Study Abroad Financial Aid Application Form Page 2
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2III.
STUDY ABROAD ASSOCIATED COSTS
Study Abroad Program & Location: _____________________________________________
** Please indicate specific charges not included in tuition charge. Do NOT include excursion expenses in the total cost.
Tuition
_____________________
Fees
_____________________
Housing
______________________
Meals
______________________
Books
______________________
Airfare/travel
______________________
Passport
______________________
Visa
______________________
Insurance
______________________
TOTAL COST:
______________________
IV.
FRIENDS OF STUDY ABROAD
Funding Request: Check the appropriate number below and provide an explanation and estimated
cost. Normally, requests are funded from $100 - $1,000 depending on the financial need of the
applicant.
Choose one:
1. ____ School-sponsored trip
$___________
2. ____ Independent Travel
$___________
3. ____ Other (describe)
$___________
TOTAL AMOUNT REQUESTED:
$____________
Student Agreement:
I understand that I am responsible for repaying the funds if I do not go abroad.
I agree to send a letter of appreciation to the donor and a photograph at the completion of the Study
Abroad experience.
Print Name: _________________________________________________________________________
Signature: ________________________________________________ Date:_____________________
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