Perennial Plant Association Scholarship Program

Name: ___________________________________ Address: _________________________________ City: _____________________________ State: _______________ Zip: ___________________ Telephone: ( _____)_______________________ School you are currently attending: _______________________________________________ Year in School:____________________ GPA(4.0 Scale): ___________ GPA in Major: _________ Major: __________________________ Minor: ___________________________ Please list extracurricular activities including clubs and organizations to which you belong.     Please list any academic honors you have received.     Have you interned or worked in the perennial industry? If so, please give the names and addresses of past and present employers with a brief description of your duties and responsibilities and dates you were in the position.       Mail on or before March 1, 2005 to: Dr. Steven Still, Executive Director Perennial Plant Association 3383 Schirtzinger Road Hilliard, OH 43026 USA