2022 1890-scholars-high-school-application DateXX

OMB No: 0503-0015

-

I
1_

United States Department of Agriculture
-

I

USDA/1890 National Scholars Program
20xx HIGH SCHOOL APPLICATION

USDA is an equal opportunity provider and employer.

March 8, 2019
March 8, 2019

OMB No: 0503-0015

INTRODUCTION

Tank you for your interest in the U.S. Department of Agriculture’s 1890 National Scholars Program. Te USDA/1890
National Scholars Program was established in 1992 as part of the partnership between the U.S. Department of Agriculture
and the 1890 Land-Grant Universities.
Te goal of the USDA/1890 National Scholars Program is to increase the number of students studying agriculture, food
sciences, natural resource sciences, and other related disciplines. The program is open to high school seniors, rising
college sophomores, and juniors who exhibit exemplary leadership traits and demonstrated community service. The
Scholarship is highly competitive and provides for full tuition payment, among other benefits, for up to 4-years to selected
students enrolled or accepted for enrollment at an 1890 Land-Grant University. The 1890 National Scholars Program
partners with USDA agencies and staff offices to provide scholars with professional and educational opportunities. A
sponsoring Agency Coordinator will be assigned to the scholar. The program Agency Coordinator will be the primary
point of contact of scholar. The Sponsoring Agency will work closely with scholars to provide ongoing support and ensure
the Scholar is on track with degree requirements.
The USDA/1890 National Scholars Program is implemented under the USDA Fellows Experience Program (FEP).
Scholars accepted into the program will be appointed using the Schedule A(r) authority (5 CFR 213.3202) and are eligible
for noncompetitive conversion to full time employment upon graduation. If selected, commit to at least one year of
service to USDA for each year of financial assistance provided. 1

The USDA/1890 National Scholar is required to:
a Reimburse the USDA Sponsoring Agency for costs of education (excluding the employee’s pay and
allowances) incurred by the USDA Sponsoring Agency, if the Scholar voluntarily separates from the service
of the USDA Sponsoring Agency before the end of the period for which the Scholar has agreed to continue
in the service of USDA.
a Consult with and obtain the approval of the Sponsoring Agency prior to making any changes to their
academic program. Unapproved changes may afect the Scholar’s continued participation in the program,
such as scholar’s participation in study abroad programs, third party internships and leave of absence. Te
Scholar is expected to meet with Agency Coordinator to go over degree classes and ongoing academic
status.
a Te Scholar must coordinate summer work experience through their work site manager. Te Scholar must
report to work site and have a record of their individual development plan.
Again, thank you for your interest in the USDA/1890 National Scholars Program and best wishes in your pursuit of
academic excellence!

1 Specific details of this “service requirement” will be outlined in the agreement entered into by the selected Scholar, the University at which the scholar is matriculated,
and the USDA sponsoring agency. Te “service requirement” is subject to change.

USDA is an equal opportunity provider and employer.

2

March 8, 2019

OMB No: 0503-0015
USDA/1890 NATIONAL SCHOLARS PROGRAM
OVERVIEW
Te USDA/1890 National Program is a partnership between the U.S. Department of Agriculture (USDA) and the 1890
Historically Black Land-Grant Universities. Te program awards scholarships to students accepted to or attending one of
the 1890 Land-Grant Universities in pursuit of a bachelor’s degree in agriculture, food sciences, natural resource sciences,
or related academic discipline(s).
Te Land-Grant Universities are as follows:
Alabama A&M University
Alcorn State University (Mississippi)
Central State University (Ohio)
Delaware State University
Florida A&M University
Fort Valley State University (Georgia)
Kentucky State University
Langston University (Oklahoma)
Lincoln University (Missouri)

North Carolina A&T State University
Prairie View A&M University (Texas)
South Carolina State University
Southern A&M University (Louisiana)
Tennessee State University
Tuskegee University (Alabama)
University of Arkansas Pine Bluf
University of Maryland Eastern Shore
Virginia State University
West Virginia State University

