Marshall-Putnam Farm Bureau Scholarship Application

All questions on the application must be answered and submitted no later than February 17, 2011.

Name of applicant
From what date have you or your parent or guardian been a member of the Farm Bureau® somewhere in the state of Illinois?
From what date have you or your parent or guardian been a member of the Marshall-Putnam Farm Bureau®?
From what date have you been a resident of Marshall or Putnam counties?
Projected date of your High School graduation?
I hereby certify that to the best of my knowledge the information given on this application is accurate; that I have read and understand the "Scholarship Guidelines"; and that I agree to abide by these guidelines and the decision of the Scholarship Committee. I further understand that, prior to receipt of my scholarship funds, at the beginning of each semester I must first submit evidence to the Scholarship Committee Chairman that I have (a) paid my registration fees, (b) enrolled for at least 12 semester hours (c) for the second semester payment have maintained at least a C average by submitting a copy of my first semester grades.