Duration at Address
□ □ Full Name: SS# Male Female Address: Duration at Address Forwarding Address: [Please include address where you will reside while in school] Place of Birth: Date of Birth: Driver’s License No. and Jurisdiction Email Address: Alternate Email Address: Telephone: Name and Address of Institution: Degree Objective & Field of Study: Anticipated graduation date: Program Advisor/Contact No. U.S. Citizen YES NO If not a U.S. Citizen, fill in the information below: CITIZEN OF: RESIDENT OF: INS No: LENGTH OF VI RESIDENCY: BY EXECUTION OF THIS APPLICATION FOR FUNDING BELOW, THE APPLICANT ACKNOWLEDGES THAT HE/SHE HAS RE- CEIVED A COPY OF THE VIRGIN ISLANDS ACADEMIC AND CULTURAL AWARDS ENDOWMENT RULES AND REGULA- TIONS AND THAT THIS APPLICATION IS SUBJECT TO THESE RULES AND REGULATIONS, WHICH MAY BE AMENDED FROM TIME TO TIME. AWARDS ARE CONTINGENT ON THE AVAILABILITY OF FUNDS FOR FISCAL YEAR 2026-2027 Recipient’s Signature Date The application must be accompanied by: 1. Completed Certification Form 2. …
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Original source: https://www.uvi.edu/files/documents/Provost/VIACAE/VIACAE_Academic_Application1.pdf
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□ □ Full Name: SS# Male Female Address: Duration at Address Forwarding Address: [Please include address where you will reside while in school] Place of Birth: Date of Birth: Driver’s License No. and Jurisdiction Email Address: Alternate Email Address: Telephone: Name and Address of Institution: Degree Objective & Field of Study: Anticipated graduation date: Program Advisor/Contact No. U.S. Citizen YES NO If not a U.S. Citizen, fill in the information below: CITIZEN OF: RESIDENT OF: INS No: LENGTH OF VI RESIDENCY: BY EXECUTION OF THIS APPLICATION FOR FUNDING BELOW, THE APPLICANT ACKNOWLEDGES THAT HE/SHE HAS RE- CEIVED A COPY OF THE VIRGIN ISLANDS ACADEMIC AND CULTURAL AWARDS ENDOWMENT RULES AND REGULA- TIONS AND THAT THIS APPLICATION IS SUBJECT TO THESE RULES AND REGULATIONS, WHICH MAY BE AMENDED FROM TIME TO TIME. AWARDS ARE CONTINGENT ON THE AVAILABILITY OF FUNDS FOR FISCAL YEAR 2026-2027 Recipient’s Signature Date The application must be accompanied by: 1. Completed Certification Form 2. Proof of acceptance and enrollment into an approved program at an accredited graduate or professional school 3. Two (2) letters of recommendation from people not related by blood or marriage 4. Federal Student Aid Report from the 2025- 2026 FAFSA 5. Copy of 2026 Income Tax Return 6. Complete explanation of other sources of funds 7. Resume’ reflecting eligibility for this award 8. Proof of Virgin Islands residency for at least ten years, five {5} of which much immediately precede the date of submission of the application SUBSCRIBED AND SWORN TO BEFORE ME THIS DAY OF , 20 by . Known to me or satisfactorily proven by presentation of identification in the form of . NOTARY PUBLIC RESIDENCY REQUIREMENT: Applicants must have resided in the U. S. Virgin Islands for at least 10 years, 5 of which must immediately precede date of application. ESTIMATED ANNUAL EXPENSES: VIRGIN ISLANDS ACADEMIC & CULTURAL AWARDS ENDOWMENT APPLICATION ACADEMIC PROGRAM 2026-2027 Tuition & Fees $ Room & Board $ Books $ Other $ TOTAL: $ Amount Requested: $ Academic Period(s) covered by funding request: Other Sources of Funding: 1) Personal $ 2) Family $ 3) Other $ TOTAL: $