to sga@wku.edu. Include the student application form and the advisor confirmation form (not for test prep) as part of your submission. SGA may contact this advisor as part of the application process. Applicants under consideration may be contacted to schedule an interview with SGA representatives. Incomplete applications will not be considered by SGA. Please contact sga@wku.edu with any questions regarding this process. SGA Scholar Development Grant Application Advisor Confirmation Form (Not for test prep) Page 3 of 3 Dear Faculty Member, A student in your discipline has listed you as the project advisor/contact for their SGA Scholar Development Grant Application. These grants are designed to support students’ academic development by providing funding for: travel to conferences, equipment purchase, research expenses, and other discipline-related project fees. In an effort to award deserving students properly, SGA relies heavily on your confirmation of the validity and academic impact of the student’s project or aspirations. Please provide the following information as requested by the student. Please remind the student to include this form with the student portion of the application, or email this portion to sga@wku.edu. Incomplete applications will not be considered by SGA. Please contact sga@wku.edu with any questions regarding this process. Advisor Name: Department and Title: WKU Email: Name of Student: Below, please confirm your professional relationship with this student. Please include how long you have known the student and in what capacity. Please speak to the quality and importance of this project in enriching the student’s academic experience. Please confirm if you are overseeing the student’s project and have knowledge of the associated costs. SGA appreciates your time and effort in supporting your student’s academic endeavors.