| Name | Student Number |
| Local Address | Local Phone |
| City State | Zip code |
| Permanent Address | Phone |
| City State | Zip Code |
| State of Legal Residence
|
Major
Option |
Grade point average:
Overall_____
at LSU_____
Total number of hours earned
Basis for application: Financial Need? Experience?
Please state why you want student work in the Department of Horticulture.