Apply for the Ravenell “Ricky” Keller III Study Abroad Scholarship Return to the Ravenell “Ricky” Keller III Study Abroad Scholarship home page Deadline for Spring 2022: November 15, 2021 Deadline for Summer 2022: February 15, 2022 Deadline for Fall 2022/Academic Year 2022-2023: March 15, 2022 Background InformationName(Required) Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Middle Last Suffix Pronouns Student ID #(Required)7- or 9-Digits; NOT your computing ID. Email Address(Required) Phone Number(Required)Alternate Phone NumberLocal Address(Required) Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Permanent Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Academic InformationAnticipated Graduation Date(Required) Major(s)(Required) Minor(s) Major GPA(Required) Minor GPA Have you already applied to study abroad through the UVA International Studies Office?(Required) Yes No All study abroad must be approved by the International Studies Office. No programs can receive funding without approval.For which term(s) have you applied?(Required) Spring 2022 Summer 2022 Fall 2022 Academic Year 2022-2023 Name of host institution/program(Required) Number of credit hours approved for program(Required) Financial InformationAre you receiving any financial aid to attend UVA?(Required) Yes No Please list the type(s) of financial aid and the amount(s).(Required)Include student loans, UVA-awarded scholarships, and non-UVA/external scholarships. Please indicate if they can be renewed. For example:Subsidized Loan: $3,500 (renewable) Elks Club Scholarship: $500 (non-renewable)Please provide a budget for your study abroad program.(Required)Indicate all estimated fees including roundtrip airfare, housing, meals, tuition/fees for the program, and ancillary charges you expect to incur (Books, transportation, international phone service, Wi-Fi, U.S. Passport/Visa, etc.).If you have already received any funding for your program, please indicate how much and if it covers a specific component of your budget or is for general funding support.For example: Grant to cover roundtrip airfare from church: $1,500Information Release(Required)In order to verify need and eligibility, we may request your financial records from UVA's Student Financial Services. You may decline to authorize the release of your information, but we may be unable to consider your application. You may change your authorization at any time by contacting alumni-scholarships@virginia.edu. I do hereby authorize the University of Virginia to disclose my educational records including, but not limited to, academic records and data from my financial aid application and any scholarship applications. Disclosure may be made to scholarship selection committees and other organizations both internal and external to the University for the purpose of determining scholarship eligibility and/or administering financial aid. No, I do not authorize the disclosure of my information at this time. Short AnswersPlease answer each question in 250 words or less.Describe how this grant will impact your ability to study overseas.(Required)What experiences or accomplishments have significantly influenced your life?(Required)What has inspired you to study abroad and what personal gain do you hope to achieve through this study abroad experience?(Required) Privacy notice: by submitting this application you understand that individuals on the selection committee, who may or may not be current members of the University community, will have access to this information. Δ
