Saginaw Field & Stream Club

Conservation Scholarship Program Application form

Print or type clearly

 Date:___/___/___

Last Name: __________________  First: __________________ Middle Initial: ____

Home address: ____________________   City:__________________ Zip Code: ______

Home phone (____) _____-________   College Phone (____) _____-________ 

High School Graduated from __________________________     Graduation year ______

College(s) applied to or currently attending:____________________________________

Has your college application been accepted?  (  ) Yes      (  ) NO

List your declared college major: ____________________________________________

High School GPA. _____________ College GPA. _____________  (Supply transcript)

Parent(s) Name __________________________________________________________

Parent(s) address: ____________________   City:__________________ Zip Code: ______

Have you been granted or expect to receive any other scholarship awards?  (  ) Yes   (  ) No

If Yes, please explain granting source and award level/purpose _________________________

 __________________________________________________________________________

Any other information you would like the Scholarship Committee to know about in considering your application? 

__________________________________________________________________________

__________________________________________________________________________

What is the best time of day to contact you? _______________________________________

If you receive a Scholarship Award from The Saginaw Field & Stream Club, what is the best way to contact you? 

________________________________________________________________________

     This scholarship shall be awarded to selected graduates of any Saginaw County high school pursuing a higher education major leading to a career in a conservation related field, (i.e., Biology, Chemistry, Zoology, Conservation law enforcement, Wildlife veterinary medicine, etc.).   You must be able to assure the Saginaw Field and Stream Club Scholarship Committee, that your declared major or field of study is intended to lead you into a conservation related career.

     Scholarship applications for non-conservation career related studies will not be considered.