Application for Junior Study Abroad Scholarship

READ ALL DIRECTIONS FIRST.
 Failure to do so will result in your application not being accepted.

1. Submit this online form only ONCE. Multiple submissions will not be accepted.

2. Answer all items completely.

3. Submit other parts of the application via email as instructed on the online application form.


A red asterisk (*) indicates required questions.

  1. What is your first name?*


  1. What is(are) your last name(s)?*


  1. What is your home street address?*


  1. What is the name of your city/town?*


  1. In what state do you live?  *


  1. What is your zip code?*


  1. What is your telephone number formatted as follows with the area code in parenthesis?
    (XXX) XXX-XXXX *


  1. Are you a citizen of the United States?*
    Yes
    No


  1. Do you hold a valid US passport?*
    Yes
    No


  1. Do you hold a foreign passport?*
    Yes
    No


  1. If yes, from what country? If no, skip to the next question.


  1. If you win this award, you must purchase your own airfare from your home airport to New York (JFK). [NOTE: You can receive up to $300 reimbursement for this ticket.] What is the name of your home airport?*


  1. What is the three-letter code of your home airport?*


  1. What is your email address?*


  1. Have you also applied for the Junior Travel Award through the Sociedad Honoraria Hispánica?*
    Yes
    No


  1. In what level of Spanish are you currently enrolled?   *


  1. What level of the National Spanish Exam did you take during last school year?  *


  1. What level of the National Spanish Exam are your registered to take during this school year?  *


  1. What is the name of your school?*


  1. What is the address of your school?*


  1. In what city/town is your school located?*


  1. In what state is your school located?  *


  1. What is your school's zip code?*


  1. What type of school do you attend?  *


  1. What is your teacher's first and last name?*


  1. What is your teacher's email address?*


  1. What is your teacher's school telephone number formatted as follows with the area code in parenthesis?
    (XXX) XXX-XXXX*


  1. What is your teacher's home telephone number formatted as follows with the area code in parenthesis?
    (XXX) XXX-XXXX*


  1. Why are you applying for the Junior Study Abroad Scholarship?*


  1. Type in the URL address of your YouTube video. (Make sure that the security setting for the video is for public viewing.)

    NOTE: You should not submit this online application until you have uploaded your video to YouTube.*





Kevin Cessna-Buscemi