Poultry Science Freshman Scholarship Application Amount: $500 Date Submitted: ___________________________ Student ID#_________________________ Last Name: __________________ First Name: _____________________ M.I.________ College Mailing address: ________________________________ Phone: ________________ City_______________________ State_______ Zip_________ Permanent Mailing Address: _______________________________________________ City _______________ State_______ Zip _____________ Preferred Email Address: ____________________________________________ Hometown Newspaper___________________________ Class standing: Freshman Sophomore Major: __________________________ Anticipated Graduation Date (Semester/Year) ________________________________ Total # of Semester hours completed: ___________________ Current GPA__________ If given one of the Poultry Science Scholarship Awards, I hereby grant UNG the right to release any information to the media for the purpose of publicizing the program and services of the Institution. ____________________________________ Student’s Signature _______________________ Date You must submit a letter of need/support and one UNG Faculty recommendation along with this application prior to the deadline. Please send all information to: University of North Georgia, Gainesville Campus, 3820 Mundy Mill Rd., Attention Linda Purvis Science Building Room 242 Oakwood, Ga. 30566