Download Student Scholarship and Travel Application Apply for Student Scholarship Online
Download Educators Travel Allowance Grant Apply for Educators Travel Allowance Grant Online

APPLICATION FOR MID-ATLANTIC HORTICULTURAL SHORT COURSE SCHOLARSHIP  * indicates required fields
PERSONAL
Name*:
SSN: (optional)
Email Address*:
School*:
Faculty Advisor:
Local Address*:
Home Address if different:
Home Phone Business or School Phone:
Date of Birth:
Sex:	Male Female
Are you currently employed?	Yes No
ACADEMIC (Email a copy of latest university / college transcript)
College/University currently attending:
Major:
Advisor:
Advisor Phone:
Attending School:	Part-time Full-time
Other colleges attended (fill in the following):
Previous College(s) Location Dates Attended Major Degrees GPA 1 2 3 4
EXTRA-CURRICULAR ACTIVITIES Current activities and organization memberships, offices, and awards:
Employment experience (provide employer’s name and address and your responsibilities).
FINANCIAL Make a brief statement of your financial situation describing how you meet school expenses (tuition, books, housing, etc.). Include any financial assistance you receive from family, your personal contributions.
Have you received, or do you expect to receive, other loans, awards, or scholarships to help you with college expenses? If so, cite amounts and academic year of receipt.
BACKGROUND STATEMENT Describe your current studies and career objectives.
REFERENCES
Name Address Phone
I, hereby acknowledge that all of the information included in this application is true and complete to the best of my knowledge. I agree to the release of this information to the scholarship sponsors.