CDA scholarship form by 9Dr3haxy

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									                                              California Deer Association
                                                Scholarship Program
                                               Due Date: July 31, 2008
                                               Application Information


   The California Deer Association is providing a scholarship program as a combination of academic
recognition and financial assistance to the applicant. This scholarship fund is a dual commitment on the
part of the California Deer Association and the student to pursue an education and career in the field of
Agriculture, Forestry, Animal and Wildlife Husbandry, Rangeland Science, Veterinary Sciences, and
Resource Management.

Standard Eligibility Requirements:
    Enrolled as full-time college student (12 credit hours per semester minimum)
    Majoring in the field of Agriculture, Forestry, Animal and Wildlife Husbandry, Plant and Soil Sciences,
      Veterinary Sciences, and Resource Management.
    GPA of 3.0 or higher on a 4.0 scale, supported by an official transcript
    California Resident for a year
    California Deer Association membership is strongly recommended

Required Application Material:
    Completed application form
    Current official transcript
    Proof of enrollment as a full-time student (with a minimum of 12 credit hours per semester)
    Essay of 200 words (typed/double spaced)
    Reference(s):
         o One academic reference is required
         o One reference from a wildlife professional is optional

Selection Criteria:
In addition to the aforementioned standard eligibility requirements, selection will be based on the following:
     Honors and awards or special accomplishments
     Service (extracurricular activities, volunteer work, community service)
     Work experience
     Memberships in any organizations or societies
     At least one reference (one academic reference is required; a second reference from a wildlife
        professional is optional)
     Essay

Notes:
1) Should you be selected to receive a scholarship award, you will be required to provide a transcript of your grades each semester
(to show that the minimum GPA of 3.0, and the minimum course load of 12 credit hours, are maintained).
                                        California Deer Association
                                          Scholarship Program
To The Applicant: You should complete each line with the information requested. Due to Privacy Issues,
please note that any personal information that you provide to the California Deer Association will not be shared
with others and such data containing confidential information will be securely destroyed at the completion of
the scholarship award process each year. Please send all correspondence to:

                                           California Deer Association
                                          Attn: Scholarship Committee
                                            820 Park Row, PMB 671
                                                Salinas, CA 93901

Date: _____________

Applicant’s Basic Information

Full Name:___________________________________________________
Address:____________________________________________________________________________
City:__________________________________________               State:________         Zip Code:_________
Phone Number(s):____________________________________________________________________
E-Mail Address:______________________________________________________________________
Social Security Number:________________________               Date of Birth:________________________

Parent/Guardian’s Information
Father’s Full Name:_______________________________________________________________________
Father’s Daytime Phone Number:____________________________________________________________

Mother’s Full Name:______________________________________________________________________
Mother’s Daytime Phone Number:___________________________________________________________


Applicant’s Eligibility Information
1) List the college/university at which the applicant is currently enrolled or planning to attend.



2) List the degree that the applicant expects to receive from this college/university, and provide an anticipated
graduation month and year.



3) Name of High School attended and GPA (attach copy of current transcript if a current graduate of High
School)
4) List all colleges/universities the applicant has attended previously, and provide main addresses and phone
numbers for each. If you have never attended another college or university, write N/A in the space below.




5) In the space below, or an attached sheet of paper, please list your current or previous employment. If you are
not currently employed, and have never been employed, write N/A in the space below. (Supplying this
information is voluntary; if provided it will be taken into consideration.)




7) In the space below, or on an attached sheet of paper, please list honors and awards you have received, special
accomplishments, your extracurricular activities, your volunteer work/community service experience, and your
past and current memberships in any organization or society. If you have not received any such honors or
awards; have not had any involvement with extracurricular activities or volunteer work/community service; or
have not been a member of any organization or society, write N/A in the space below. (Supplying this
information is voluntary; if provided it will be taken into consideration.)




Essay Question
Attach a separate sheet of paper that contains an essay (200 words in length, typed and double-spaced) that
answers the following question:

                “Is hunting a valid wildlife management/conservation tool? Please justify.”

__________________________________________________________________________________________

By signing below, I certify that the information on the application form above, and on any sheets of paper that
are attached to it, is accurate and complete to the best of my knowledge. I understand that an incomplete
application, misstatement of fact or omission of information may disqualify me from consideration for an award
from the California Deer Association Scholarship. I also certify that I understand the scholarship terms as
presented to me on the “application information” form.


__________________________________________________________________________________________
Applicant’s Full Name                                             Date
                                       California Deer Association
                                         Scholarship Program

                                     Name and Photograph Release
                                            Adult Model


I hereby authorize the use, publication and reproduction at any time by the California Deer Association of my
name and photographs taken of me for any editorial use, advertising, promotion or any other purpose
whatsoever relating to the award of the California Deer Association Scholarship, and hereby waive all claims or
rights arising out of such use, and further waive any right to inspect or approve the finished materials in which
such photographs will be used.

