DELTA THETA SIGMA SCHOLARSHIP PROGRAM

DELTA CHAPTER- UNIVERSITY OF MINNESOTA-ST. PAUL

ACADEMIC & HOUSING SCHOLARSHIP APPLICATION:

INCOMING MALE FRESHMEN OR TRANSFER STUDENTS Fall Semester 2017

PLEASE TYPE APPLICATION OR PRINT NEATLY IN INK

Scholarship available for download at:

http://deltathetasigma.org/

Please check box if interested in our Housing Scholarship

(Information can be found on our website)

Applicant’s Name ______

(Last) (First) (Middle)

Current Address ______

(Street or RFD)

______

(City) (State) (Zip)

Cell Phone (_____)______

Current E-Mail Address ______

Date of Birth ______

(Year) (Month) (Day)

Parent or Guardian’s Name

Father ______

(Last) (First)

Mother ______

(Last) (First)

Home Telephone (____)______

High School ______

(Name of School) (Graduation month/year)

What are you considering as your major at the University of Minnesota?

______

Please include on a separate sheet of paper the following:

1.) List participation and leadership roles held in high school and community activities or clubs.

2.) A statement of no more than 250 words, summarizing your interest, involvement, and future plans in the agricultural industry.

Required:

- Attach a copy of your high school transcript

- Include two letters of recommendation

I hereby certify that I meet the general requirements set forth on this application form, all required information is attached to this application and that to the best of my knowledge; all facts are true and current.

Signature of Applicant

I hereby certify that the applicant meets the general requirements set forth on this application form, all required information is attached to this application and that to the best of my knowledge; all facts contained are true and correct.

Signature of Parent or Guardian

The application form and supporting documentation will not be returned.

Finalists will be notified by April 1, 2017.

Scholarship Interviews will be held on April 8 or April 9, 2017 .

·  Please circle the date that works best for you and your parent(s) to attend

·  Date is decided based on the responses given by applicants

Mail completed application forms to: Delta Theta Sigma

Scholarship Committee

1485 Cleveland Ave. N

St. Paul, MN 55108

Questions: call or email Dan at 507-276-7867 (cell)

All applications must be postmarked by March 25, 2017