AUTHORITIES
Te USDA/1890 National Program is a partnership between the U.S. Department of Agriculture (USDA) and the 1890
Historically Black Land-Grant Universities. Te program awards scholarships to students accepted to or attending one of
the 1890 Land-Grant Universities in pursuit of a bachelor’s degree in agriculture, food sciences, natural resource sciences,
or related academic discipline(s).
• Legislative Authority of the Second Morrill Act of August 30, 1890 (7 U.S.C. 321-326 and 328);
• National Agricultural Research, Extension and Teaching Act of 1977 (Public Law 95-113, 1402, et seq7 U.S.C. §3101);
•
•
•

Ofce of Personnel Management, Training (5 C.F.R part 410);
Schedule A (r) federal Experience Authority (5 C.F.R. 213.312 ((r));
Federal Agriculture Improvement and Reform Act of 1996 (FAIR ACT), Title IX, Section 922 (7 U.S.C § 2279c);

Executive Order 13779,White House Initiative on HistoricallyBlack Colleges and Universities, signed February 18,
• 2017 continued by Executive Order 13811, signed September 29 September 2017.

USDA is an equal opportunity provider and employer.

3

March 8, 2019

OMB No: 0503-0015
PURPOSE
The purpose of the USDA/1890 National Scholars Program is to:
a To strengthen the long-term partnership between USDA and the 1890 Land-Grant Universities.
a To promote increase cooperation among the parties in all areas of mutual interest.
a To improve USDA’s outreach eforts within the communities served by 1890 Land-Grant Universities and USDA.
a To increase the number of students studying and pursuing careers in agriculture, food sciences, and natural
resource science or other related disciplines.

OBJECTIVE
Te USDA/1890 National Scholars Program ofers scholarships to U.S. citizens who are seeking a bachelor’s degree at one of
the 1890 Land-Grant Universities pursuing a bachelor’s degree in any of the felds of study within agriculture, food sciences,
natural resource sciences, or other related disciplines. Examples of required felds of study or related disciplines are:
Water Resource Management
Business Management
Agricultural Production and
Technology Agronomy or Crop
Agricultural Economics
Agricultural Engineering/Mechanics
Science
Animal Sciences/Botany
Business Management
Farm and Range Management
Financial Management

Forestry and Related Sciences
Food Sciences/Technology
Home Economics/Nutrition
Horticulture
Natural Resources Management
Soil Conservation/Soil Science
Other related disciplines, (e.g., non-medical biological
sciences, pre-veterniary medicine, computer sciences)

AWARD

Scholarships are awarded annually and must be used at one of the 1890 Land-Grant Universities. Each award provides full
tuition, as well as fees, books, and room and board, and is renewable each year for the term of the scholarship. Te scholarship
renewal is contingent upon satisfactory academic performance, summer work performance and academic progress toward the
bachelor’s degree.

USDA is an equal opportunity provider and employer.

4

March 8, 2019

OMB No: 0503-0015

GENERAL ELIGIBILITY
Applicant must:
a Be a U.S. citizen

a Intend to study agriculture, food sciences, natural resource sciences, or other related academic disciplines
a Have a high school cumulative GPA of 3.0 or better (on a 4.0 scale)
a Have been accepted for admission to an 1890 Land-Grant University
a Have a combined verbal/math score of 1,080 or more on the SAT or a composite score of 21 or more on the ACT
a Demonstrate leadership and community service
a Submit the most recent official transcript with the school seal and/or the signature of an authorized school official
a Submit a 500-800 word essay on one of the listed topics. 1) My interest in working for USDA. 2) How I envision
the scholarship will impact me personally and my future as a public servant. 3) My experiences and perceptions
about agriculture, food sciences and natural resource sciences.
a Submit an original signed and dated application

APPLICATION DEADLINE
All application materials must be postmarked no later than January 31, XXXX and sent to the
USDA/1890 Program Liaison at the university or universities selected by the applicant.
SELECTION PROCESS
If selected, the student will be contact by the sponsoring Agency Coordinator coordinator. The applicant will be
given an opportunity to ask questions related to the agency, the job and program expectations. Selected
applicants should contact their Agency Coordinator with any unanswered questions or concerns related to
agency, summer experience or academic requirements.
Applications Must Be Postmarked by January 31, XXXX.

USDA is an equal opportunity provider and employer.

5

March 8, 2019

OMB No: 0503-0015

INSTRUCTIONS

Only complete application packages submitted by January 31, XXXX will be considered. All application materials
must be submitted in one application package. Complete application packages must include the following:
a Signed and dates application including signature of parent of guardian, if the applicant is under the age of 18
a Completed Privacy Act Advisory Statement and Release Form
a Completed Biographical Questionnaire
a 500-800 word essay on one of the designated topics
a High School Counselor’s Assessment Report (see page 18) in a sealed envelope
a High School Teacher’s Assessment Report (see pages 20-24) in a sealed envelope

Applicants are responsible for obtaining the Assessment Reports of the High School Counselor (pages 18-19) and the High
School Teacher (pages 20-23). These Assessment Reports should be in a sealed envelope and included with the application
package. All application materials must have original signatures and seals/stamps.
Application materials containing photocopied signatures and transcripts will not be considered for the USDA/1890 National Scholars Program scholarship.
Applications Must Be Postmarked by January 31, XXXX.

Note: Te application may also be printed out and flled in by hand in black or blue ink only.

USDA is an equal opportunity provider and employer.

6

March 8, 2019

OMB No: 0503-0015

PRIVACY ACT ADVISORY STATEMENT

Te Privacy Act of 1974 (P.L. 93-579) requires that you be given certain infonnation in connection with this request
for information. Accordingly, pursuant to the requirements for this Act, please be advised:
1. Furnishing the information requested is voluntary.
2. Te data will be used for selection of1890 National Program, printing certifcates, and related activities.
3. Te data is maintained in a privacy act system as defned by National Archives and Records Administration
under OMB.
4. Failure to complete the form will mean that you cannot be included among those candidates being considered
for designation as USDA/1890 National Scholar.

Afrmation of Candidacy and Authorization for Release of Information
I,
understand that I am a candidate for the honor of USDA/1890 National
Program, have read the Privacy Act Advisory Statement, and afrm my wish to be considered. In the event I am named
a Scholar, permission is hereby given for the release of materials submitted by me for the use of the U.S. Department of
Agriculture and the 1890 Land-Grant Universities as deemed appropriate for purposes of the 1890 National Program.
I further consent to the release of photographs that may be taken of me, by or for the U.S. Department of Agriculture
in connection with the Program. I am (check one)
willing
unwilling to appear on radio and/or television if
such arrangements are made by the U.S. Department□
of Agriculture□in connection with the USDA/1890 National Scholars
Program.

Print Name:
Signature:
Date:

USDA is an equal opportunity provider and employer.

7

March 8, 2019

OMB No: 0503-0015
Candidate’s Biographical Questionnaire
Te questions that follow are designed to collect information about your background, your interests, and your plans. Your
answers to these questions will be used only in connection with your application for this scholarship program and will be
divulged only to qualifed persons who must see them in the course of their duties.

(Please Print)
A. Biographical Information
Legal Name
Last Name:
Sex:

First Name:

□ Male

M.I.:

□ Female

Permanent Address:
City:

State:

ZIP Code:

Age:
U.S. Citizen:

□ Yes

□ No

Telephone (Home):
Telephone (Cell):

Email Address:

B. Education
1. Name of High School currently attending:
Address:
City:

State:

ZIP Code:

Telephone:
GPA: (on a 4.0 unweighted scale):

Note: Grade point averages and standardized test scores should match supporting documentation submitted by counselor.
Only applicants meeting minimum GPA criteria and standardized test scores will be considered for the USDA/1890 National
Scholars Program scholarship. Do not submit an application if you do not meet these criteria.

USDA is an equal opportunity provider and employer.

8

March 8, 2019

OMB No: 0503-0015

2. List any other schools that you attended in the last 4 years. List the schools in order of attendance, with the
one you attended most recently listed frst.
Name of School

Dates of
Attendance

Location (City & State)

3. List any advanced or special program, courses, or summer courses you have taken. List the most recent course or
program frst.
Course or Program

Name of School

Address

Dates of
Attendance

Hours per
Week

4. Name(s) of the 1890 University (or Universities) to which you are applying:
a.
b.
c.

USDA is an equal opportunity provider and employer.

