Scholarship Application Form

Please fill out the form to apply for the Mississippi Women for Agriculture-Dianne Evans Memorial Scholarship, the MWA General Scholarship, and the Alma Cherry/Pam Steele Scholarship. Those not eligible for the MWA-Dianne Evans Memorial Scholarship will be considered for the other scholarship opportunities!

Fields marked with an * are required.

Applications are due by March 12 for this year's scholarships. Scholarships are presented at the MS Women for Agriculture Annual Conference.

You may also download and print out a PDF version of the application below to fill out and send (with required documentation) to:

Mississippi Women For Agriculture
Attn: Scholarships
P.O. Box 9644
Bost 403-A
Mississippi State, MS 39762

Print Scholarship Application

Personal Information

First Name *

Last Name *

Address 1 *

Address 2

City *

State *

You must be a resident of Mississippi to apply.

Zip Code *

Home Phone *

Cell Phone

Email Address *

School Information

School Attending *

School Phone *

School Address *

Major *

Minor

Year *

GPA *

Enrolled full time for current academic year? *

Yes

References *

Names of references that will be providing letters. Enter one per line.

Attachments

Proof of Residence *

Upload documentation showing proof of residence in Mississippi.
Files must be less than 10 MB.
Allowed file types: gif jpg jpeg png rtf pdf doc docx.

College Transcript *

Upload an official college transcript showing college work completed to date and GPA, which must be 2.5 or above.
Files must be less than 10 MB.
Allowed file types: gif jpg jpeg png rtf pdf doc docx.

Career Goals *

Upload a statement (500 words or less) about personal career goals for working in agriculture, how this scholarship will support academic pursuits, and why the scholarship is needed.
Files must be less than 10 MB.
Allowed file types: gif jpg jpeg png rtf pdf doc docx.

Letter of Recommendation 1 *

Files must be less than 10 MB.
Allowed file types: gif jpg jpeg png rtf pdf doc docx.

Letter of Recommendation 2 *

Files must be less than 10 MB.
Allowed file types: gif jpg jpeg png rtf pdf doc docx.

Signature *

I verify this information is true to the best of my knowledge. Checking this box acts as my digital signature.

Leave this field blank

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