doc2015 Ag-Hort Scholarship Form.pages - EKU Agriculture
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2015 Ag-Hort Scholarship Form.pages - EKU Agriculture
Department of Agriculture Scholarship Application Eastern Kentucky University 2014-15 Scholarship Application for Undergraduate Agriculture and Horticulture Majors Application deadline is February 26th123 Name: ______________________________________________________________________ Last First Middle EKU ID Number: _______________ E-mail address: _________________________________ If no EKU ID Number, please list your Social Security Number. Permanent Address/Route: ______________________________________________________ City: _______________________ State: __________________ Zip: _____________________ County: _____________________ Phone Number (_____) _________-___________ High School: _______________________ High School GPA: _________________________ Circle all that apply: Undergraduate New Freshman Freshman Major: _____________________ New Transfer Sophomore Junior Senior Term/Year you plan to graduate from EKU: ____________ EKU GPA: (if applicable) _____________ Hours Earned To Date: ________________ List other EKU scholarships awarded, if applicable: ______________________________________________________________________________ ______________________________________________________________________________ If one or both parents are EKU alumni, please list their full name(s) graduation date(s): ______________________________________________________________________________ ______________________________________________________________________________ 1 Incomplete or illegible applications will NOT be considered. If attaching additional sheets, include your name and EKU ID, or Social Security Number, at the top of each additional page. 2 3 Full consideration will be given to those applying by February 26 of the academic year. Page 1 of 4 Department of Agriculture Scholarship Application Will you participate in the EKU ROTC Program? Yes No Are you a veteran of the U.S. Armed Forces? Yes No List membership in any EKU student organizations, clubs, choirs, or music ensembles: _____________________________________________________________________________ _____________________________________________________________________________ Please estimate how your college is, or will be funded. (Ex. 20% scholarships, 10% grants, 20% parents, 50% student employment) ______________________________________________________________________________ ______________________________________________________________________________ Please list information regarding high school/college honors, and community service (include the hours per week you participated in each community service) or any other information you would like the Scholarship Committee to know about you. ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Page 2 of 4 Department of Agriculture Scholarship Application Please list background experiences, if applicable, related to your chosen major or field of interest. ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Please list job/work experiences (include employer’s name and hours per week that you worked). ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Page 3 of 4 Department of Agriculture Scholarship Application Please include a typed, 500-word essay stating why you deserve this scholarship. • I hereby verify all information is correct. My signature gives permission for the EKU Scholarship Committee, University Scholarship Coordinator, and/or the Foundation Scholarship Coordinator to review any academic or financial aid records. • If awarded an EKU Foundation scholarship, I agree to write thank you letter(s) to the donor(s) and meet the donor(s) at special events, if requested. • I realize new and renewal EKU Foundation scholarships are based on academic eligibility and/ or other criteria established by donors. Scholarship amounts may vary yearly based on available funds. Students changing their major outside of department will be required to return scholarship monies to the scholarship fund. ________________________________________________ Applicant Signature ______________________ Date The completed application and typed essay must be received by Feb. 26 of the academic year at the following address: Eastern Kentucky University Fax: 859-622-6676 521 Lancaster Avenue 2 A.B. Carter Bldg. Richmond, KY 40475-3156 Eastern Kentucky University is an Equal Opportunity/Affirmative Action employer and educational institution and does not discriminate on the basis of age (40 and over), race, color, religion, sex, sexual orientation, disability, national origin, veteran status or genetic information in the admission to, or participation in, any educational program or activity which it conducts, or in any employment policy or practice. Any complaint arising by reason of alleged discrimination should be directed to the Equal Opportunity Office, Eastern Kentucky University, Jones Building, Room 106, Coates CPO 37A, Richmond, Kentucky 40475-3102, (859) 622-8020 (V/TDD), or the Director of the Office for Civil Rights, U.S. Department of Education, Philadelphia, PA. Page 4 of 4
