Master Gardener Program of Cornell Cooperative Extension of Ulster ...

Master Gardener Program of Cornell Cooperative Extension of Ulster County Dominic Parise Master Gardener Scholarship Application

INSTRUCTIONS: Complete Parts 1, 2 and 3 of the attached application and send them (with extra postage if needed) postmarked ON or BEFORE May 1, 2015 to:

Master Gardener Program Cornell Cooperative Extension of Ulster County 232 Plaza Road, Kingston, NY 12401

Master Gardener Program of Cornell Cooperative Extension of Ulster County Dominic Parise Master Gardener Scholarship Application PART 1:

Name:

____________________________________

Telephone:

____________________________________

Street Address:

_______________________________________________________

City:

__________________________________ Zip: ________________

School:

______________________________ School Telephone: _______________

Please list any extracurricular activities involving horticulture, agriculture and/or environmental biology in which you have been involved. Use an additional sheet of paper if necessary.

Please list any related awards or achievements. Use an additional sheet of paper if necessary.

What is your intended college major?

Master Gardener Program of Cornell Cooperative Extension of Ulster County Dominic Parise Master Gardener Scholarship Application

PART 2: On a separate page, please write a brief statement (250 words or less) discussing your feelings about horticulture, agriculture and/or environmental biology and why you intend to pursue a career in a related field.

PART 3: Please submit a copy of your school transcript and a recommendation from a teacher or supervisor in a horticulture, agriculture, environmental biology or science related field.

The Master Gardener Program of Cooperative Extension of Ulster County appreciates your enthusiasm and your interest in this award. Thank you.

PLEASE SIGN BELOW: I hereby affirm that all the information in Part 1 is true and that the essay for Part 2 was composed entirely by me.

___________________________ Date

______________________________________________ Signature