Outstanding Poultry Science Student Award
Amount: $1000
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