TOLLANDCOUNTY AGRICULTURAL CENTER
MEMORIAL SCHOLARSHIP APPLICATION
Given in memory of: Albert and Betty Boyer, Robert Bernier Jr.,
Clarence (Bo) Farnham, Robert Fluckinger,Frank and Alice Niederwerfer,
Richard Niederwerfer, Carl Rivers, Franklin Wells and Tom Wolff
Given in honor of: the Scantic Valley Engine Club and Ross E. Person
This $500 scholarship provides financial assistance to college students pursuing courses of study in either Agriculture or Family Studies. Eligible students must be a senior in high schoolwho has been accepted ata college or university or a current college student with plans of study in Agriculture or Family Studies related fields. Applicants must be a 4-H member, AgEd student or Family Studies student in TollandCounty.
Required Information must include:
- Completed application with required signatures
 - 2 letters of recommendation – 1 from a AgEd teacher,Family Studies teacher or 4-H leader is preferred
 - Transcript of grades – high school for incoming freshman / college for current college students
 - Essay of no more than 300 words explaining your plans to major in a field related to Agriculture or Family Studies and what you plan to do with this education after graduation.
 - Received by application chairperson no later than April 15, 2018.
 
Name: ______
School: ______
Address: ______
Town: ______State ______Zip Code ______
Phone # ______E-mail: ______
College you are planning to attend/are attending:______
Date of Acceptance: ______Course of Study ______
4-H Club membership with leader(s) name(s)
- ______
 - ______
 - ______
 
AgEd orFamily Studies classes taken with teacher(s) name(s):
- ______
 - ______
 - ______
 - ______
 
Extra Curricular School Activities:
- ______
 
- ______
 
- ______
 
- ______
 
Other Community Service, Church Activities, Hobbies:
- ______
 
- ______
 
- ______
 
List jobs held during the past 3 years:
- ______
 
- ______
 
- ______
 
High School Class Rank ______Grade Point Average ______
(as of February 1st)
Guidance Counselor Signature ______Date ______
Student Signature ______Date ______
Parent/Guardian Signature ______Date ______
Send completed application by April 15, 2018 to: Tolland County Agricultural Center
24 Hyde Ave.
Vernon, CT06066
