Monsanto Hawaii Life Sciences Scholarship Scholarship Application

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1 Scholarship Application Objectives: To encourage the pursuit of higher education in life sciences. Who May Apply: Students of all public and private high schools in the State of Hawaii who will be graduating in good standing this year and will be attending an accredited college or university to pursue a post-secondary education in a discipline related to the life sciences (including agriculture, agronomy, biology, botany, genetics, horticulture, plant physiology, chemistry, crop science and soil science). Where to Get Applications: See your high school counselor or contact,,, Applications are also available online at Scholarship: Eligible recipients selected for this scholarship will each receive one $1,000 scholarship award. Selection Criteria: 1. Satisfactory academic performance (transcripts required): 2. Extra-curricular activities 3. Narrative 4. One letter of recommendation from counselor/ teacher and one letter of recommendation from club or community organization leader Deadline for Applications: Applications must be received no later than April 1. Send Completed Applications to: Rev. 1/12

2 APPLICANT INFORMATION Date of application: Life Sciences Scholarship Name of Applicant: Last First M.I. Mailing Address: _ Date of Birth: Gender: Phone: Father s Name: Last First M.I. Mailing Address: Phone: _ Mother s Name: Last First M.I. Mailing Address: Phone: _ School currently attending: Island: School you plan to attend/are attending: Major field of study: APPLICANT SUBMITTAL Applicant hereby agrees to utilize the scholarship award in accordance with the application submitted to. Distribution of scholarships is limited to those applicants who are in compliance with these policies and procedures. Monsanto reserves the right to withhold such distributions at any time the applicant/grantee is not in compliance. By signing below, you hereby agree that Monsanto Company has the right to use, publish, print, distribute and exhibit, the scholarship recipient s name, likeness, photographs, biographical information and other information contained on this form for advertising and promotional purposes for scholarship program(s), without further compensation or notification. I certify that the information on this form is true and correct to the best of my knowledge as evidenced by these signatures. I understand that all information contained on this form is subject to verification and that false information will lead to disqualification. Applicant signature Date Parent/Legal Guardian signature Date Rev. 1/12 Page 2 of 7

3 Your Name: Life Sciences Scholarship EDUCATIONAL PLAN Please describe your future educational and career plans in narrative form, and why you are interested in your planned field of study. You may attach additional sheets if necessary. Rev. 1/12 Page 3 of 7

4 Your Name: Life Sciences Scholarship EXTRA-CURRICULAR ACTIVITIES Provide a list of school-related and community service awards received, as well as activities, clubs and organizations participated in and leadership positions held. You may attach additional sheets if necessary. Community Activities (list any leadership positions held): Academic and Community Service Awards: School Activities (include leadership positions held and number of years involved, if applicable): Rev. 1/12 Page 4 of 7

5 APPLICANT CHECKLIST: Scholarship application form Narrative of educational plan Extra-curricular activities sheet High school transcript Two letters of recommendation. Please give the attached letter of recommendation instruction sheet(s) to the person(s) you have asked to write a letter of recommendation on your behalf. Acceptance letter from post-secondary institution APPLICATIONS MUST BE RECEIVED BY APRIL 1. MAIL TO: Rev. 1/12 Page 5 of 7

6 REQUEST FOR LETTER OF RECOMMENDATION Applicant s Name: Aloha, I am applying for the Life Sciences Scholarship, and would like to request your assistance with a letter of recommendation. This scholarship assists students pursuing a post-secondary education in a discipline relating to the life sciences. Please include in your letter any information about me that you feel will be helpful to the scholarship selection committee, including your personal experiences with my school work, academic and extracurricular activities, my interest in the life sciences and/or my attributes such as leadership qualities and potential for success as I go on to higher education. Please mail your letter of recommendation to: LETTERS MUST BE RECEIVED BY APRIL 1. Thank you very much for your assistance. Sincerely, Applicant s signature Rev. 1/12 Page 6 of 7

7 REQUEST FOR LETTER OF RECOMMENDATION Applicant s Name: Aloha, I am applying for the Life Sciences Scholarship, and would like to request your assistance with a letter of recommendation. This scholarship assists students pursuing a post-secondary education in a discipline relating to the life sciences. Please include in your letter any information about me that you feel will be helpful to the scholarship selection committee, including your personal experiences with my school work, academic and extracurricular activities, my interest in the life sciences and/or my attributes such as leadership qualities and potential for success as I go on to higher education. Please mail your letter of recommendation to: LETTERS MUST BE RECEIVED BY APRIL 1. Thank you very much for your assistance. Sincerely, Applicant s signature Rev. 1/12 Page 7 of 7

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