** Indicates required field

1. ** First Name
2. Middle Name
3. ** Last Name
4. ** OSU ID number (Can be found on BuckeyeLink or on BuckIDs issued or replaced after June 2008)
5. ** Study Abroad Program

   Australia - Ani Sci Australia - ENR Brazil - AZP Only CFAES FYE Chile Agroecosystems Chile - Animal Sciences China Research Costa Rica Czech Republic Dominican Republic Egyptian Agriculture England Horticulture/Turf European Equestrian Studies Ghana - ATI Iceland Ireland Human Animal Interactions Italy - Tuscan Garden Design Netherlands Dairy New Zealand Human/Animal Scotland - History of Golf South Africa - FABE
6. Quarter(s)/Year of Program Quarter Autumn Winter Spring Summer Year 2012 2013 2014 2015 2016 2017
7. Permanent Address 1
8. Permanent Address 2
9. Permanent City
10. State (2-letter abbreviation)
11. Permanent Zip Code -
12. Permanent County
13. Permanent Phone Number -
14. Cell Phone Number -
15. ** Email
16. ** Expected Quarter/Year of Graduation Quarter Autumn Winter Spring Summer Year 2012 2013 2014 2015 2016 2017
17. Major

    017 Agricultural & Construction Systems Management 020 Agribusiness and Applied Economics 025 Agricultural Education 030 Food, Agricultural, and Biological Engineering 033 Agricultural Systems Management 056 Animal Sciences (General) 108 Crop Science 127 Construction Systems Management 188 Food Science and Nutrition 197 Food Business Management 322 Fisheries and Wildlife Management 323 Forestry and Urban Forestry 324 Human Dimensions in Natural Resources 328 Forestry, Fisheries and Wildlife 333 Landscape Horticulture 334 Turfgrass Science 399 Professional Golf Management 499 Plant Health Management 501 Environmental Science 572 Agricultural Communication 582 Parks, Recreation, and Tourism Administration 583 Environmental Policy and Management 810 Agriculture (if undecided) 870 Natural Resources, undecided 899 Pre-Professional Golf Management 998 Undecided, Pre-Vet 999 Other
18. OSU Minor/s (If declared)
19. Current Class Rank

    Freshman Sophomore Junior Senior
20. Previous to this program, have you ever studied abroad at OSU?

    Yes No
21. If yes, list program
22. And Quarter/Year Quarter Autumn Winter Spring Summer Year 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
23. ** Personal Statement - Please share why you wish to study abroad on this program
24. ** Statement of Need - Please share why you need this scholarship
25. I wish to be considered for a CFAES study abroad scholarship. I understand that I may not be considered if I do not submit the materials in a timely or complete manner, if I don't show good academic progress in the quarter(s) preceding my program, or change my major outside CFAES or I have previously received the CFAES study abroad scholarship. If I do not attend the program after I have been awarded, I am responsible for the amount of scholarship awarded.
26. I affirm that the information which I have provided and submitted electronically on this application form and any additional material that I submit related to the financial aid process is complete, accurate, and true to the best of my knowledge. Pursuant to the Family Educational Rights and Privacy Act of 1974, as amended (FERPA), I hereby authorize The Ohio State University to release the scholarship application information provided by me, as well as other official and unofficial Ohio State information regarding my academic progress and status, to scholarship donors for the purpose of providing the donors with information concerning my eligibility as a scholarship recipient. I also understand that furnishing false information may result in revocation of my financial aid or may result in disciplinary action pursuant to The Ohio State University Code of Student Conduct.