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Deadline Extended: Applications must be completed by April 30, 2018.
Recipients will be notified by July 13, 2018.


IMPORTANT:
Before you begin, you will need to complete an Enrollment Verification Form to submit with your application. Click here for Enrollment Verification Form, which requires a college/university registrar signature.

NOTE: If you begin your application and log out before submitting, your work will not be saved.

  
Required field(s) are indicated by an *.
* DOB / / (MM/DD/YYYY)
(XXX-XX-XXXX)

(E-mail where award notification and e-passes will be sent, if selected)

(Must be 200+ miles from your college/university attending)

(i.e. Dorm or Apartment)

Click Here for Enrollment Verification Form.
NOTE: Enrollment Verification Form must be completed by both you and the college/university registrar.



(Must be at least 200 miles from permanent/home address)

(If USA, list country of ancestral Hispanic Origin.)

(If USA, list country of ancestral Hispanic Origin.)



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:


(Please be specific and explain your unique circumstances in 300-500 words.)



COLLEGE UNDERGRADUATE STUDENTS
Are you an undergraduate college student?


(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?)

(Please be specific and explain your unique circumstances in 300-500 words.)

*(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?

(200 word minimum essay - Please be specific and explain your unique circumstances.)




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.

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 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. Check to see if you have uploaded your completed and signed Enrollment Verification Form.