Ben Meadows Scholarship Application (Part 1)
This three part application must not be handwritten (recommendation portion exempt). Fill in the text boxes below with your information then print this page from your browser. Repeat this process for all three parts of this application then send all documents (including recommendation and transcripts) to:
Ben Meadows Natural Resource Scholarships
c/o Society of American Foresters
5400 Grosvenor Lane
Bethesda, MD 20814

DATE  
NAME (First & Last)  
SOCIAL SECURITY NUMBER  
LOCAL OR CAMPUS ADDRESS  
   
PERMANENT ADDRESS  
   
For Mail Please Use:   School Address
    Home Address
PHONE # (specify cell, home, or otherwise)  
EMAIL ADDRESS  
SCHOLARSHIP DESIRED   Academic Achievement
    Leadership
NAME OF SCHOOL (Include State) (IF APPLICANT IS AWARDED A SCHOLARSHIP, PAYMENT SHALL BE MADE TO THIS INSTITUTION)  
Class Level Starting Fall 2012   JR SR
MAJOR  
MINOR(S)  

PLEASE BE ADVISED THAT ALTHOUGH IT IS INTENDED THAT THE SCHOLARSHIP AWARD BE A "QUALIFIED SCHOLARSHIP" AS DEFINED UNDER THE INTERNAL REVENUE CODE, AND THEREFORE NOT SUBJECT TO TAX AS A PART OF THE APPLICANT'S GROSS INCOME, IT IS THE APPLICANT'S SOLE RESPONSIBILITY TO ESTABLISH TO THE SATISFACTION OF THE INTERNAL REVENUE SERVICE THAT HE OR SHE HAS MET ALL OF THE REQUIRED CRITERIA. IF YOU HAVE ANY QUESTIONS IN THIS REGARD, PLEASE CONSULT YOUR OWN TAX ADVISOR.

It is necessary that you turn in all section requirements depending on the type of scholarship to be considered. Your words will be carefully read for content and grammar.

Student Signature ___________________________________
By my signature above, I authorize release of my name, directory, and academic information on file to scholarship donors and others in conjunction with any university scholarships I may receive.
Deadline for Scholarship Applications is June 30, 2012

Click Here For Part Two