2007 COLLEGE LANGUAGE ASSOCIATION

 STUDY ABROAD SCHOLARSHIP

www.clascholars.org

 

Please type or print legibly in black ink and return one (1) original and seven (7) copies of each of the following: application, essay, and  reference forms. Also please send one (1) original transcript and seven (7) unofficial copies of your transcript  to:

Dr. Mario A. Chandler

Chair, CLA STUDY ABROAD SCHOLARSHIP COMMITTEE

Oglethorpe University

4484 Peachtree Rd., N.E.

Atlanta, Georgia 30319

Application deadline:  February 6, 2007

 

Name_________________________________________________Phone (     ) _____________

Last                  First                 Middle                                           area code

 

Applicant’s email address: _______________________________________________________

 

Applicant’s Home Institution______________________________________________________

 

_____________________________________________________________________________

Street                                                   City                              State                            Zip code

 

Applicant’s Campus Address______________________________________________________

 Street

_____________________________________________________________________________

City                                                      State                                                                Zip code

 

Applicant’s Permanent Address____________________________________________________

 Street

 

______________________________________________________________________________

City                                                      State                                                                Zip code

 

Class standing: ______freshman           ______sophomore       ________junior            ______senior

 

Major__________________________________ Minor_________________________________

 

Cumulative GPA______________________Foreign Language GPA_______________________

 

Name of the Study Abroad Program & Name of the Sponsoring Organization or University:

 

_____________________________________________________________________________

 

 

Cost of Program______________City and Country in which you plan to study_______________

 

 

Check the semester or quarter for the academic year 2007-2008 in which you intend to study abroad:

 

1. _____Summer (2007)   2._____ Fall (2007)    3. _____ Winter/Spring (2008)               

           

Have you ever traveled outside the United States? _____NO _______YES.   If so, when, where how long, and why?

 

_____________________________________________________________________________

 

_____________________________________________________________________________

 

Sponsor’s Name (must be a current financial CLA member) __________________________

 

Address_______________________________________________________________________

(City)                           (State)                                      (Zip)

 

Business Address_______________________________________________________________________

(City)               (State)                                      (Zip)

 

Telephone (Work) _________________________ (Home) _____________________________

 

Email address: _________________________________________________________________

 

 

Sponsor’s signature________________________________Date_________________________

 

*Please note:  The sponsor’s signature verifies that the application is complete, that all information is true and accurate, and that the recipient will complete his/her study abroad program within a year of accepting the award.