Iowa State University



|Iowa State University |[pic] |

| | |

|College of Human Sciences | |

|Tuition Award Application | |

The completed Tuition Award Application must be received by the College of Human Sciences (CHS) International Programs Office by the beginning of the semester in which the study abroad experience will take place. Please complete and email, fax, mail or deliver applications to the International Programs Office, 133 Mackay Hall, College of Human Sciences, Ames, IA 50011. Fax: 515-294-6467; email: chsintl@iastate.edu

Within 14 days of returning from study abroad, tuition award applicants are required to prepare and submit a short summary of their international experiences, including photographs, to be posted on the CHS International Programs website. Tuition funds will be awarded upon receipt of the required summary.

If you have questions, please contact International Programs at 515-294-1010 or chsintl@iastate.edu.

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Date: MM / DD / YYYY

Applicant Information:

|Last name:       |First name:       |Middle initial       |

|ISU ID number (9 digits):       |

|Phone number:       |Email address:       |

Current address:

|Street number/ name: |      |City: |      |State: |      |Zip: |      |

| | | | | | | | |

Permanent address:

|Street number/ name: |      |City: |      |State: |      |Zip: |      |

| | | | | | | | |

Academic Information:

|ISU college: | Agriculture & Life Sciences | Business |Design |

| | Engineering | Graduate | Human Sciences |

| | Liberal Arts and Sciences | Veterinary Medicine | |

|Major: Elementary Education |

|Degree sought: | Bachelors | Masters | PhD |

|Expected date of graduation: (      /      ) |

International Program Information:

|Official name of CHS International Programs study abroad program in which you are participating: |

|ISU course number: |      |

|Term and year of participation: |Term: |      |Year: |      |

|Program dates: |Start: |      |End: |      |

What will your academic classification be during the term of your participation?

| Freshman | Sophomore | Junior | Senior |

| Graduate Student | | | |

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