Association of SD County Weed and Pest Boards Scholarship Application Form

PERSONAL INFORMATION

Name:*

Full Address:*

Phone No:*

Home County:*

Email Address:*

Date of Birth:*

ACADEMIC INFORMATION

High School:*

Year of Graduation:*

Name of College / University / Technical School Attending:*

Major area of academic emphasis:*

Cumulative Grade Point Average:*

Please attach a college transcript:

FINANCIAL INFORMATION

Qualification for the Weed Fighter's Scholarship will be partly based on financial need. Please describe how you plan to pay for your cost of attendance for the 2018-2019 academic year, including any scholarships you will be receiving:

ESSAY

The essay should discuss your major area of study, area of specialization, and the occupation you plan to pursue after graduation. Describe why you chose your area of study, your long-term goals and how you plan to achieve, and other information that is relevant to your careers plans. The essay should be no more than 500 words:

REQUIRED INFORMATION

I authorize my school officials to give information about my academic records to the South Dakota Weed Fighters:
YesNo

To the best of my knowledge, the information presented on this application is complete and true:

Applicant's Signature (your full name)

Date:

CERTIFICATION BY A SCHOOL OFFICIAL

School official name:

School official title:

School official phone: