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CALIFORNIA HORTICULTURAL SOCIETY SCHOLARSHIP APPLICATION
Information must be typed or printed legibly. Applications must be received by November 1, 2007 PERSONAL DATA; 1. Name_________________________________Age___US Citizen? Yes__No__ 2. Address: Current_________________________City______________________ State_______Zip____________Phone (____)____________________________ Permanent _______________________________________________________
EDUCATIONAL BACKGROUND; 3. Where now attending_______________________________________________ Four Year College___________________Two Year College________________ 4. Where enrolled in fall of 2007________________________________________ 5. Current Major_____________________________________________________ Minor or area of specialization________________________________________ 6. Year in school (circle one) Freshman Sophomore Junior Senior Graduate 7. How many years in college? _______ Expected date of graduation? __________ 8. Total number of units completed__________In Major_____In Minor_________ 9. Total Number of units currently carrying____In Major_____In Minor_________ 10. Number of units projected for next semester______________________________ 11. Overall college Grade Point Average_____________In Major________________ 12. List High Schools and Colleges attended with dates ________________________ __________________________________________________________________ An official transcript may be requested after all applications have been screened. ACTIVITIES
13. Please list any awards, scholarships, honors etc. you have received. College___________________________________________________________ High School______________________________________________________ ________________________________________________________________ 14. College Activities related to Horticulture________________________________ _________________________________________________________________ 15. Community Activities related to Horticulture_____________________________ _________________________________________________________________ _________________________________________________________________ 16. Other activities and offices held________________________________________ _________________________________________________________________ _________________________________________________________________
WORK EXPERIENCE
17. List all work experience in which you have participated, whether related to Horticulture or not.
Employer Job Title or Duties Dates ______________________________________________________________________________
. EDUCATIONAL AND OCCUPATIONAL GOALS IN REGARD TO HORTICULTURE
18. Outline your educational objectives ________________________________________________________________________________
Occupational goals ________________________________________________________________________________ PESONAL REFERENCES
19. Please submit letters of recommendation with this form from three persons, including one or more
Return completed application to
Ms. Diana D. Ross Scholarship Committee P.O.Box 60 Belmont CA 940002-0060 lambeaux@pacbell.net
REMEMBER, APPLICATIONS MUST BE RECEIVED BY NOVEMBER 1, 2007
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