IDAHO - EASTERN OREGON SEED ASSOCIATION
55 SW 5th Ave, Suite 100, Meridian, ID 83642 208-888-0988 fax: 208-888-4586
Please use this form to apply for a scholarship interview with Seed Association Representatives. Applicants must be available to interview the morning of Thursday, April 14, 2016 in Moscow, Idaho. Interviewees are invited to attend the Awards Luncheon at 12:30 pm. More information will be provided if selected.
Deadline – March 24, 2017
- Glen and Iris Murray Idaho-Eastern Oregon Seed Association Scholarship
- North Idaho Foundation Seed Association-Sanford Evans Memorial Scholarship
- Washington-North Idaho Seed Association Scholarship
- Idaho Bean Dealers Association
NAME (Last, First):
MAJOR/DEGREE:
EMAIL ADDRESS:
STUDENT ID NUMBER:
CUMULATIVE UI GPA:
FALL 2015 GRADE LEVEL:
HIGH SCHOOL:
YEAR OF GRADUATION:
CITY:
STATE:
COUNTY (Only in Idaho):
MAILING ADDRESS
NUMBER & STREETCITY
STATE
ZIP
PHONE
PARENT/GUARDIAN INFORMATION
FATHER’S NAMEEMPLOYER
MOTHER’S NAME
EMPLOYER
MILITARY SERVICE
AWARDS AND HONORS PRIOR TO ATTENDING THE UNIVERSITY OF IDAHO
HONORS AND ACTIVITIES AT THE UNIVERSITY OF IDAHO
PAST AGRICULTURAL EXPERIENCES
SUMMER EMPLOYMENT IN RECENT YEARS
PLANS OR ASPIRATIONS FOR EMPLOYMENT FOLLOWING GRADUATION:
SOURCES OF COLLEGE FINANCING – Scholarships, Grants, Parents, Work…..
NAME OF HOMETOWN NEWSPAPERRELEASE OF PERSONAL INFORMATION TO SCHOLARSHIP DONOR & COMMITTEE:
I agree to release the above information to all persons involved with the selection and awarding of this specific scholarship. To the best of my knowledge, I attest that this information is true and accurate.
SIGNATURE:DATE:
This Scholarship Sponsored by the following Seed Associations:
Idaho-Eastern Oregon Seed Association
Washington-North Idaho Seed Association
North Idaho Foundation Seed Association Scholarships
Idaho Bean Dealers Association
Please return to the College of Agricultural and Life Sciences Academic Programs Office in Ag. Science Building Room 65 by March 24, 2017.