9

March 8, 2019

OMB No: 0503-0015
5. If accepted at multiple 1890 Land-Grant Universities, please list in order of preference
(i.e. 1 =Most Preferred, 3=Least Preferred)
1.
2.
3.
Note: Applicants applying to more than one 1890 Land-Grant University must submit separate 1890 National
Program applications for each university.

6. What course of study (major) will you pursue?
1st Choice:
2nd Choice:
Other Related Discipline/Unlisted Major (Please Identify):

Note: All academic disciplines may not be available at every 1890 Historically Black Land-Grant University. Check the
University’s academic oferings before applying.

7. Have you made career decisions related to agriculture, food sciences, natural resource sciences or related disciplines?
Yes

□

No

□

If yes, please explain in the space below:

USDA is an equal opportunity provider and employer.

10

March 8, 2019

OMB No: 0503-0015
C. Activities
1. List extra curricular activities in which you have participated in school or in the community (i.e. academic activities such
as 4-H, FFA, debate, sports, music, art, etc).

Activity

Dates of
Participation

Ofce(s) Held

Special Award(s)

2. List volunteer and paid positions you have held in the past 4 years (including summer employment).
Volunteer or
paid positions

USDA is an equal opportunity provider and employer.

Employer/
Organization

Date of Service or
Employment

11

Hours per
Week

Special Award(s)

March 8, 2019

OMB No: 0503-0015
D. Candidates Self-Assessment
D1. Please list your hobbies and how each plays a role in your personal development.

D2. Describe activities in which you had a leadership role in your school or in your community.

USDA is an equal opportunity provider and employer.

12

March 8, 2019

OMB No: 0503-0015

D3. Describe a recent experience that has given you a sense of satisfaction or pride.

D4. Briefy discuss why have you chosen to study agricultural, or a related discipline.

USDA is an equal opportunity provider and employer.

13

March 8, 2019

OMB No: 0503-0015
Review this form to make sure you have answered all questions completely. Proofread your responses.
I certify that I completed this application and that all statements are true and accurate to the best of my knowledge. I
understand that a false statement could eliminate me from consideration for this scholarship.

Print your legal name:

Applicant’s Signature:

Date signed:

Print Name (Parent or Legal Gaurdian):

Note: If the applicant is a minor child, under the age of 18; parental or legal guardian signature is required.

Parent or Legal Gaurdian Signature:

Date signed:

This form and all other application materials must be postmarked by January 31, XXXX.

USDA is an equal opportunity provider and employer.

14

March 8, 2019

OMB No: 0503-0015
How did you hear about the 1890 National Program Scholarship? (Select all that apply.)
College fair(s)

□

Name of event(s)

Informational Session
Location

□

Public Service Announcement □
Stations

Direct Mail/ E-mail

□

Source of communication
USDA Employee

□

Name of employee(s)
Church or place of worship
Name of Facility
Website(s)

□

□

Name of website(s)
Other

USDA is an equal opportunity provider and employer.

15

March 8, 2019

OMB No: 0503-0015
Te above-named student is a candidate for the honor of USDA/1890 National Program. To process this
application, the U.S. Department of Agriculture and the University will need:
An ofcial secondary school transcript, the SAT, and/or ACT scores. Te transcripts from the student’s
secondary school record must contain a seal and signature of an authorized school ofcial. Please note that only
students with a GPA of 3.0 on a 4.0 scale and a combined SAT score of at least 1080 or 1000 (math and verbal) or
ACT score of at least 21 are eligible for the USDA/1890 National Program.
Torough responses will greatly enhance your student’s candidacy. Tis information will be used only-in
connection with the selection of Scholars and will be seen only by qualifed persons involved in the selection
process.
Please delete all personally identifable information, such as social security numbers and dates of birth from any
supporting documentations.
For questions or more information about the 1890 National Program, please contact us at [email protected] or
(202) 720-6350.

