Gig'em Chicken

Prospective Student Information

   

For more information about a Bachelor's degree in Poultry Science, please complete this form and an undergraduate student advisor will contact you. If you have problems with this form, please contact the Poultry Science Department.


      Name:

Permanent Contact Information:

Address:
City: State:
ZIP code:
Telephone:

Alternate Contact Information:

Address:
City: State:
ZIP code:
Telephone:

Fax::

E-mail address:

General Information:

Name of high school :
Current grade in high school :
High school graduation date (year):
Are you currently enrolled in a junior college? Yes No
If so, where?:

Poultry Background:

4-H or FFA member Yes No
Poultry Exhibitor Yes No
Poultry Judging Yes No
Poultry Family (employees/growers of poultry or allied companies) Yes No

by Liz Hirschler
Copyright © 1996 --
Poultry Science Department, Texas A&M University