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Application Form
Legal Name
*
Indicates required field
First
*
Middle Initial
*
Last
*
Date of Birth (must be 18 or older)
Month
*
January
February
March
April
May
June
July
August
September
October
November
December
Day
*
1
2
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31
Year
*
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
Gender:
*
Mailing Address
Street
*
Street (Line 2)
*
City
*
State
*
Zip Code
*
Phone Number
*
Student Information
HBCU Institution (must be currently enrolled)
*
University Email Address (".edu")
*
Classification
*
Freshman
Sophomore
Junior
Senior
Expected Graduation Date (Month/Year)
*
GPA (on a 4.0 scale)
*
Major
*
Minor (if applicable)
*
Upload Unofficial Transcript
*
Max file size: 20MB
Will be used to verify enrollment.
International Program Information
Name of Sponsoring Organization/ School
*
Representative Email
*
Representative Phone #
*
Proof of Acceptance (if you have it already)
*
Max file size: 20MB
Acceptance/Enrollment Letter, Email, etc. (If you do not have this information yet, you may still submit your application. However, your proof of acceptance must be sent to
[email protected]
by 11:59 pm on June 4, 2018).
Length of Program
*
3 weeks or less
1-2 months
2-3 months
Full Semester
Year
Program Dates
*
Travel Experience
Do you currently own a passport?
*
Yes
No
Prior to this program, had you ever traveled outside of the U.S?
*
Yes
No
If yes, where?
*
Short Essay Questions
Why did you choose the study abroad program you applied to? (Min 500 words)
*
What are you expecting to learn or gain from your trip abroad that will help you develop personally, academically, and professionally? (Min 500 words)
*
What will you do upon your return to campus to encourage students to travel abroad? (max 250 words)
*
Are there any further comments you'd like to add to support your application?
*
How did you hear about HBCU Travelers? (check all that apply)
*
Internet Search
Email/Newsletter
News Article
Family or Friend
College Faculty or Staff
Facebook
Twitter
Instagram
LinkedIn
Other
Regardless of scholarship outcome: would you like to submit a video or blog post about your trip to be published on the HBCU Travelers website?
*
Yes
No
I understand that the information submitted in my application packet will be used by the scholarship committee to make a decision on the scholarship award and I authorize HBCU Travelers to verify the information that I have provided. I certify that the information submitted for consideration of the scholarship award is complete and correct, and understand that the submission of false information is grounds for rejection of my application or withdrawal of any offer of acceptance. I understand that if selected, the award is contingent upon acceptance and participation in my respective abroad program.
By signing this document electronically, I agree that my signature is the legally binding equivalent to my handwritten signature. Whenever I execute an electronic signature, it has the same validity and meaning as my handwritten signature. I will not, at any time in the future, repudiate the meaning of my electronic signature or claim that my electronic signature is not legally binding.
Please Check one
*
I agree
I do not agree
Electronic Signature (please type your name)
*
Submit
Student Stories
Opportunities
+ Study Abroad
>
For The Culture
Tips
+ Intern Abroad
+ Volunteer Abroad
+ Youth Programs
Blog
Travel Trends
About
Our Mission
Our Work
Meet the Team
>
Director of Marketing Application
Treasurer Application
Become an Ambassador
News
Contact
Donate