Margaret Parker Adult Scholarship Application
 
Full Name:   E-mail:

Street: City:  State: Texas   Zip:

Telephone: Occupation:

1. Are you currently a chapter-only member of the Fort Worth Audubon Society?
Yes      No
(Chapter-only membership is required for scholarship application. If you are not a member and would like to become one, please contact Ann Hoover at 817-496-4437.)
 
 2. Have you ever received scholarship assistance from Audubon before?  
Yes    No
 
 If yes, for what program and when:
 
 3. If you are currently engaged in either paid or volunteer activities in conservation or in environmental or science education, please describe what you are doing: 

4. Please describe how you might make use of this learning experience after you return home:


5. Please indicate how you might consider assisting Fort Worth Audubon Society following this experience:
 
 
If I receive the FWAS adult scholarship, I understand that I will be required to write a brief summary of my experiences for the chapter newsletter and/or to give a presentation at a FWAS general meeting, so others can benefit from my experience.   YES

Please include URL for/material from the organization/school/sponsoring agency that describes the content of the program and the dates you wish to attend below.