Travel Awards Application

* Student's Full Name:

* Student's WKU ID Number:

* Email Address:

* Local Mailing Address:

(Street, City, State, Zip)

Cumulative GPA:

GPA in Foreign Language Courses:

Number of Credit Hours Earned to Date:

Number of Credit Hours Earned at WKU:

List of all college-level language courses, when and where taken, and grades earned:

Please list Course, School, Grade Earned, and Year

* Name of program applying to:

* Dates that the study abroad will take place:

Who do you consider to be your faculty mentor?

Please provide the name of the faculty member.

If you are applying for the William Ralph Walls, Jr. International Travel Award, after you complete your study abroad, when will you return to the WKU campus as a full-time student?

Please list Semester and Year.

* I understand that if I receive an award from the Department of Modern Languages for tuition or to support my study abroad, I will be expected to help the Department’s efforts to promote internationalization and study abroad. I agree to provide documentation of how the funding prepared me to be a productive citizen living in a global society; and I agree to speak to other students at information sessions, to make presentations at Departmental events, or to assist with projects to promote internationalization and study abroad.

* By clicking here, I certify the information I am providing is true and accurate to the best of my knowledge. This serves as my signature.