Department of Geography University of North Dakota Application for the Virginia George Memorial Scholarship Name: __________________________________________________________________ Home Address:___________________________________________________________ Empl. ID: _______________________________________________________________ Grade Point Average Overall: ________________ Geography: ____________________ Geography Courses Taken: ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ Academic / Career Plans: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Please attach an essay describing your reasons for entering the scholarship competition and discussing why should you be selected. Should I win, I consent to allowing the UND Department of Geography to announce that I won through internal and external media outlets, including the use of photographs of me. Yes __________ No __________ Applicant’s Signature: ________________________________ Date: ________________