Student Name/Organization:

Contact Email:

Contact Phone:

Application Project Title:

Total Funding Requested:

Summary of Need (100 words or less):

How will this award enhance the educational/recreational experience for an ESMA student (or students) at UK?  If multiple students will benefit, please provide an assessment of the number of students potentially impacted and in what manner.

Details of the budget and total funding requested:

Any other justification or information you feel is relevant to the application review committee: