MLBC Scholarship Application

* Applicant Name

Mailing address for correspondence, including notification of award:

* Address

* City

* State

* Zip Code

* Phone

* Email

AAPL Member #

Name of Student Association

Positions held/Involvement in Association

Experience History

Internships

Current employer

* Have you accepted a job within the industry?

Yes
No

If yes, identify the company

Education History

Please list in chronological order all post-secondary schools you attended. Attach additional pages if necessary.

Name / Location of Institution
Dates Attended From / To
Number of Credit Hours Completed / GPA
Graduation Date

* Upload Education History

* Anticipated Graduation Date from Current Program

* Overall Cumulative GPA (To Date)

* Have you ever been placed on academic probation or suspension?

Yes
No

If yes, please explain the circumstances surrounding the probation or suspension.

* Are you related to any member of the MLBC?

Yes
No

If “Yes,” please provide the following information:

Member’s Name, Relationship, and Position Held in MLBC

* Are you a member of the MLBC?

Yes
No

* Were you previously awarded an MLBC Scholarship?

Yes
No

If yes, please list both the year and monetary value of the award:

* Have you previously failed to qualify for all or part of an MLBC Scholarship?

Yes
No

If “Yes,” please briefly describe the reason why all or part of the award was not claimed:

Please respond to the following questions in essay format (3 pages maximum). Include your responses with this application.

Describe your participation in the local campus student land management/landmen’s association, including any leadership positions.
Describe the occupation you intend to pursue upon graduation and how you plan to succeed in such an occupation.
Describe your awards, honors, and achievements; highlight any position or exhibition of leadership.
Discuss any additional information that you feel we should consider in evaluating this application.

* Attach Essay

For the purpose of encouraging candor, I hereby freely and voluntarily waive my right of access to any information contained on this application form and resulting evaluation form (if any) and agree said information shall remain confidential. I also agree to MLBC having access to my official university records for the purpose of confirming the accuracy of the information provided herein or attached hereto.

I certify that all information on this application is true and correct, and I understand that any award may be rescinded if this information is found to be false. I recognize that as a condition of receiving this award that I am willing to attend the scholarship awards meeting as the guest of the MLBC. I understand the Scholarship award is granted in accordance with the parameters established by the MLBC Executive Committee, whose judgment shall be final.

* I agree to be bound by the attached AAPL Code of Ethics. If awarded an MLBC Scholarship, I will join the MLBC as a student member (if not already a member) as soon as is practicable.

Agree

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