2012

EAST LONGMEADOW Garden Club

$1,000 Scholarship to be awarded 2012

$1,000 Scholarship Application

ELLIGIBILITY:

--Applicant must presently be an East Longmeadow High School senior or a recent graduate of East Longmeadow High School who is planning to attend an institution of higher learning;

--Or a graduate student who is a resident of East Longmeadow and is attending or planning to attend an institution of higher learning;

--Or an East Longmeadow student who is a resident and has been accepted to participate in a special program.

All applicants must be planning to pursue a degree in a major relevant to the following: Horticulture, Agriculture, Ecology, Environmental and Natural Sciences, Forestry, Plant Systems & Plant Biotechnology, Conservation, Perma-culture/Agro-ecology, Landscape Architecture, Botany, Bio-Science, Environmental Engineering, Environmental Protection, or a related field.

Applications must be received on or before March 1, 2012 and include a copy of an official grade transcript. Applicants being considered will be contacted by the East Longmeadow Garden Club’s Scholarship Committee for an interview. Send completed application and transcript to:

Mrs. Wanda Fafard or Mrs. Barbara Sibley

106 Sanford Street 75 Pleasant Street, A208

East Longmeadow, MA 01028 East Longmeadow, MA 01028

I. PERSONAL DATA: (PLEASE PRINT)

Name__________________________________________________ Date_______________

Address_________________________________________________ Phone_____________

Class of: __________ __________________________________________________School

Year Name of school you attended

Parents/Guardians

Father________________________________Mother_______________________________

Employed by__________________________ Employed by__________________________

Position_______________________________Position______________________________

Name and age of Brothers/Sisters: _______________________________________________

Work Experience:____________________________________________________________

Honors or special recognition: __________________________________________________

___________________________________________________________________________

Extra Curricular Activities: _____________________________________________________

___________________________________________________________________________

Additional Education:_________________________________________________________

Have you applied to an institution of higher learning? Y_____N_____

Name of institution/s of higher learning:___________________________________________________________________________________________________________________________________________________

Have you been accepted? Y_____ N______

Other Scholarships applied for: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

PERSONAL STATEMENT (need more space, use back of page)

Why do you want this scholarship? _________________________________________________

____________________________________________________________________________________________________________________________________________________________

______________________________________________________________________________

Why have you chosen this field of study? __________________________________________________________________

_____________________________________________________________________________

What are your future vocational plans? _________________________________________________________________

III. REFERENCES: Three (3) individuals not related to you, including one teacher and a counselor. Please have each one of them send a letter of recommendation directly to contact person noted above.

Name Address Occupation

______________________________________________________________________________

___________________________________ ____________________________________

Signature of Applicant Signature of Parent/Guardian

Date Application Received____________________ Date Application Reviewed ____________________