2024 SWA Lanzate Travel Award Application - Hispanic Association of Colleges and Universities

I hereby agree that Southwest Airlines and HACU shall have, without further obligation to me, the right to use my name, voice, likeness, essays, and/or photograph and biographical information for advertising and promotional purposes in conjunction with this and similar promotions without notice to me and without further compensation unless prohibited by law.

I understand that I am required to submit an Enrollment Verification Form signed by the college or university I am attending at the time of application. If selected for the award, I understand that I will be required to complete and sign an IRS Form W-9 (collectively, the “Required Documentation”). Failure to submit required documentation will result in my application not being considered for this award. E-passes of $600 or more will be reported to the IRS.

It is understood and agreed that this is a complete RELEASE and DISCHARGE of all claims and rights of the undersigned against the aforementioned parties to be released, and that no action will be taken by or on behalf of the undersigned with respect to any such rights, it being understood that this release shall be binding upon the heirs, executors, and administrators of the undersigned.

I agree to hold Sponsor (HACU), Southwest Airlines, and each of their parent, subsidiary and affiliated corporations, and the officers, shareholders, directors, employees, agents and representatives harmless against any and all claims or liability arising directly or indirectly from use or misuse of a travel award or participation in the Award Program.

I also give my authorization, permission and consent to HACU to contact and receive information from any institution, agency, college/university and/or persons for the following purposes:

a. to verify any of the information I have provided or may provide to HACU, and/or
b. to obtain any other information concerning my scholastic/academic status in order to assess and monitor my qualifications and/or continued eligibility for this or any other award.

The authorizations, permissions and consents I have hereby given shall remain in full force and effect unless I revoke this consent in writing by letter addressed to HACU’s Scholarship Department in San Antonio, Texas.

I hereby verify that all of the information I have provided is complete and accurate to the best of my knowledge. I further acknowledge and agree that any incomplete or false information may result in my application not being considered or in the termination of any award which may be granted.

I agree to the Official Rules and Regulations of the Travel Award Program, posted online at http://www.hacu.net/hacu/Lanzate.asp .

Please note that once you agree to these terms and submit the application you will not be able to edit, change or update this application. Therefore, please take a moment to double-check all of your personal information and make sure that there are no grammatical mistakes in the essay. Check to see if you have uploaded your completed and signed Enrollment Verification Form.

*Required fields are indicated by an .**
Part 1: About You
* First Name
Middle Name
* Last Name
* Gender	Male Female Non-Binary Prefer Not to Answer
* DOB	/ / (MM/DD/YYYY) Student must be 18 years old or older at the time of application.
* Telephone Number
* Alternate Telephone Number
* Primary Email Address	(E-mail where award notification and e-passes will be sent, if selected)
Part 2: About Your School DO NOT use abbreviations for the name of your school
* School Name	Name of the College/University You Are Attending in the 2024-2025 Academic Year (Must be at least 200 miles from permanent/home address) DO NOT ABBREVIATE
* School City	College/University CITY
* School State	College/University STATE
* School Zip Code	College/University ZIP CODE
* Arrival Airport Near College/University	(Southwest Airlines Destination Nearest to your College/University)

