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Scholarship Application for Study Abroad
Home
The Office of Study Abroad – Homepage
Please don't fill out this input box.
Tell Us About Yourself
Last Name:
*
First Name:
*
Middle Name:
Date of Birth:
*
Student ID:
*
Tell Us About Your Trip
Destination:
*
Travel Date/Semester:
*
Course Name (if applicable):
Course Prefix:
Course Number:
Professor:
Tell us your contact information
Permanent Mailing Address:
City:
State:
ZIP:
Home Phone Number:
Cell Phone Number:
*
ATU Email Address:
*
Tell us about your academic history
For year of application, I will be:
*
Please Select
Entering Freshman
Freshman
Sophomore
Junior
Senior
Numbers of hours at ATU
Are you planning to be a full time student?
Please Select
Yes
No
Have you declared a major?
Please Select
Yes
No
If yes, please list major & area of interest:
What is your GPA?
Do you receive financial aid? If yes, please list:
Do you speak more than one language?
Please Select
Yes
No
If yes, what language(s)?
Have you studied a foreign language in college or high school?
Please Select
Yes
No
If yes, indicate how many years and what language(s):
Do you have a passport?
*
Please Select
Yes
No
How will your travel expenses be paid (ex. scholarships, university funds, personal funds)?
Judicial Review Authorization
*
Yes
No
By selecting yes, I understand that the Study Abroad Office will request review of my student conduct record, and that I give consent to the Arkansas Tech Department of Student Conduct to release my conduct record to the Study Abroad Office.
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