St Louis Audubon Society High School Student Award Application

Name:__________________________________________________________________ Address ________________________________________________________________ City________________________ State ________________________ Zip ___________ Phone (__)___________________________

High School Name and Address ______________________________________________ _______________________________________________________________________

Academic Interests ________________________________________________________ _______________________________________________________________________

Hobbies ________________________________________________________________

Involvement in Ecology and/or Conservation Activities ______________________________ _______________________________________________________________________

University/Planned Field of Study _____________________________________________ _______________________________________________________________________

Name/Address of Teacher or Other Adult Who will supply Letter of Recommendation _______________________________________________________________________

Please include a typed essay (1/2 - 1 page) indicating what you hope to do in the future that will have a positive impact on the enviroment.

Please return this application, an essay, and a letter of recommendation from a science teacher by February 28. Contact: Julie Leeman 13021 Barrett Crossing Court St Louis, MO 63122