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