Scholarship Application - Academic Year 2008-2009
Department of Food Science and Technology

Oregon State University
Application DEADLINE: April 14, 2008 (Monday)
Instructions for filling out the application:

Enter your information in the following text fields. Use the TAB key to move the cursor from one text field to another. To move within the cell, use the space bar and return key (to add another line or let the text wrap automatically).

NAME
DATE
STUDENT ID NUMBER
LOCAL PHONE NUMBER
LOCAL ADDRESS
E-MAIL ADDRESS
CITY, STATE, ZIPCODE
HIGH SCHOOL ATTENDED
YEAR IN FST
UNIVERSITY CREDITS COMPLETED
CUMULATIVE GPA
FST CREDITS COMPLETED
EXPECTED DATE OF GRADUATION

List (below) previous Scholarships/Grants received (most recent first):

List (below) Work Experience (most recent first):

List (below) Extra Curricular Activities:

STATEMENT OF FINANCIAL NEED
My living and school expenses while I am in college will come from:
Financial aid and scholarships
%
Parents
%
Summer employment
%
Academic-year employment
%
Other (specify)
%
TOTAL (combination of all sources should add to 100%)
100
 %
 
Please explain your financial needs (any special circumstances, comments on how you support yourself, etc.):

State (below) Professional Interests and Goals:

I certify that the information on this application is correct, and BY SUBMISSION OF THIS APPLICATION with MY SIGNATURE (either electronic or typed) I grant my permission to the Department of Food Science to release information from this application to donors or agencies involved in determining the recipients for scholarship or grant awards.

SIGNATURE
DATE

PLEASE NOTE: Your application will not be accepted or processed unless submitted with a signature, either typed or electronic.

If you do not wish to submit your application electronically, you may print out the completed form, sign and mail to:
Linda Dunn
Dept. of Food Science and Technology
Oregon State University
100 Wiegand Hall
Corvallis, OR 97331-6602