USDA is an equal opportunity provider and employer.

16

March 8, 2019

OMB No: 0503-0015

USDA/1890 NATIONAL SCHOLARS PROGRAM SCHOLARSHIP
Applicant’s Authorization to Release Academic Information
Applicant’s Full Name

Last

First

Middle

Sufx

To comply with the provisions of the Family Educational Rights and Privacy Act of 1974, a school must obtain
signed authorization before it can release student information for use in this scholarship program. Permission
is hereby given to school ofcials to release record and other requested information for consideration in the
scholarship program named above. Note: If the applicant is a minor child, under the age of 17; parental or legal
guardian signature is required.
Student’s Signature:
Date:
Parent’s or Legal Guardian’s Signature:
Date:
Applicant: If you have attended this school less than 2 years, you must copy this form and have your previous
school also complete this form for you.

School Name:

Address:

City:

State:

USDA is an equal opportunity provider and employer.

Zip Code:

17

Phone Number:

March 8, 2019

OMB No: 0503-0015
USDA/1890 National Program
Secondary School Report
High School Guidance Counselor Assessment Report

(Please type or print using black ink)

A. Name of Counselor

Last Name:

First Name:

MI:

Address:

Sufx:

Phone:

B. Are you confdent that the student will receive a high school diploma during the current academic year?
Yes

□

No

□

If your answer is no, please explain your reason using a separate page.

C. Student’s class rank
How many students are in the class?
D. Student’s cumulative grade point average (unweighted on 4.0 scale)
Do not enter GPA on a scale of 0-100.

E. ACT Composite Score
SAT Score (combined)
SAT Score (math and verbal)

USDA is an equal opportunity provider and employer.

18

March 8, 2019

OMB No: 0503-0015
F. Secondary School Record
Te applicant’s SAT and/or ACT scores, along with an ofcial secondary school transcript (with seal and signature by
an authorized ofcial), including grades 9 through 12 must be attached to this section of the application. If the ofcial
transcript and SAT and/or ACT scores are not provided, the applicant will not be considered for the scholarship.

Counselor’s Signature:

Date:

Tis form along with the candidate’s ofcial school transcript, SAT and/or ACT scores must be included in
the application package. Applicants applying to more than one the designated schools must submit separate
USDA/1890 National Scholars application packages for each school. The complete application package(s)
must be postmarked by January 31, XXXX.

USDA is an equal opportunity provider and employer.

19

March 8, 2019

OMB No: 0503-0015
USDA/1890 National Program
Secondary School Report
School Teacher Assessment Report

Te application for the USDA/1890 National program scholarship requires a carefully considered character and ability
assessment by a teacher who knows the student well, including a summary of other teachers’ judgments of the student.

(Please type or print using black ink)

A. Name of Teacher
Last Name:

First Name:

MI:

Address:

Sufx:

Phone:

B. Length of Relationship

C. Considering this student’s interests, work habits, and life goals, what is your assessment as to whether the student
will be motivated to take advantage of the opportunities available in college? Please give reasons for your assessment.

USDA is an equal opportunity provider and employer.

20

March 8, 2019

OMB No: 0503-0015
D. What special features is a part of your school’s curriculum ( e.g., AP and honors courses, college study, and
independent study)? Has the student taken advantage of the most challenging opportunities your school has to ofer?

E. Has the student shown exceptional talent or originality in agriculture, food sciences,
natural resource sciences, and/or other related disciplines?
Yes

□

No

□

Please explain your selection:

F. Describe this student’s strengths and weaknesses.
Strengths:

Weaknesses:

USDA is an equal opportunity provider and employer.

21

March 8, 2019

OMB No: 0503-0015
G. Sometimes, special circumstances should be considered when evaluating a student’s achievement records and test
scores. If in your opinion, this student may have been disadvantaged by any such circumstances, please specify.
*Additional pages may be attached if needed, please reference page 22 sub tangent G.