* Are you currently transferring schools?	Yes No
If Yes, what is the name of the school you are transferring to?
Part 3: About Your Educational Experience Click Here for Enrollment Verification Form. NOTE: Enrollment Verification Form must be completed by both you and the college/university registrar.
* Upload Enrollment Verification Form.	What if my institution’s registrar will not sign HACU’s Enrollment Verification Form? FAQ, Click Here
Supporting Document	If applicable, submit additional documents here (i.e. copy of unofficial transcript with GPA).
* Student Classification
* Degree Type
* Major(s)
* Minor(s)
* Cumulative GPA	Cumulative GPA is based on a 4.0 Scale What if my college/university does not issue a GPA or is not on a GPA grading system? FAQ, Click Here
* Do you live ON or OFF Campus?	ON Campus OFF Campus
* Personal Mailing Address at College/University	(i.e. Dorm or Apartment)
* City	On-/Off-Campus Personal Mailing Address Information
* State	On-/Off-Campus Personal Mailing Address Information
* Zip Code	On-/Off-Campus Personal Mailing Address Information
* Student/School Email Address
Part 4: About Your Home
* Permanent/Home Address	(Your Permanent Home Address must be 200+ miles* from your college/university attending)*
* Permanent CITY
* Permanent State
* Permanent ZIP CODE
* Departure Airport Near Hometown	(Southwest Airlines Destination Nearest to Hometown/Home Address)
* Father's Country of Ancestral Origin	(If USA, list country of ancestral Hispanic Origin.)
* Mother's Country of Ancestral Origin	(If USA, list country of ancestral Hispanic Origin.)
* Are you a dependent of a Southwest Airlines or HACU employee?	Yes No
* Do you speak Spanish?	Yes No
* Conversationally?	Yes No
* Fluently?	Yes No
Part 5: Essay Questions INSTRUCTIONS FOR ESSAY QUESTIONS Please answer the following questions that apply to you as the student. Each question must be answered in 300-500 words. Essays will be evaluated for content and grammar. Failure to complete the questions below will render your application ineligible. (Note: applications with less than 300 or more than 500 words will NOT be reviewed.) For Scholarship essay writing tips, visit www.academictips.org. Required for all students. Please answer the following question:
* What are your challenges in pursuing a college degree?	(Please be specific and explain your unique circumstances in 300-500 words.)
UNDERGRADUATE STUDENTS Are you a college Undergraduate student?
* If YES, answer the following question. If NO, skip to next section.	Yes No
If selected, how would travel on Southwest Airlines benefit you and your family?	(Please be specific and explain your unique circumstances in 300-500 words.)
GRADUATE STUDENTS Are you a college Graduate student working on a Masters, Ph.D, or professional program (i.e. law or medical student?)
* If YES, answer the following questions. If NO, skip to next section.	Yes No
How would the airline epass(es) be used to help meet your goals as a graduate student?	(Please be specific and explain your unique circumstances in 300-500 words.)
Please list all current AND expected financial support related to your graduate academics.	(i.e., graduate assistantships, fellowships, departmental stipends, travel support from graduate student associations, etc.)
PREVIOUS TRAVEL AWARD RECIPIENT Are you a previous Southwest Airlines Program Lánzate recipient?>
* If YES, answer the following question. If NO, skip to the next section.	Yes No
Please explain how you used the tickets. How did it help you and your family?	(200 word* minimum essay - Please be specific and explain your unique circumstances.)*
Part 6: Terms and Conditions STUDENT CERTIFICATION I hereby agree that Southwest Airlines and HACU shall have, without further obligation to me, the right to use my name, voice, likeness, essays, and/or photograph and biographical information for advertising and promotional purposes in conjunction with this and similar promotions without notice to me and without further compensation unless prohibited by law. I understand that I am required to submit an Enrollment Verification Form signed by the college or university I am attending at the time of application. If selected for the award, I understand that I will be required to complete and sign an IRS Form W-9 (collectively, the “Required Documentation”). Failure to submit required documentation will result in my application not being considered for this award. E-passes of $600 or more will be reported to the IRS. It is understood and agreed that this is a complete RELEASE and DISCHARGE of all claims and rights of the undersigned against the aforementioned parties to be released, and that no action will be taken by or on behalf of the undersigned with respect to any such rights, it being understood that this release shall be binding upon the heirs, executors, and administrators of the undersigned. I agree to hold Sponsor (HACU), Southwest Airlines, and each of their parent, subsidiary and affiliated corporations, and the officers, shareholders, directors, employees, agents and representatives harmless against any and all claims or liability arising directly or indirectly from use or misuse of a travel award or participation in the Award Program. I also give my authorization, permission and consent to HACU to contact and receive information from any institution, agency, college/university and/or persons for the following purposes: a. to verify any of the information I have provided or may provide to HACU, and/or b. to obtain any other information concerning my scholastic/academic status in order to assess and monitor my qualifications and/or continued eligibility for this or any other award. The authorizations, permissions and consents I have hereby given shall remain in full force and effect unless I revoke this consent in writing by letter addressed to HACU’s Scholarship Department in San Antonio, Texas. I hereby verify that all of the information I have provided is complete and accurate to the best of my knowledge. I further acknowledge and agree that any incomplete or false information may result in my application not being considered or in the termination of any award which may be granted. I agree to the Official Rules and Regulations of the Travel Award Program, posted online at http://www.hacu.net/hacu/Lanzate.asp . Final Submission Notice Please note that once you agree to these terms and submit the application you will not be able to edit, change or update this application. Therefore, please take a moment to double-check all of your personal information and make sure that there are no grammatical mistakes in the essay. Check to see if you have uploaded your completed and signed Enrollment Verification Form. * By clicking here, I agree to the above Terms and Conditions.

* Release	My information can be used for other HACU programs
	I only want to be considered for this award

* How did you hear about the ¡Lánzate!/ Take Off! Higher Education Award?
	Check if you're not a robot.

Part 1: About You

Part 2: About Your School

Part 3: About Your Educational Experience

Part 4: About Your Home

Part 5: Essay Questions

UNDERGRADUATE STUDENTS

GRADUATE STUDENTS

PREVIOUS TRAVEL AWARD RECIPIENT

Part 6: Terms and Conditions

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