Date:                                                    Name:                                                      Email address:

Summer Address*:
*Notification of award will be end of May
Home Phone:                                                  Work Phone:                                 SSN:

College Credits Completed:                            Total GPA:                                   Major GPA:

Declared Major and Specialty:                                                                             Circle Program:  2yr 4yr

Parents' Names:                                                                                                    Anticipated Graduation Date:

Parents' Address:                                                                                                  Parents' Phone Number:


Please answer questions below completely.  Use additional pages if necessary.  Please note application is printed front & back.

Explain why you chose a Horticultural field of study:









Explain your personal and educational goals and interests:










Financial need, if applicable (History and Justification):











Are you currently working, and do you intend to work during the 2007-08 school year?  If so, where, and how many hours per week?





List horticulture-related jobs and any volunteer or community service activities in which you have participated:








List student organizations to which you belong and offices held in those organizations:








Horticulture awards or scholarships previously received:





Please supply two academic references and one personal reference.  Be sure to include phone numbers.
Reference Name   Academic or Personal?  Telephone number with area code
1.

2.

3.


Please list any additional information you feel will assist the Scholarship Committee in making its decision:







Hometown, County, and hometown newspaper (for public relations purposes):



Please return this information to:  Mr. Bryce Lane, Undergraduate Coordinator
     NCSU Department of Horticultural Science
     116 Kilgore Hall
     Raleigh, NC  27695-7609


Thank you for your application!  Notification of awards will be made via email and postal mail.  If not chosen for an award for the 2007-2008 academic year, notification will be made in late May via email.  If enrolled next year, please apply again, whether or not you receive an award this year!