Student
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mm/dd/yyyy
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(999-999-9999)
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(999-999-9999)
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(school project, community project, research project, commercial project, etc.)
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Legal Guardian
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mm/dd/yyyy
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(999-999-9999)
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Sponsoring Mentor (apiarist, grower, community leader, teacher, school official, etc.)
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mm/dd/yyyy
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(999-999-9999)
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(999-999-9999)
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(999-999-9999)
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ESSAY QUESTIONS TO BE COMPLETED BY THE STUDENT (No more than 700 words per question):

  1. Give us a short history of your work with honey bees or describe why you are interested in beginning work with honey bees.

  2. Describe the success of your efforts to help honey bees or plan for how you will help honey bees in the future.

Please add your name to the file name. (ex. leadershipAward - your name.doc)
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Reference (Sponsoring Mentor):
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