TENNESSEE STATE UNIVERSITY
COLLEGE OF AGRICULTURE, HUMAN AND NATURAL SCIENCES
DEAN’S SCHOLARS PROGRAM
APPLICATION
I,_____________________, certify that I am a potential Tennessee Hope Scholarship
recipient and I wish to be considered for the Tennessee State University College of
Agriculture, Human and Natural Sciences Dean’s Scholars Program.
Signature________________________________________________________________
Date________________________________
Name___________________________________________________________________
Last
First
Middle
Address_________________________________________________________________
Number and Street
City
State
Zip Code
Telephone_________________________________________
Date of Birth_____________________________________
Sex F________M________
Email address____________________________________________________
On a separate sheet, briefly discuss why you want to study/continue to study agriculture,
food, natural resource sciences, or related discipline.
Submit to:
College of Agriculture, Human and Natural Sciences
Scholarship Committee
ATTN: William Hayslett
Tennessee State University
3500 John A. Merritt Blvd.
Nashville, TN 37209-1561
If additional information is needed please contact:
Mr. William F. Hayslett, Sr.
Academic Coordinator
615-963-5438
whayslett@tnstate.edu