2007 APPLICATION FORM
Name _____________________________________________________________
Address * _____________________________________________________________
_____________________________________________________________
City _____________________________ Postal code _____________
Telephone Home _______________________ Work _____________________
E-mail _______________________ Fax _____________________
* Permanent address in Quebec
Highest level of education completed _____________________________________
For the 2007/2008 school year, I will be attending the following institution:
Name _____________________________________________________________
Program _____________________________ Year ________________
Please attach a one page summary of why you are pursuing an education in agriculture or silviculture, what you hope to achieve from your education and how you will benefit from receiving a scholarship from the Warren Grapes Agricultural Education Fund. Refer to the criteria listed on the attached information sheet; include any references or recommendations that you believe will support your application.
All applications must be submitted electronically to: qfa@upa.qc.ca
DEADLINE: Friday, October 12, 2007
Good luck!