Worksheet: Group Application

Below is a list of the fields for the Individual Impact Award Application for reference and to aid in preparation:

When ready, you may apply using the Group Application.

GROUP APPLICATION WORKSHEET

Last Name:

First Name:

Catawba ID:

Advisor Name:

Advisor Email:

Are you a student In the Honors Program?

  • Please Select - Yes                  No

Are you a full scholarship student-athlete?

  • Please Select - Yes                  No

Prior Impact Award amount awarded to date

Area of study

What Is your current GPA?

What Is your current class status?

  • Please Select  Freshman            Sophomore              Junior              Senior 

We are currently funding travel & projects taking place during Spring 2026

Name of Faculty Advisor for This Project/Trip

Faculty Name:

Faculty Member Email

Associated Class and Course Number:

 

Award Request Purpose

Type

Travel Abroad                Oomes1ic Travel                Group Project

Travel Destination Project:

-Choose-                     Service                Research                 Creative                NIA

Dates for your experience?

From:

To:

Estimated date that the 1st payment(s) for your experience are due?

Impact Award Pre-Eligibility Amount
*Note: This is an estimate and will be reviewed prior to awarding.

Amount Requested:

Budget Description:

Please attach a brief project/ trip proposal (250 words or less)

I agree to fill out the post-experience reflection request about my IA project/travel. Reflection request will be sent at the end of the semester of your supported project/travel.

Signature

Date