Michigan Department of Natural Resources

Marketing and Outreach Division

Academy of Natural Resources

Scholarship Application

Requested by authority of the Michigan Department of Natural Resources.
The Safari Club, Novi Chapter, has graciously made limited scholarships available for those who would like to attend the Academy of Natural Resources. You need to be an educator to qualify. The award amount is $100.
Name of Applicant

Email (your notification of award/non-award will be sent to this email address)

Address

Telephone

( )
City, State, ZIP

Alternate Telephone

( )
If you are a formal educator, please complete the following:
School District	Name of School
Grade Level(s) Taught	Primary Subject Taught
The following tracks are offered. Please put a 1 by your first choice and a 2 by your second choice.
Nature Quest

Forests, Field and Fins (formerly Natural Resources Field Camp)

STEM From Nature

If you are a non-formal educator, please complete the following:
Please describe your educational role (4-H, Scouts, Nature Center, etc.)

You will be notified via email of award/non-award within five (5) days of submitting this application. If awarded, you must submit the following items to the address below:

ANR Registration form. This can be found at www.michigan.gov/anr ;

$295 check or money order made payable to "State of Michigan"

These items must be mailed to:

DNR Academy of Natural Resources

Ralph A. MacMullan Conference Center

104 Conservation Drive

Roscommon, MI 48653
Please email this completed scholarship application to fraileyk@michigan.gov. Questions may be directed to (517) 284-6043. Remember, scholarshops are limited. Apply Early!

PR5300 (Rev. 11/21/2014)

seldenj

2014-11-17

Stojakovich, Tina (DNR)

State Of Michigan