B.O.L.D. Application

Name*

A Number*Axxxxxxxxx

Full-time (12+ credit hours) undergraduate student?*

Yes

No

Select all the categories that apply to you:

First generation college student

Non-traditional student

Military/veteran

Disability

Other

If you selected "Other," please describe below.

Which HIP area does this experience relate to? Select all that apply.*

Service-Learning

Study Abroad

List the amount of funding requested (up to $3,000) *

Provide an explanation of the amount requested (cost breakdown).*

List any other university funding or outside funding besides QEP requested funds that you have/will receive. *

If receiving other funds (through APSU or outside sources), please describe.

Select the term you plan to enroll in the HIP course.*

Phone Number*

APSU Email Address*

Faculty/Staff Adviser involved in course*

Course Name and Number

Proposal Summary - Statement of Intent*

Essay Question - Explain how this project will benefit you (and/or community) and your future academic career plans. Be sure to include specific examples of how the funding for the course/project will impact your overall educational experience. *

Explain in detail what makes this course/project a transformational learning experience. *

Will this be your first time traveling out of the country or participating in a service-learning course through APSU?*

Yes

No

B.O.L.D. Undergraduate Student Application