Scholarship Application Adams County Master Gardeners Association Requirements: Adams County Resident 3.0 grade point 25 hours volunteer community service in last 2 years Pursue a career in one of the fields listed below Submit application to Adams County UWEX Office by April 1 Qualifying courses: Agricultural and Applied Economics Agricultural Education Agronomy (soil mgt & crop production) Botany (physiology, structure, genetics, ecology, distribution, classification, & economic importance of plants) Entomology Forest Science Horticulture Landscape Architecture Plant Pathology Soil Science Wildlife Ecology Date:_________ County & Town of Current Residence_____________________ Name:_______________________________ Phone #_____________________ Address_________________________________________________________ Mother__________________________________________________________ Father___________________________________________________________ High School ______________________________________________________ Year of Graduation ______________ Cumulative G.P.A._______ (If you need extra room for any of the following questions, please use blank sheets as needed.) List all extracurricular activities which you have participated in while in high school; indicate also all offices held and special awards received. Do not include classes for which you received credit. List any non school-related activities or community services or projects in which you are involved. Include offices held and special awards and your hours and activities of volunteer contributions. Name of institution you plan to attend____________________________________ Have you been accepted at the above institution?__________________________ What is your intended major or course of study?____________________________ What is your long-range career goal?_____________________________________ Explain how you plan to finance your education. Provide a brief summary, describing how this scholarship award will help you achieve the goal you have set for yourself. Include any additional information which you feel may be pertinent to this application. I give my permission to release this application and a transcript of my school records to the Adams County Master Gardener Volunteers Scholarship Committee. I certify that this application is true to the best of my knowledge and that I personally completed this application. If I am awarded this scholarship, I understand that any change in my educational plans may jeopardize my qualifying for the scholarship. I understand that this scholarship will be awarded in 2 parts, the first half upon proof of registration in my planned educational program and the second half upon proof of second semester registration. Signed________________________________________________Date____________ 2