1. Name

Last:
First:
Middle:

2. Present address (Street, RR, PO Box, City, State, Zip):

 

Phone number:  (     )
Email:

3. Permanent address (during summer or non-school) (Street, RR, PO Box, City, State, Zip):

 

Phone number:  (     )
Email:

 

4. SWCS membership status and years as a member:

____ Regular member
____ Student member

If you have not been a member for at least one year, you are not eligible for this scholarship.

 

5. References:

Please attach three letters of recommendation to this application. We suggest you use your college or university advisor and two others of your own choosing.

 

6. Will you hold other SWCS scholarships or internships this coming fall?

____ Yes  If yes, you are not eligible for this scholarship
____ No

 

7. Are you an employee or immediate family member of the scholarship selection committee?

____ Yes  If yes, you are not eligible for this scholarship.
____ No

 

If you cannot answer "YES" to one of the following two questions, you are not eligible for this scholarship.

8. Will you be in your Junior or senior year of full-time undergraduate academic study this coming fall?

____ Yes
____ No

 

9. Will you be pursuing graduate level studies this coming fall?

____ Yes
____ No

 

10. College or university at which you are now studying (complete name and address):

 

11. College or university at which you will be studying next year, if different than where you are now studying (complete name and address):

 

12. What is your major course of study?

 

13.  List completed college level credit courses that provide background in natural resources conservation.

 

14. List all courses, including credits, you will take this coming fall.

 

 

15. List positions of leadership and year that you have held or now hold (SWCS chapter, 4-H, FFA, student organizations, etc.) and publishing and speaking activities in which you participate(d):

 

16. Attach a one-page letter outlining your background, accomplishments with the SWCS student chapter, conservation activities as a volunteer and/or employee, objectives of your educational program, and career plans.

 

17. Attach most recently available transcript (copy).

 

18. Signature of applicant
       Date

 

The Melville H. Cohee Scholarship is not available for the 2005-2006 academic school year.