Stanislaus County Hi 4-H Scholastic Scholarship
Application Due Date – March 15th, no later than 4pm (or last working day prior)
Eligibility Requirements:
*Must be a senior in high school to apply
*Must plan a post high school education program (college, trade school, work study, military, etc.)
*Hi 4-H Bylaws, Article VI, Section A, require:
1. In order to be eligible to receive a scholarship, applicant must attend 80% of all business meetings held that year.
2. Must have worked four previous fund raisers including two times in the Milk Bar (other two may also be Milk Bar in different years).
3. 4-H Autobiography (4-H story) and goals for the future – 100-400 words.
4. Two letters of recommendation (at least 1 4-H, must be unrelated to applicant).
5. Grade Point Average of at least 2.5 (include copy of transcripts)
Information Required in the Application Packet:
___ This form
___ Recommendation Letters (2)
___ Your 4-H Autobiography and Goals for the Future
___ Hi 4-H Activity Listing Pages
___ Copy of Transcripts
Name ______Current grade ______
Address ______City ______Zip ______
Phone ______Date of Birth ______
Mother’s Name ______Father’s Name ______
High School ______Counselor’s Name ______
Applicant’s Signature ______Date ______
Club Leader’s Signature ______Date ______
Date Received at 4-H Office ______Time ______Received by ______
Hi 4-H Activity Listing
Name ______
Number of years active in Hi 4-H: ______
Hi 4-H Offices Held:Year
______
______
______
Please list all involvement as a Hi 4-H member (not local club or personal activities – include this in your story)
Milk Bar (include year as an incoming Hi 4-H member)
YearManagerDay ChairWorker
______
______
______
______
Hi 4-H CommitteesMemberChairYear/How you helped
(List any that you helped plan, set up, work, clean-up, etc. List attended only on next page)
Kick Off BBQ______
Beach Camp______
San Francisco______
Snow Camp______
Pizza/Movie Night______
Scholarship______
Budget______
Other: ______
______
Fund Raiser Committees: List (do not add milk bar here – only above)
List those you helped plan, sold tickets for, worked, set/clean up, etc.
MemberChairYear(s)
Fall Dinner/Auction______
Prime Shine Sales______
Mixed Bag Sales______
E-waste______
Yard Sale______
Solicit Exchange Donations______
Other list:______
______
______
Attended the following activities:Year attended
Beach Camp/Day______
Haunted House/Barn______
San Francisco Trip______
Snow Camp______
6 Flags Trip______
Other: list type ______
______
______
Community Service Events: List those you helped with, check as member or chair
MemberChairYear
Soroptomist Tree______
Canned Food/Coat Drive______
Bell Ringing______
Cards/Letters to Military______
Scarves for homeless______
Gingerbread Houses______
Salvation Army Meal Server______
Other: list ______
______
______
Exchanges HostedTraveledYear/State
______
______
______
______
______