Please complete the following application form and submit by e-mail to: classics@uga.edu David L. Thompson Scholarship for Study Abroad First Name Middle Initial Last Name Email Phone Number Address City State Zip College Extracurricular Activities Honors and Awards Classics and Related Courses taken in College Please include Classics, Latin, Greek, Art History courses and your GRADE in each course Essay Please write an essay (approximately 300-500 words) on yourself and what you hope to accomplish while studying abroad. Reference Confidentiality - Select: ___Confidential file - I grant permission for this letter of recommendation to be held confidential by The University of Georgia. ___Open file. I retain the choice of having letters of reference available to me. Under the provisions of the Family Educational Rights and Privacy Act of 1974, you may decide whether letters of reference written at your request are to be held confidential or whether they are to be available for your personal inspection. Check one of the following statements and place your signature in the space provided so that the referee will be advised of your choice. Please have your referees complete the Warlick-Mannion reference form (see link above), or submit a letter to CLASSICS@UGA.EDU. Signature I certify that all information provided above is accurate to the best of my knowledge. If awarded the David L. Thompson Scholarship, I agree that I will use the funds to participate in the program of Studies Abroad agreed upon by the Scholarship Committee and myself. Today's Date
