Travel Scholarship Application

Name*
First Last
Email Address*
Student Cell Phone*
Class Year*
Travel Destination*
If your trip is not listed, please note that it is not applicable for scholarship funding assistance.
Faculty Trip Leader*
First Last
Departure Date*
MM slash DD slash YYYY
Return Date*
MM slash DD slash YYYY
Have you been accepted to attend this trip by the Faculty Trip Leader?
- Yes
- No
Total amount of scholarship funding needed to attend trip.*
How are the scholarship funds are necessary to your travel.?*
Brebeuf Jesuit admits students of any race, color, national and ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, national and ethnic origin in administration of its educational policies, admissions policies, scholarship and loan programs, and athletic and other school-administered programs.

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