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You are exploring: VU > Campus Ministry > Service & Social Justice > Service Break Experiences > Fr. Ray Jackson Memorial Fund  Print This Page
Application
First Name:  
Last Name:  
Banner ID:  
Home Address:  
City, State, Zip:  
Email:  
Including this this coming trip, how many service trips have you participated in?:  
Campus Address:  
Phone:  
Major:  
Graduation Year:  
Full cost of your trip:  
Amount of grant money being requested:  
Name of service trip:  
State:  
Country:  
Beginning date of trip:  
Ending date of trip:  
If serving in a non-Villanova sponsored endeavor, please give contact name and phone number of the person with whom you will be working.
Sponsor Name:  
Sponsor Phone:  
Name and Phone number of your Villanova Student Leader for this trip.
Name:  
Phone:  
Break down the costs that are involved with your trip (e.g., transportation, room, etc.):  
Other means you are pursuing to raise money for your volunteer experience:  
Knowing that the Memorial Fund's resources are limited, can you assure us that you honestly have a need for financial assistance from the Fr. Ray Jackson Memorial Fund in order to be able to go on this trip?: Yes No
Please explain your need for assistance:  
Have you ever received an award from this fund in the past?: Yes No
Essays
Please describe the work you will be doing:  
Who will benefit from your work? Please describe how:  
Explain how your service will exemplify the Mission of Villanova University. See Mission:  
I have read the application criteria and requirements. I understand that there will be a 1,000 word reflection paper due no later than two weeks after the service experience has ended. I understand that my responses to essays may be used for publication purposes at a later date.
I agree to these terms.