Epsilon Sigma Phi - H. C. Sanders Scholarship Fund

Faculty, staff, or student employed by the Louisiana Cooperative Extension Office pursuing a Master’s degree or a doctorate

Ag Center - Ag Extension, Educ & Eval, LSU AgCenter
Supplemental Questions
  1. Are you currently employed by the LA Cooperative Extension Service?
  2. If yes, please describe in what capacity you are employed.
  3. Authorization
    • 1. By submitting this form I hereby acknowledge the information I have provided is true and complete to the best of my knowledge and I have completed this form voluntarily. I give my permission to disclose this information and photo to the scholarship donor/s or their families or representatives. Furthermore, I give permission to use part or all of this information for internal LSU reporting and future media release.
    • 2. Full Name
    • 3. Date