Experiential Learning Application
Please provide the following information to apply for experiential learning funds as a MESA major or minor.
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Email *
BYU ID Number (9 digits)
Name
Major/Minor(s)
Anticipated Graduation Date
Details on Experiential Learning Opportunity (internship, study abroad, etc.)
Dates of Participation
Projected total costs of participating in the proposed experiential learning opportunity
Financial benefits provided by the internship or program (housing, travel, stipend, etc.)
Financial aid and/or scholarship money you have received, or anticipate receiving, to defray you internship or study abroad program costs
One paragraph statement of financial need (including discussion of anticipated contribution from savings, parental contribution, and other contributions to defray costs)
Current University GPA
Work or activities outside of class associated with the MESA program
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