2016 National Wild Turkey Federation’s
Academic Scholarship Program
South Grand River Gobblers Chapter
Application
This application should be returned by January 8, 2016 to:
Jason Dieckhoff, NWTF Scholarship Committee,
c/o Cass Career Center, 1600 East Elm, Harrisonville, MO 64701
PLEASE TYPE OR PRINT:
Date: _______________
Name: ____________________________________ Date of Birth: _______________
Home Address: ________________________________________________________
City: ___________________________ State: ______________ Zip: ____________
Telephone Number: _________________________ Current G.P.A: __________ / 4.0
High School: _____________________________ Graduation Date: ____________
College Preference: _____________________________________________________
Major Study Area: _______________________________________________________
List membership in school related organizations (i.e. Honor Society, FFA, Beta Club, Science Club, Student Council, etc.)
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List elected leadership positions held in high school: ____________________________
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List any activity that demonstrates community involvement (i.e. Scouts, 4-H, civic group or club, or volunteer work, etc.)
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NWTF Scholarship Program
(Page 2)
List job experience (i.e. after school, summer, etc..): ____________________________
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List any awards received for school or community involvement: ___________________
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How did you learn about the NWTF’s Academic Scholarship Program: ______________
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Essay:
How have your demonstrated a commitment to conservation and preserving our hunting heritage (use additional page if necessary)
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Please also include a copy of your current Missouri Hunters Education or Conservation Card
The winner will be notified in mid-January 2016. They will receive a $300 scholarship. The winner will also be eligible to compete at the state level for a $1000 scholarship.
It is requested that the winner and their parents attend the annual South Grand River Gobblers Banquet at 6:30pm on February 27, 2016 at the Elks Lounge in Harrisonville.
Return this application and copy of current Hunters Ed/Conservation Card by January 8, 2016 to:
Jason Dieckhoff, NWTF Scholarship Committee,
c/o Cass Career Center, 1600 East Elm, Harrisonville, MO 64701