Department of Agricultural Leadership, Education, and Communications
Texas A&M University
Application for Departmental Scholarship – Graduate Students
Qualifications for Scholarship:*Graduate students: Major in ALEC or ADEV and enroll in 9 or more credits (long semester) at TAMU
*This application must be submitted by 5 p.m. by posted date on website.
*No attachments are permitted.
- UIN: ______2. TAMU Email: ______
- First Name: ______4. Middle: ______5. Last Name:______
6. Local Address: ______7. City: ______8. State: ___ 9. Zip: ______
10. Cell Phone: ______11. Secondary Phone: ______
12. Permanent Address (if different from above): ______13. City: ______
14. State: _____ 15. Zip: ______
16. Are you a Master’s or Doctoral Graduate Student? Master’s ___ Doctoral ___
17. Major: ALEC ___ ADEV__
18. Have you filed a degree plan? Yes ___ No___ 19. If yes, who is yourmajor professor? ______
20. Emphasis Area: ______
21. Expected Graduation Semester/Yr: ______
22. GPA last degree received: ______23. Current GPA: ______
24. Are you a Texas resident? Yes ___ No ___ 25. If No, where is your residency? ______
26. Do you have a disability (learning, physical, etc.)? Yes ___ No ___ 27. If yes, describe briefly: ______
28. Do you receive Veteran’s benefits to attend college? Yes ___ No ___
29. Will you student teach during the next year? Yes ___ No ___ Spring___ or Fall ___
30. Have you been or are you a member ofAGSS? Yes ___ No ___
31. If yes, describe your involvement:
32.Where did you complete your previous degree (s)?
33. Please list name(s) and amount(s) of any scholarship(s), fellowships, or graduate assistantships you will receive this coming school year:
34.Describe your work experience. You may list internships and part-time or full-time employment.
35. What are your career goals? ______
36. Describe your area of research or area of professional practice:
37. Does your research relate to the Community Resources and Economic Development Program of Texas AgriLife Extension, or any other area dealing with rural economic development? Yes ___ No ___
38.Are you employed by Texas A&MAgriLife Extension Service? Yes___ No ____,
Position ______
I certify that all information included in this application is accurate to the best of my ability. I grant permission to the Office of Student Financial Services to verify all information and to release information to the Department of Agricultural Leadership, Education, and Communications for any scholarship for which I may be eligible.
39. Signature: ______40. Date: ______
*If you are selected for a scholarship, you will be notified by phone or email. The scholarship will be presented at the Parent’s Weekend Reception on Friday afternoon, April 17, 2015 in the AGLS Center.
SUBMIT
Charlene Boggus, Lead Office Associate
Department of Agricultural Leadership, Education, and Communications
Texas A&M University
216 AGLS Building
(979) 862-3001