Welcome to the on-line application for the ¡Lánzate! Higher Education Award from Southwest Airlines.

Required fields are indicated by an *.
Applications must be completed by April 29, 2011.
Award recipients will be notified the week of July 4, 2011.

* Expected Graduation Date / / (MM/DD/YYYY)

* Zip Code


* Zip code

Travel awards are limited to Southwest Airlines destinations. Please select Departing and Arriving cities below.




OFFICIAL TRANSCRIPT

HACU requires that an official transcript be submitted from the institution where you are currently enrolled.

Please note that your official transcripts, along with your Certificate of Enrollment must be received by HACU before your application is considered complete. Applications must be complete to be considered for any award.



CERTIFICATION OF ENROLLMENT

Download the Certification of Enrollment and Class Level form and have it completed by an academic advisor, dean, registrar or other school official.

Please mail this completed form along with your official transcripts by April 29, 2011:

¡Lanzate! Travel Award Program
HACU National Headquarters
8415 Datapoint Drive Suite 400
San Antonio, TX 78229





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.



Required for all students. Please answer the following question:



COLLEGE UNDERGRADUATE STUDENTS
Are you a high school graduating senior or undergraduate college student?



GRADUATE STUDENTS
Are you a college graduate student working on a Masters or Ph.D?
*(i.e., graduate assistantships, fellowships, departmental stipends, travel support from graduate student associations, etc.) NOTE: 300 words NOT required.



PREVIOUS TRAVEL AWARD RECIPIENT
Are you a previous Southwest Airlines Program Lánzate recipient?




STUDENT CERTIFICATION

I hereby agree that Southwest Airlines Co. 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.

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 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 many provide to HACU, and/or
b. to obtain any other information concerning my scholastic or financial 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 Development 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.

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.