Required fields are indicated by an asterisk (*) If you do not have the information (such as a secondary phone number, please type NA). 
 
1. Eligibility:  Students must meet these criteria to be eligible.   
Please initial. 
Initials* I confirm that I am currently enrolled in a major, minor, option, or program of utility line clearance, utility vegetation management, arboriculture, forestry, urban forestry for the fall of
Year
*

1. Initials * I live in the United States (includes Washington, DC, and Puerto Rico).  
2. Initials * I am maintaining a GPA or 3.0 or higher and will supply current transcripts.  

I prefer to be called Name

2.Home address: The Nelsen Money Scholarship Program is restricted to residents of the 50 states of the United States of America, Washington DC, and Puerto Rico. 
  
 Street Address*   Address Line 2*   City*   State*   Zip* 

Area Code*   Phone Number*  
Area Code*   Secondary Phone Number*   

Email*   
 
Date of Birth*  

3. What school do you currently attend or plan to attend in the fall? 
 
Name:   School Name*   

Street Address*   Address Line 2*   City*   State*   Zip*   
Area Code*   Phone Number*   
 
What is your current GPA?: Initials*

4. Classification in fall semester 2021:   Classifiction*    
       (freshman, sophomore, junior, senior, graduate, PhD candidate, postgraduate)  
 
5. What degree(s) are you pursuing?    Degree*   
 
6.What profession or field of employment do you wish to enter with your college degree?     Profession*   
 
7.Anticipated year of college graduation:    Year*   
 
8.List any other postsecondary institutions you have attended. If you have not attended a postsecondary institution, please enter NA in the fields. 
    Name of Instutuion*   
   State*   Years attended*   
 
*   
        GPA*   GPA*   

9.The Essay:   
What does the scholarship committee need to know about you in 1,000 words or less?   

• Why you feel that you are the best person to receive this scholarship   
• Your history in academics and extracurricular    
• Your honors and recognitions   
• Your career goals and objectives   

 
The essay is limited to no more than 1,000 words. 
Recommendation: Carefully proof your essay and know that well-done short essays are admired. 


10.Transcripts
You are required to send your current academic transcripts and your enrollment verification along with this application. Please attach to email when sending all documents.

12.Letters of Recommendation 
Please attach your two (2) required reference letters when sending all documents:

• One must be from an advisor or equivalent  
• The other from a professional affiliation such as a coach, manager or mentor.
• Letters cannot be from immediate family members.

Final Reminder:
Your submission must include all of the following:

1. This application saved as a PDF with a title in this format:
   1. “Your Surname, Scholarship Program, Application Number” (e.g., “Johnson, Rachel, Nelsen Money Scholarship #NM-0000)
2. Your essay (1,000 words or less)
3. Current academic transcripts and enrollment verification
4. Two Letters of Recommendation

NOTE: your submission number will be present on the Thank you page seen after survey submission below. Please make a note of it as you will need it moving forward.

11.Certification Statement: 
By signing my name below, I confirm the information provided above and in the accompanying documents is true and correct to the best of my knowledge. 
 
Signature*  

Date*