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Scholarship Application Form
This scholarship application form has auto-fill capabilities for most of the fields. Responses of your work-in-progress before submitting the application should be automatically saved in your local browser storage. You can continue working on the application from where you left off if you return to this webpage using the same computer and browser without clearing the browser cache in the interim. Scholarship applicants must be attending a college or university in the fall with an agriculture major and intend on pursuing a career in the agricultural industry.
This $500 scholarship is being offered for students attending a College or University in the Fall 2021 semester. Deadline to apply is May 1, 2021.
Name You Go By
Address Line 2
District of Columbia
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
County of Residence
Phone - Home or Cell
Date of Birth
Date Format: DD slash MM slash YYYY
Name of Parent and City
As they would be listed in a News release
High School Credentials
Use most recent GPA and class rank
High School Name
High School City
Highest Earned ACT Composite Score
Highest Earned SAT Score
Number of Students in High School Class
Scale for an "A" grade
Please indicate all of the following statements that apply to you by checking the respective box
My family owns or operates a farming enterprise
At least one of my parents has a career related to agriculture
I am or have been a member of an FFA chapter
I am or have been a 4-H club member
College School Credentials
Use most recent GPA
College or University Name
What year will you be this Fall
Prior to enrolling at this college or university, did you attend another college or university?
If Yes, what was the name of the college or university?
Please List any clubs or honors during your college career
Participation, Leadership, & Recognition
List up to 8 different activities or organizations you participated in through school, community, or industry involvement. Note any specific leadership roles or responsibilities you held, list any related awards or recognitions you received, and which years you participated. Complete one activity or organization per line.
Work Experience & Skills
List up to 3 experiences you have had (i.e., farm labor, part-time or summer job, internship). Complete one work experience per line.
If you or your family have a farming operation or agricultural enterprise, provide a few facts about the operation or enterprise and describe any roles you play in contributing to the business. If you are not directly involved in farming, share how your interest in agriculture has evolved.
Future Plans & Goals
College or University Expected to enroll in Fall 2021
Expected Academic Major or Program of Study
Why did you choose this college and major?
What specific career(s) do you expect to pursue after college?
What other long-term professional or personal goals would you like to share?
Top Achievements, Successes, & Points of Pride
List the top 4 achievements or successes you are most proud of accomplishing or experiencing in your life so far.
Is there anything else you want to share with the selection committee or are there questions you want to ask?
Name a person you admire and why?
Describe your dream job?
What are your hobbies?
What or who do you turn to when you want to learn more?
Do you consider yourself to be competitive? Why or why not?
What would you like to improve about yourself?
What are the most important issues facing your intended industry today?
Is there anything else you would like to add?
Please add a 300 word essay or less, or video, that answers your choice of the two questions below: What do you wish people understood more about you? or How would your best friend describe you?
Attach essay as a word file or PDF
Accepted file types: docx, doc, pdf.
Save and Continue Later
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