H. Indicate comments made by teachers about the student relative to the following:
1. Participation in discussion:

□
□
□
□

Always involved, ofen initiates discussion

□
□
□
□
□

Active, usually shows genuine interest

Occasionally participates
Seldom participates
Not applicable

2. Involvement in classroom activities:

Mild, politely attentive
Languid, attention ofen wanders
Vacillates gently
Poor understanding

3. Pursuit of independent study:

□
□
□
□

Considerable study and major project(s)

□
□
□
□
□

Even, varies no more than one mark

□
□
□
□

Ofen challenges

Some study and minor project(s)
No evidence of independent study
Not applicable

4. Evenness of performance:

Slightly uneven
Uneven, ofen caries two marks
Erratic, fuctuates greatly
Inadequate opportunity to observe

5. Critical and questioning attitude:

Occasionally probes
Rarely questions
Not applicable

USDA is an equal opportunity provider and employer.

22

March 8, 2019

OMB No: 0503-0015
6. Depth of understanding:

□
□
□
□
□

Excellent insight

□
□
□
□

Always accepts fully

□
□
□
□

Always considerate of others’ rights and feelings

□
□
□
□
□
□

Less than 500

□
□
□
□
□

Rural farming area

Good understanding
Some insight
Little understanding
Not applicable

7. Personal responsibility:
Usually accepts fully
Sometimes refuses
Ofen refuses

8. Consideration for others:
Usually considerate
Sometimes inconsiderate
Ofen inconsiderate

9. Population of the community in which your school is located:
500 – 1,500
1,500 – 5,000
5,000 – 25,000
25,000 – 100,000
Over 100,000

10. What economic or social conditions characterize the community and most of the parents of the children
in your school?
Industrial
Small town
Large city, Metropolitan area
Other

Teacher’s Signature:
Date:
Tis form and the candidate’s transcript and SAT and/or ACT scores must be included in the student’s application package. Applicants applying to more than one
1890 Historically Black Land-Grant University must submit separate USDA/1890 National Scholars application packages for each university. The complete
application packages must be postmarked by January 31, XXXX.
USDA is an equal opportunity provider and employer.

23

March 8, 2019

OMB No: 0503-0015

USDA/1890 National Application Checklist
1.

I have read the eligibility requirements and meet all eligibility criteria.

2.

I am submitting an original application and transcript to each USDA/1890 University of interest
(see addresses on pages 25-26 of this application).

3.

I have applied for admission to each 1890 Historically Black Land-Grant Institution of interest.

□

4.

I completed the Candidate’s Biographical Information section.

□

5.

I have included and signed the Secondary School Report from my high school counselor and
explained the need to have all official transcripts with a seal.

6.

Signature and SAT and/ or ACT scores are enclosed with this response.

7.

I have included and signed the School Teacher Assessment completed.

□
□

8.

I have signed and dated the application (original signature only). If under the age of 18 years old,
parents or guardians have signed my application.

□

9.

I have enclosed a 500-800 word essay in one of the designated topics as outlined in page 5. 1). My
interest in USDA 2). How I envision the scholarship will impact me and my future as a public
servant, and 3). My experiences and perceptions about agriculture, food sciences and natural
resource sciences.

□

10. I understand that the full application package must be postmarked no later than Monday,
January 31, 2022 for consideration for the USDA/1890 Programs Scholarship.

USDA is an equal opportunity provider and employer.

24

□
□

□

□

March 8, 2019

OMB No: 0503-0015
1890 Land-Grant Universities Liaison Directory

Attn: USDA/1890 Program Liaison
Alabama A&M University
Post Ofce Box 1087 Normal, AL 35762
(202) 570-3926
Attn: USDA/1890 Program Liaison
Alcorn State University
1000 ASU Drive, Room 1139
104 Agriculture Science Building
Lorman, MS 39096
(202) 596-0478
Attn: USDA/1890 Program Liaison
Central State University
1400 Brush Row Road
McLin Building, Room 210
Wilberforce, OH 45384
(202) 596-0140
Attn: USDA/I 890 Program Liaison
Delaware State University
CARS Ag Annex, Room 108F
Dover, DE 1991
(202) 308-7687
Attn: USDA/1890 Program Liaison
Florida A&M University
1740 South Martin L. King Jr., Boulevard
Room 217, S. Perry-Paige Building
Tallahassee, FL 32307-4100
(202) 510-6301

USDA is an equal opportunity provider and employer.

