2018-19 FRESNO-MADERA CAPCA SCHOLARSHIP APPLICATION

forFresno State Junior and Senior Plant Science Students

April, 2018

Plant Science Scholars:

TheFresno-Madera CAPCA Chapter is pleased to announce the call for scholarship applicationsfor the 2018-19 academic year. Two(2) $1000.00 scholarships will be awarded.

Who Should Apply?
The scholarship will be given to a college student who:

  • is or will be a Fresno State Plant Science who will be a junior or senior student enrolled in the 2018-19 academic year
  • plans to pursue a career in pest management/plant health (Pest Control Advisor)
  • has a 2.0 GPA or better
  • demonstrates financial need, scholastic ability, achievements and community service, preferably agriculture-related activities.

How Do I Apply?
To apply for a scholarship or to receive additional information, this form will be available 1) Fresno State Plant Science Blackboard page, 2) the Department of Plant Science website under scholarships at or 3) in the Plant Science Office, Ag Science Room 222.

When Should I Apply?
To be eligible for consideration for thisscholarship, applications must be received no later than 5:00 p.m. April 30, 2018to Dr. Wenger’s email (). Recipients will be notified inearly May 2018. Proof of full time enrollment for the Fall 2018 semesterwill be necessary prior to receiving the award.

CRITERIA

To receive full consideration, the applicant’s packagemust include:

  • A fully completed and signed application form, typed or printed legibly;and
  • A current copy of academic transcript(s).

APPLICATIONS MUST BE RECEIVED by 5:00pm on April 30th 2018. Packets should be emailed to Dr. Jacob Wenger, .

Questions may be addressed to Dr.Jacob Wengerat r (559) 278-7754.

2018 FRESNO-MADERA CAPCA SCHOLARSHIP APPLICATION

forFresno State Junior and Senior Plant Science Students

SECTION 1 - BIOGRAPHICAL INFORMATION

Name:

Last First Middle

Address: City State Zip

Phone (Home) Cell

Email:______

Are you a California or Arizona Resident (underline)?YesNo

Are any of your relatives a pest control adviser or involved in a closely related field (underline)? Yes No

If yes, Name, Relationship, and Occupation:

Are you currently a student member of CAPCA (underline)? Yes No

SECTION 2 – EDUCATION

College level: Spring2018(mark one) _____Junior _____ Senior

Expected date of Graduation:
Institution Attended (2 or 4 year) / Major Field of Study / Major GPA / Cum GPA / Grad. Date
How many course units have you completed to date? / Quarter: / Semester:
How many course units are you currently enrolled in spring 2018?

SECTION 3 – FINANCIAL

Applicant’s current annual income / $ / Anticipated parental/guardian support / $

SECTION 4 – WORK EXPERIENCE

List all work experience in which you have participated whether related to pest management or not (beginning with most recent).

Job Title:

Employer:

Dates of Employment:

Job Title:

Employer:

Dates of Employment:

Job Title:

Employer:

Dates of Employment:

Job Title:

Employer:

Dates of Employment:

Job Title:

Employer:

Dates of Employment:

Job Title:

Employer:

Dates of Employment:

Yourcomplete packetshould include: 1) your application; 2)copy ofacademic transcript(s) in a sealed envelope. It should be emailed to Dr. Wenger at .

Questions may be addressed to Dr.Jacob Wengerat or (559) 278-7754.

2018 FRESNO-MADERA CAPCA SCHOLARSHIP APPLICATION

forFresno State Junior and Senior Plant Science Students

Pursuing Degree/Career in Pest Management/Plant Health (Pest Control Advisor)

SECTION 4 – STATEMENT OF EDUCATIONAL PURPOSE

Applicant’s Name: / Date:

Describe (in 500 words or less):

  • What are your educational goals?
  • Why you are pursuing a career in pest management/plant health?
  • How will your contributions to the agricultural industry affect our profession?

2018 FRESNO-MADERA CAPCA SCHOLARSHIP APPLICATION

forFresno State Junior and Senior Plant Science Students

Pursuing Degree/Career in Pest Management/Plant Health (Pest Control Advisor)

SECTION 5 - COLLEGE AND COMMUNITY SERVICE ACTIVITIES

Applicant’s Name: / Date:

Please list yourcollege and community service activitiesduring the past year with special emphasis on

  • your leadership
  • agricultural accomplishments
  • specific types of events, awards, honors, scholarshipsreceived

Please list any recentworkexperience(paid, voluntary or personal experience on a farm) as related to pest management and plant healthinclude the name of your employer, job title(s), duties, and dates of employment.

2018 FRESNO-MADERA CAPCA SCHOLARSHIP APPLICATION

Pursuing Degree/Career in Pest Management/Plant Health (Pest Control Advisor)

Confidential

APPLICATION FORM

CERTIFICATION

Applicant’s Name: / Date:

I hereby certify that I have completed all of the information on this application and to the best of my knowledge, it is correct and accurate. I acknowledge that all information on this application may be disclosed to third parties for the purpose of scholarship award consideration. If I am selected for a scholarship award, I will notify the Fresno-Madera CAPCA Scholarship Committee promptly of any change in my major, college/county residence, and/or course unit enrollment that would affect my eligibility for this award. Proof of enrollment or work in progress and verification of units will be necessary prior to receiving the award.

Additionally, I will keep the Fresno-Madera CAPCA Chapter informed as to my whereabouts and employment progress following graduation.

Signature

Date

2018 FRESNO-MADERA CAPCA SCHOLARSHIP APPLICATION

Pursuing Degree/Career in Pest Management/Plant Health (Pest Control Advisor)

Confidential

My Application Check-off List:

_____ I am pursuing a degree/career in Plant Science(pest management/plant health).

_____ I will be attending Fresno Statein Fall2018as a full-time student.

_____ I reside in Fresno or Madera County.

_____ I have included a current transcript in my packet.

_____ My application is complete and addressed to:

Applications should be emailed to Dr. Wenger ()

They must be received by 5:00PM on April 30, 2018