Name Age Birthdate: Mo Day Yr Home Address Home Phone ( ) T# Some scholarships consider financial need. Information about family income is not required, but to be considered for those where financial need is considered, applicants are encouraged to provide the following information about parents (or guardian is applicable). Father s name Age Occupation Mother s name Age Occupation INDICATE WHICH SCHOLARSHIP(S) YOU ARE APPLYING FOR John and Joie Nutt Scholarship Little Rock Grain Exchange Arkansas State Horticulture Society (Due by April 1 st ) Xzin McNeal Scholarship Arkansas Association of Professional Soil Classifiers Melvern Watson Scholarship Arkansas State Plant Board James & Geneva Pledger Scholarship FRESHMAN APPLICANTS FILL OUT THIS SECTION This information must be certified by High School counselor. A copy of permanent High School record must be attached. This student will graduate from High School and will rank scholastically number from the top in a class of students. High School GPA is on a 4.0 scale. ACT composite score is. Certified by (Counselor) CURRENT STUDENTS AND ALL TRANSFER STUDENTS MUST FILL OUT THIS SECTION AND INCLUDE COLLEGE TRANSCRIPTS Graduated from High School in (Year) College Attending/Plan to Attend Current Rank ( Fr / S / Jr / Sr ) Name of College(s) Attended Year(s) Attended Total Hours GPA
ALL APPLICANTS FILL OUT THE REMAINDER OF THE APPLICATION FORM List High School and/or College activities, honors, and awards. Persons presently enrolled in college should emphasize collegiate activities. Be sure to indicate length of membership and leadership positions, also. INDICATE PRESENT OR ANTICIPATED MAJOR A. I plan to compete Pre-Veterinary requirements Yes No B. I am interested in or am presently enrolled in the following major: Agri-Business Agricultural Education Animal Science Feed Mill Management Horticulture Pre-Veterinary Medicine Public Relations Other (Indicate) LIST ANY PAST OR CURRENT SCHOLARSHIPS YOU HAVE RECEIVED STATE YOUR CAREER OBJECTIVES AND GOALS
INCOME, EARNINGS, AND BENEFITS (LAST YEAR) If married or single and not on parents tax forms, you must complete form below. Student and/or Spouse 1. Total number of exemptions 1. 2. Student s income earned from work 2. $.00 3. Spouse s income earned from work 3. $.00 SUPPLEMENTAL INFORMATION If married or single and not on parents tax forms, you must complete form below. Student and/or Spouse What is it worth today? What is owed on it? 1. Cash, savings, and checking accounts $.00 N/A 2. Other real estate and investments $.00 $.00 (Do not include the home) 3. Business $.00 $.00 4. Farm $.00 $.00 5. Is the family living on the farm? Yes No IT IS MANDATORY THAT EACH APPLICATION BE ACCOMPANIED BY A TRANSCRIPT. (DOES NOT HAVE TO BE OFFICIAL)
SUPPLEMENTAL QUESTIONS FOR SPECIFIC SCHOLARSHIPS A) Arkansas Association of Professional Soil Classifiers- James L. Gray Scholarship 1. List credited courses competed (or in process) that will contribute to the understanding of the soil resources. 2. What percentage of your funds for college comes from: Family % Summer and part-time work % Loans % Scholarships % Other % 3. Do you intend to take other courses that will increase your technical knowledge of soil? If so, list courses below. 4. Obtain two brief recommendations in the space provided. Recommendation #1: Signed Title Date Recommendation #2: Signed Title Date 5. Signature of Applicant
B) Arkansas State Horticulture Society Scholarship 1. If you had to select the area of horticulture of most interest to you, would you select fruit crops, vegetable crops, or ornamental crops? 2. How are you presently meeting your college expenses if in college, or how do you plan to meet them if not enrolled? (parents, job earnings, loans, work study, grants, etc.) 3. Give names and addresses of two people (not family members) who could be contacted regarding your interest in horticulture. A) B) 4. Write a brief statement regarding your interest in horticultural crops and what you hope to do in the future involving horticultural crops. Explain how your present or planned college enrollment fits in with these plans.