Breckinridge County 4-H Scholarships

4-H Council Scholarship- $500.00

I- Requirements to receive award

·  Must be an active 4-H member

·  Must be a graduating Senior

·  Must be attending a college of choice, the fall semester after high school graduation

II- Award and Payment

·  The amount of scholarship will be $500.00 for the 4-H Council Scholarship.

·  Announcement of the recipients will be at graduation or at an appropriate awards program.

·  Funds will be sent to the school upon enrollment in classes, ½ will be sent each semester.

·  A copy of the student’s class schedule and the address in which to send payment must be submitted to the Extension Office for payment to be made each semester.

III- Selection of the scholarship recipients is made by a

4-H Council Committee

4-H Leader’s Council Scholarship ($500)

Return to the Breckinridge Ext. Service by March 31, 2017.

  1. Name of Applicant ______

(Last) (First) (Middle)

  1. Address______

(Street) (City)

______

(State) (Zip) (County)

  1. Telephone______Date of Birth______
  1. Years in 4-H______Social Security Number ______
  1. Name of Parents or Guardians ______
  1. Address (if different from above)______
  1. Name of School Currently Attending______
  1. Name of College/University you will be attending this fall______

______

Address______

(Street) (City)

______

(State) (Zip) (County)

  1. What is your planned major in College/Vocational School? ______

______

  1. What other financial aid or scholarships are you receiving? ______

______

  1. Name of 4-H leaders who have helped you reach you goals ______

______

12. List with the approximate year the 4-H activities and projects you have participated in or completed.

13.  List important 4-H and other awards, recognitions and honors you have received.

14.  List 4-H and other community service activities

15.  List 4-H and other leadership activities or position you have held.

16.  Attach Essay:

Briefly explain how 4-H has influenced your personal development (250 words or less)

17.  Attach a copy of your transcript

18.  Include two letters of recommendation

Statement by 4-H member

I personally have prepared this report and certify that it accurately reflects my work:

Date______Signature of 4-H Member______

Date______Signature of parent______

Please fill out the entire form. Feel free to attach additional pages if the provided space is insufficient to answer questions.