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THE OHIO STATE UNIVERSITY COLLEGE OF FOOD, AGRICULTURAL, AND ENVIRONMENTAL SCIENCES
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Agricultural Technical Institute

Your care in completing this form is very important. Please carefully read and follow the instructions. The final date for submitting this form via the web is March 1, 2010. The final date for submitting the scholarship application via hard copy to the College Office is March 1, 2010.

If you have any questions or problems with this form, please contact:

Pat R. Whittington, Ph.D.
Director of Student Financial Aid
2120 Fyffe Rd. Columbus, OH 43210
Phone: 614-292-6891
E-mail: PWhittington@osu.edu

General Instructions

* The evaluation of your qualifications for individual scholarships, grants-in-aid and awards is based on the accuracy and completeness of the information you have provided on this form. It allows us to create an individual profile for you which identifies all the scholarships you are eligible to receive. Carefully read the scholarship descriptions in this booklet and then complete this form, including all relevant personal information. You need not complete every item below, but you will be warned if you do not include an item necessary for the processing of your application.

The policy of The Ohio State University, both traditionally and currently, is that discrimination against any individual for reasons of race, color, creed, religion, sexual orientation, national origin, sex, age, handicap, or Vietnam-era veteran status is specifically prohibited. Such information is necessary, however, in the selection of recipients of endowed funds bearing race, handicap, health and gender restrictions or to assist in the assessment of appropriate living costs.

** Indicates required field

** First Name
Middle Name
** Last Name
** OSU Username (name.#)
Permanent Address 1
Permanent Address 2
Permanent City
State
 (2-letter abbreviation)
Permanent Zip Code
 -
Permanent County
** Permanent Phone Number
 -
Cell Phone Number
 -
Email
Parent's Names


Major

- 017 Agricultural & Construction Systems Management
- 020 Agribusiness and Applied Economics
- 025 Agricultural Education
- 030 Food, Agricultural, and Biological Engineering
- 033 Agricultural Systems Management
- 056 Animal Sciences (General)
- 108 Crop Science
- 127 Construction Systems Management
- 188 Food Science and Nutrition
- 197 Food Business Management
- 322 Fisheries and Wildlife Management
- 323 Forestry and Urban Forestry
- 324 Human Dimensions in Natural Resources
- 328 Forestry, Fisheries and Wildlife
- 333 Landscape Horticulture
- 334 Turfgrass Science
- 399 Professional Golf Management
- 499 Plant Health Management
- 501 Environmental Science
- 572 Agricultural Communication
- 582 Parks, Recreation, and Tourism Administration
- 583 Environmental Policy and Management
- 810 Agriculture (if undecided)
- 870 Natural Resources, undecided
- 899 Pre-Professional Golf Management
- 998 Undecided, Pre-Vet
- 999 Other


Did you participate in FFA in high school?
 - Yes - No
If Yes, please include FFA activities in Extracurricular Activities below.


Did you participate
in 4-H?
 - Yes - No
If Yes, please include 4-H activities in Extracurricular Activities below.


In Autumn 2009
I will be a:
 - First Quarter Freshman
- Transfer Student
- Freshman
- Sophomore
- Junior
- Senior


Quarter(s) I will be attending (check each):
 - Summer 2009
- Fall 2009
- Winter 2010
- Spring 2010

Extracurricular Activities

Below, briefly list your extracurricular activities, including leadership positions. Please type in your response below. Keep your entry under 500 words. Do not insert images, spreadsheets, etc.



Work Experience

Below, please list present and previous employment. Please type in your response below. Keep your entry under 500 words. Do not insert images, spreadsheets, etc.



Personal Statement

Use the space below to give information about your career ambitions, goals, backgrounds, and any other factors that would assist the committee in evaluating your eligibility for these agricultural/natural resources scholarships. Be specific as to area of specialization within a major (e.g., Hort and Crop Science-Floriculture, or Animal Science-Dairy).

Please type in your response below. Keep you entry under 500 words. Do not insert images, spreadsheets, etc.


Please copy the code '04025' into the adjacent box:


By clicking on the Submit button below, you agree to the following:

I have read and understand the enclosed information. I affirm that the information which I have provided on this application form and any additional material that I submit related to the financial aid process is complete, accurate, and true to the best of my knowledge. Pursuant to the Family Educational Rights and Privacy Act of 1974, as amended (FERPA), I hereby authorize The Ohio State University to release the scholarship application information provided by me, as well as other official and unofficial Ohio State information regarding my academic progress and status, to scholarship donors for the purpose of providing the donors with information concerning my eligibility as a scholarship recipient. I also understand that furnishing false information may result in revocation of my financial aid or may result in disciplinary action pursuant to The Ohio State University Code of Student Conduct.


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