__________________________________________________________________________________________
Applicant’s Printed Name

__________________________________________________________________________________________
Applicant’s Signature                                             Date

__________________________________________________________________________________________
Applicant’s Street Address, City, State and Zip Code

________________________________________                    __________________________________________
Applicant’s Home Phone Number                               Applicant’s Alternate Phone Number
                                         California Deer Association
                                             Scholarship Program

                                   Scholarship Application Checklist



Applicant’s Name:________________________________________________________




Be sure your application packet includes the following:


_________             Completed Application Form
_________             Current Official College Transcripts (3.0 GPA required)
_________             Proof of enrollment as a full-time student (minimum of 12 credit hours per semester) at
                      the junior or senior level.
_________             200 word essay (typed and double-spaced)
_________             References
                      1) Academic reference (required)
                      2) Professional reference (optional)
_________             Signed Name and Photograph Release Form


Mail completed application packets to:
                                           California Deer Association
                                           Attn: Scholarship Committee
                                            820 Park Row, PMB 671
                                                Salinas, CA 93901

Note: Application packet components will not be returned to applicants.
__________________________________________________________________________________________
                                             For Office Use Only
Date application package received: _____________________

Was application package complete upon receipt? ___________

If package was incomplete, list components that were missing:



__________________________________________________________________________________________
                                       California Deer Association
                                           Scholarship Program

                                Academic Reference Information Form

To The Recommender: You have been requested to provide an academic recommendation for a student
who is applying for the California Deer Association Scholarship. Please provide a reference that addresses the
six areas listed below to the best of your ability. You may use the back of this form, a separate sheet of paper,
or attach a formal letter of reference if you prefer. Please forward your letter of reference in the envelope
provided. It must be postmarked no later than DATE TBD.

   1) Give the name of the Applicant whom you are recommending.
   2) In what academic capacity have you known the Applicant?
   3) How long have you known the Applicant in the academic capacity listed above?
   4) Comment, with specific observations/instances, if possible, on the Applicant’s:
          a. Academic achievements
          b. Interest (and achievements) in the field of wildlife management/conservation
          c. Dependability
          d. Sportsmanship
          e. Honesty and integrity
          f. Qualities of good citizenship
   5) Detail the applicant’s academic characteristics in each of the following categories:
          a. Strength of character/behavior/development
          b. Any other observation
   6) Please offer any other comments not specifically requested that you believe may be helpful to the
      Committee in its consideration of this candidate


Recommender’s Information
Please mark one of the following categories that best describes your academic relationship to the Applicant:
________      Professor of college/university course in which Applicant is enrolled
________      College/university Academic Advisor to Applicant
________      Chair of college/university department that houses Applicant’s major
________      Dean of college/university school that houses Applicant’s major
________      College/university Chancellor or President

Name:____________________________________________________________________________________

Title/Position:______________________________________________________________________________

Address:__________________________________________________________________________________

Office Phone Number:______________________ E-Mail Address:__________________________________

By signing below, I certify that the information provided in my reference is accurate and complete to the best of
my knowledge. I understand that a misstatement of facts may disqualify the applicant from consideration for an
award from the California Deer Association Scholarship.



Recommender’s Signature                                             Date
                                       California Deer Association
                                           Scholarship Program

                              Professional Reference Information Form

To The Recommender: Because you are a wildlife management/conservation professional, you have been
requested to provide a professional recommendation for a student who is applying for the California Deer
Association Scholarship. Please provide a reference that addresses the six areas listed below to the best of your
ability. You may use the back of this form, a separate sheet of paper, or attach a formal letter of reference if
you prefer. Please forward your letter of reference in the envelope provided.

   7) Give the name of the Applicant whom you are recommending.
   8) In what professional wildlife management/conservation capacity have you known the Applicant?
   9) How long have you known the Applicant in the capacity listed above?
   10) Comment, with specific observations/instances, if possible, on the Applicant’s:
           a. Wildlife management/conservation professional achievements
           b. Interest (and achievements) in the field of wildlife management/conservation
           c. Dependability
           d. Sportsmanship
           e. Honesty and integrity
           f. Qualities of good citizenship
   11) Detail the applicant’s academic characteristics in each of the following categories:
           a. Strength of character/behavior/development
           b. Any other observation
   12) Please offer any other comments not specifically requested that you believe may be helpful to the
       Committee in its consideration of this candidate


Recommender’s Information
Please mark one of the following categories that best describes your professional relationship to the Applicant:
________      Wildlife professional who directly supervised Applicant in a workplace setting
________      Wildlife professional who indirectly supervised Applicant in a workplace setting
________      Other (please
describe:___________________________________________________________)

Name:____________________________________________________________________________________

Title/Position:______________________________________________________________________________

Your Agency/Organization of Employment:______________________________________________________

Address:__________________________________________________________________________________

Office Phone Number:______________________ E-Mail Address:__________________________________

By signing below, I certify that the information provided in my reference is accurate and complete to the best of
my knowledge. I understand that a misstatement of facts may disqualify the applicant from consideration for an
award from the California Deer Association Scholarship.



Recommender’s Signature                                             Date

								
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