Page 2 – Request to Receive Financial Aid for Faculty-Led Tour - Domestic 2018/2019
Student’s Last Name: __________________UCM ID#: 700_____________
Student Statement (Required)
Following is the primary reason(s) I wish to participate in a program of study within the United
States (continue on a separate page, if necessary):
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Student's Signature Date
====================================================================
Before submitting this document to the Office of Student Financial Services,
you must
obtain the following approval.
I approve of this student's plan to participate in a faculty-led tour within the United States. The
student intends to complete and earn _______ credit hours, all of which will apply toward
completion of his/her UCM degree requirements. I believe this program of study represents a
valuable and complementary academic opportunity for this student.
Comments/Clarification: _________________________________________________________
____________________________________________________________________________________
___________________________________________________________ ______________________
Signature of Director of International Programs
Date
After completing this request, obtain approval from the Director of International Programs.
After approval, submit this document to the UCM Office of Student Financial Services in
person (1100 Ward Edwards Bldg.) or by mail (Student Financial Services, P.O. Box 800,
Warrensburg MO 64093-5178), or by fax (660-543-8080).
Domestic_Study_18.pdf Page 2 of 2 NOV 3, 2017