DEADLINE: January 18th, 2008

NAME:______________________________________________________________________________

COLUMBUS ADDRESS:__________________________________________________________________

_____________________________________________ COLUMBUS PHONE:______________________

HOME ADDRESS:______________________________________________________________________

CITY:_______________________________________________________________________________

STATE:___________________________ ZIP:______________ HOME PHONE:_____________________

ANTICIPATED GRADUATION DATE: ______Spring ______ Summer ______ Autumn ______ Winter

YEAR:_________________ DEGREE EXPECTED:______________________________________________

WILL YOU BE ABLE TO PROVIDE YOUR PERSONAL TRANSPORTATION TO THE BONSAI CLASSES?
THIS IS MANDATORY. ______Yes ______ No

HAVE YOU STUDIED BONSAI BEFORE? ______ Yes ______ No

HOW DID YOU FIRST BECOME INTERESTED IN BONSAI?

PLEASE STATE HOW YOU FEEL THE BONSAI SCHOLARSHIP WILL HELP YOU.