Attn: USDA/1890 Program Liaison
Fort Valley State University
1005 State University Drive Pettigrew Center, Room 244
Fort Valley, GA 31030
(202) 253-4218
Attn: USDA/1890 Program Liaison
Kentucky State University
Cooperative Extension Facility
400 East Main Street, Room 221
Frankfort, KY 40601
(202) 570-5202
Attn: USDA/1890 Program Liaison
Langston University School of Agriculture
and Applied Sciences
100 Success Drive, Room V 115
Langston, OK 73050
( 202)263-9209
Attn: USDA/1890 Program Liaison
Lincoln University
818 Lee Drive
108 Bennett Hall
Jeferson City, MO 65101
(202) 264-0736
Attn: USDA/1890 Program Liaison
North Carolina A&T University
1601 East Market Street 107 B.C. Webb Hall
Greensboro, NC 27411
(202) 281-8214

25

March 8, 2019

OMB No: 0503-0015

Attn: USDA/1890 Program Liaison
Prairie View A&M University
Agriculture and Business Building,
Room 402
P. 0. Box 2736 Prairie View, TX 77446
(202) 302-4712
Attn: USDA/1890 Program Liaison
South Carolina State University
300 College A venue, N .E. P.O. Box 7246
Orangeburg, SC 29117
(202) 596-4442
Attn: USDA/1890 Program Liaison
Southern University and A&M College
Fisher Hall, Room 102
Baton Rouge, LA 70813
(202) 302-7255
Attn: USDA/1890 Program Liaison
Tennessee State University
3500 John Merritt Boulevard
Ag Science Dept., Room 20
P.O. Box 9629 Nashville, TN 37209-1561
(202) 596-0226

Attn: USDA/1890 Program Liaison
Tuskegee University
College of Agriculture, Environmental and
Nutritional Sciences Campbell Hall
Room 103
Tuskegee, AL 36088
(202) 306-9884
Attn: USDA/1890 Program Liaison
University of Arkansas Pine Bluf
1200 North University Drive
Mail Slot: 4806
Pine Bluf, AR 71611-2799
(202) 306-9810
Attn: USDA/1890 Program Liaison
University of Maryland Eastern Shore
30665 Student Services Center Lane Trigg Hall,
Room 1137
Princess Anne, MD 21853
(202) 306-7368
Attn: USDA/1890 Program Liaison
Virginia State University
P.O. Box 9081 1 Hayden Drive
L. Douglas Wilder Building, Room 202C
Petersburg, VA 23806
(202) 596-0301
Attn: USDA/1890 Program Liaison
West Virginia State University
100 Curtis House P .0. Box 1000
Institute, WV 25112-1000
(202) 596-4605

USDA is an equal opportunity provider and employer.

26

March 8, 2019

OMB No: 0503-0015

For questions related to this application, please contact:

The Office of Partnerships and Public Engagement
USDA/1890 Programs
1400 Independence Ave. SW., Stop 0601
Washington, D.C. 20250
Telephone Number: (202) 720-6350
Fax Number: (202) 720-7136
Email: [email protected]

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is
not required to respond to, a collection of information unless it displays a· valid 0MB control number. Te
valid OMB control number for this information collection is 0503-0015. Te time required to complete this
information collection is estimated to average 2.6 to 3 hours per response, including the time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed, and completing and
reviewing the collection of information.

Te U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the
basis of race, color, national origin, gender, religion, age, disability, political beliefs, sexual orientation, and
martial or family status (not all prohibited bases apply to all programs). Persons with disabilities who require
alternative means for communication of program information (Braille, large print, audiotape, etc.) should
contact the USDA ‘s TARGET Center at (202) 720-2600 (voice and TDD). To fle a complaint of discrimination,
contact the USDA Assistant Secretary for Civil Rights, 300 7th Street S.W., Suite 521, Washington, D.C. 20024 or
call (202) 401-0005 or (800) 795-3272.

USDA is an equal opportunity provider and employer.

27

March 8, 2019