The Ken & Gerry Burd

Environmental Studies Scholarship

Dear Student,

On behalf of the Selection Committee, thank you for applying for this scholarship. The award of $500.00 will be given to a graduating high school senior or college undergraduate pursuing a degree in Environmental Engineering, Wildlife Management, Natural Resource Management, Environmental Chemistry, Environmental Law Enforcement, Agricultural Engineering or other closely related Environmental field.

This award is based on academic performance, school and community activities/involvement, and a 500 word essay. You must also submit one academic and one personal letter of reference.

The application must be completed and returned no later that April 1, 2009. Any applications received after this date will not be considered. No exceptions!Good luck!

Ken & Gerry Burd
Please type or print the information.

Name:__________________________________________________________________

Home address:___________________________________________________________

Telephone #: ____________________________________________________________

Date of Birth:____________________________________________________________

E-mail address___________________________________________________________

School enrolled:__________________________________________________________

School address:___________________________________________________________

Anticipated date of graduation/completion:_____________________________________

Club Affiliation:________________________________________________

Current academic letter of reference (please list an advisor, counselor or teacher):

Name:__________________________________________________________________

Address:________________________________________________________________

Telephone #:_____________________________________________________________

Current personal letter of reference (please list a non-family member):

Name:__________________________________________________________________

Address:________________________________________________________________

Telephone#:______________________________________________________________

Relationship to applicant: __________________________________________________

Current school and community activities/involvement (please list memberships in clubs, sports, community groups, professional organizations or volunteer work):

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

Current awards and honors received (please include academic and non-academic awards):

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

Please attach a copy of a current transcript or report card, a 500-word essay describing your interests and career goals, and the two letters of reference.

 

Please return completed application to:
Ken & Gerry Burd
8149 Morgan Rd.
Clay, NY 13041

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