Crops For College 2010 Scholarship Application

Marshall-Putnam Farm Bureau

 Click the title below to fill out the online appliction and send it in electronically or print this page and return the application via mail.

“Crops For College” Scholarship Application

 

 

 

 

 

All questions must be answered.  Please type all your answers and return the completed application no later than February 15, 2010 to the Marshall-Putnam Farm Bureau office.  Please attach at least one reference and their contact information to your application.  Once applications have been reviewed, applicants may be contacted to interview in person. 

 

 

 

1.  Name of applicant______________________________________________________

                                                Last                 First                 Middle

 

 

 

2.  Address of applicant____________________________________________________

 

 

 

3.  Names of parent or guardian______________________________________________

 

 

 

4.  Address of parent or guardian_____________________________________________

                                                Phone________________

 

 

 

5.  Date of Birth__________                          Sex__________

 

 

 

6.  From what date have you or your parent or guardian been a member of the Farm Bureau somewhere in the state of Illinois ?    Month____  Year____

 

 

 

7.  From what date have you or your parent or guardian been a member of the Marshall-Putnam Farm Bureau?    Month____  Year____

 

 

 

8.  From what date have you been a resident of Marshall or Putnam Counties ?  _______

 

 

 

9.  Projected date of your High School graduation?    Month____  Year____

 

 

 

10.  Name and address of your High School ____________________________________

                                                                        ____________________________________

                                                                        ____________________________________

 

 

 

11.  What college do you plan on attending next year? ____________________________

 

 

 

 

 

 

The above information is correct and complete to the best of my knowledge.

 

 

 

Student’s signature:_________________________  Date:______________

 

 

 

 

 

 

Please answer all questions with three or four sentences explaining your answer.  Must be typed. 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1. Why are you seeking an agriculture scholarship?

 

 

 

 

 

 

 

 

 

 

 

 

2.  What are your agricultural interests?

 

 

 

 

 

 

 

 

 

 

 

 

3. What area of agriculture do you plan to study and why?

 

 

 

 

 

 

 

 

 

 

 

 

4. What would you do, if given the opportunity to give back to agriculture in your hometown area?

 

 

 

 

 

 

 

 

 

5. What do you believe to be the biggest challenges the agriculture industry faces?

 

 

 

 

 

 

 

 

 

6. Where do you see yourself in five years?









 



© 2010 Marshall-Putnam Farm Bureau