Undergraduate Scholarship Application

Date*

Name*

Permanent Address*

Street Address Address Line 2 City State ZIP Code

Campus/Mailing Address*

Street Address Address Line 2 City State ZIP Code

Email*

Home Phone*

Cell Phone*

Current College Status

College/University*

City*

State*

Zip Code*

Entering transfer student?*

Yes
No

If yes, transferring from :

Are you currently a full-time student in a 4-year university?*

Yes
No

If yes, are you a:

Sophomore
Junior
Senior

Semester hours attained by end of year*

Major*

G.P.A.*

Anticipated Degree*

Graduation Date*

Previously Attended Colleges:*

Percentage of college expenses you are responsible for*

Do you have any family members on the FEAE board or selection committee?*

Yes
No

If yes, please provide names

Have you received any other scholarships?*

Yes
No

If yes, please list the total amount received and scholarships below:

Please list any other post-high school courses, training seminars, etc., that you have taken and/or participated in that contribute to your knowledge of the field of crop production/protection. Include grades or evaluative assessment of your participation. Attach additional pages as needed:

Please list awards and honors you have received in high school and college:

Please list offices and/or positions of responsibility you have held in crop production/protection related organizations and describe what you have learned from the experience (include committees and chairs you have held):

Please list any community service or volunteer work in which you have participated:

Please list your career goals:*

Attach your transcripts and/or other supporting docs. Your files must not total more than 20MB in order to upload properly.

Drop files here or

*

I acknowledge that the following required documents have been attached in the section above, with the exception that the Letters of Recommendation can be mailed separately. I understand that my application will be disqualified if these documents are omitted:

Transcript
Resume
Letters of Recommendation

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Email

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