EKU Agriculture Scholarship Application

Department of Agriculture Scholarship Application

Eastern Kentucky University Scholarship Application for Undergraduate Agriculture and Horticulture Majors

Application deadline is February 26th

Name: ______

LastFirstMiddle

EKU ID Number: ______E-mail address: ______

If no EKU ID Number, please list your Social Security Number.

Permanent Address/Route: ______

City: ______State: ______Zip: ______

County: ______Phone Number (_____) ______-______

High School: ______High School GPA: ______

Circle all that apply: Undergraduate New Transfer

New Freshman Freshman Sophomore Junior Senior

Major: ______Term/Year you plan to graduate from EKU: ______

EKU GPA: (if applicable) ______Hours Earned To Date: ______

List other EKU scholarships awarded, if applicable: ______

______

If one or both parents are EKU alumni, please list their full name(s) graduation date(s):

______

______

Will you participate in the EKU ROTC Program? Yes No

Are you a veteran of the U.S. Armed Forces? Yes No

List membership in any EKU student organizations, clubs, choirs, or music ensembles:

______
______

Please estimate how your college is, or will be funded.

(Ex. 20% scholarships, 10% grants, 20% parents, 50% student employment)

______

______

Please list information regarding high school/college honors, and community service (include the hours per week you participated in each community service) or any other information you would like the Scholarship Committee to know about you.

______

Please list background experiences, if applicable, related to your chosen major or field of interest.

____________

Please list job/work experiences (include employer’s name and hours per week that you worked).

____________

Please include a typed, 500-word essay stating why you deserve this scholarship.

•I hereby verify all information is correct. My signature gives permission for the EKU Scholarship Committee, University Scholarship Coordinator, and/or the Foundation Scholarship Coordinator to review any academic or financial aid records.

•If awarded an EKU Foundation scholarship, I agree to write thank you letter(s) to the donor(s) and meet the donor(s) at special events, if requested.

•I realize new and renewal EKU Foundation scholarships are based on academic eligibility and/or other criteria established by donors. Scholarship amounts may vary yearly based on available funds. Students changing their major outside of department will be required to return scholarship monies to the scholarship fund.

______

Applicant Signature Date

The completed application and typed essay must be received by Feb. 26 of the academic year at the following address:

Eastern Kentucky University Fax: 859-622-6676

521 Lancaster Avenue

2 A.B. Carter Bldg.

Richmond, KY 40475-3156

Eastern Kentucky University is an Equal Opportunity/Affirmative Action employer and educational institution and does not discriminate on the basis of age (40 and over), race, color, religion, sex, sexual orientation, disability, national origin, veteran status or genetic information in the admission to, or participation in, any educational program or activity which it conducts, or in any employment policy or practice. Any complaint arising by reason of alleged discrimination should be directed to the Equal Opportunity Office, Eastern Kentucky University, Jones Building, Room 106, Coates CPO 37A, Richmond, Kentucky 40475-3102, (859) 622-8020 (V/TDD), or the Director of the Office for Civil Rights, U.S. Department of Education, Philadelphia, PA.

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