Fischer Online Application

Completed 2010-11 scholarship applications must be submitted online no later than October 16, 2010. An official transcript and two reference letters completed by a professor, academic advisor, or an individual knowledgeable of the applicant's abilities and potential, are required and must be mailed separately to: Office of Development Services, University of California - Agriculture and Natural Resources, 1111 Franklin Street, 6th Floor, Oakland, CA 94607.

* Applications accepted from April 1, 2010 through October 16, 2010. All applications and supplemental materials must be postmarked no later than October 16, 2010. The monetary award will be mailed directly to the successful candidate in the Fall, upon proof of registration at an accredited California university.

For background information and criteria visit: http://groups.ucanr.org/devsvcs/Awards_and_Scholarships/

Please complete all fields.

Question	Response
Applicant's Name
Last Name:
First Name:
Middle Name (optional):
Permanent Address:
Street:
City:
State:
Zip Code:
Telephone (with area code):
Local Address:
Street:
City:
State:
Zip Code:
Telephone (with area code):
Email Address:
University Attending (Fall 2010):
Major:
Thesis Topic (if applicable):
Expected Date of Graduation:
Expected Degree:
Current Occupation:
STATEMENT OF EDUCATIONAL PURPOSE
Write a statement of your educational goals. Indicate your primary area of academic interest, why you chose it, any special qualifications you may have, and how you plan to use this educational opportunity when completed. If you prefer, you may upload a file and attach your Statement of Educational Purpose:
EXTRACURRICULAR ACTIVITIES:
List activities in which you have participated and organizations to which you belong. Indicate offices held, honors received, publications, etc. You may upload a file and attach your extracurricular activities if you prefer:
Reference Letters
Two reference letters completed by a professor, academic advisor, or an individual knowledgeable of your abilities and potential, must be attached or mailed separately. Please indicate how your letters will be transmitted.	Reference Letter 1 is attached Reference Letter 1 will be mailed separately Reference Letter 2 is attached Reference Letter 2 will be mailed separately
Transcript
My official transcript will be mailed to the ANR Office of Development Services and postmarked no later than October 16, 2010:	Yes No
CERTIFICATION:
I hereby certify that all the information provided is true and correct. If selected for this award, I authorize release of the above biographical information for use in publicity related to this award:	Yes No
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