Application Form Scholarship Awards Undergraduate Scholarships for First-Year Students Please complete this form and include it with your supporting documents (listed below) to [email protected] by 4:30 PM, Friday, May 5, 2017 APPLICANT INFORMATION

Name: Address:

Phone number; Email: Parent Name(s): Farm Name: High School: Program and Post Secondary Institution:

Attached to this application please include:  Unofficial transcript at the time of application (followed by official transcripts upon receipt)  Proof of acceptance (conditional or otherwise) to a post secondary program, followed by proof of registration  Written essay (maximum 500 words) on: o How you have contributed to your school and/or community life o How you have demonstrated leadership o Your career plans and how these tie in with the pulse industry

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