GOSE FARMS SCHOLARSHIP APPLICATION
JEFFERSON-SCRANTON HIGH SCHOOL
PERSONAL INFORMATION:
1. Name in Full:
2. Permanent Address:
3. Home Phone Number:
4. Father’s Name: Mother’s Name:
Address: Address:
Occupation: Occupation:
5. Brothers and Sisters:
Name Age Living At Home? Attending College?
6. College you will be attending:
7. What is your current GPA:
8. Attendance: How many days of school did you miss?
a. Ninth Grade:
b. Tenth Grade
c. Eleventh Grade
Explain unusual or excessive absences:
9. Are there any unusual circumstances that will prohibit your parents and/or relatives from assisting you financially in school? If yes, please explain.
10. Do you expect to earn part of your college expenses? If yes, what do you expect to do?
11. Did you grow up or have working experiences on a farm? If yes, please explain your experience.
12. Outside of School, what is your favorite activity? Why?
13. What accomplishments are you most proud of?
14. Who in your community do you admire for their leadership? How has that person influenced you?
FINANCIAL INFORMATION:
15. Estimated cost of attending college for one year: (a)
How much will your parents be contributing: (b)
How much of your own savings will you be using: (c)
If you will be working during college, how much of
your earnings will be applied towards college fees? (d)
Any other scholarship or grant monies you have already
received? (Fern Olive, college athletics, etc.) (e)
EDUCATIONAL COSTS NOT YET COVERED TOTAL:
(subtract “b” through “e” from “a”)
FUTURE PLANS:
15. What is your intended vocation or profession?
16. What field do you intend to study in college? Why?
17. What is the biggest issue facing agriculture in our community? What should we do about it?
18. What are your long range career goals in agriculture? How do you plan to achieve them?
RECOMMENDATIONS:
· Please provide a one page letter of recommendation from someone who can provide insight to your character and agricultural interest.
On behalf of the Gose Farm Family, we commend you for your agricultural interest, best of luck with your future!