Scholarship Based On: FFA Involvement and Scholastic Achievement

CRITERIA:

This scholarship is open to current Rawlins County High School Seniors, who have been an FFA member for all four years, and who plan to attend a 4 year University, Community College, or Vocational/Technical school. In the event there are no graduates meeting the primary criteria, the Scholarship Committee may select any student who was an FFA member and plans to attend college.

Scholarship based on: FFA involvement and scholastic achievement

Deadline:April 1st. Completed applications should be returned online.

Applicant name and permanent address:

Phone:

Have you been involved in FFA all four years of high school?YesNo

What college, university, or post-secondary school do you plan to attend?

Address of Finance Office of above (office that will receive the scholarship check)

Student ID#:(will be included on the scholarship check)

The signature below verifies that the information provided in this application is true to the best of my knowledge.

Student (at least 18 years of age)/ Parent Signature

Kurt Dillon Foundation of Agriculture

Scholarship Application

Application Deadline is April 1st E-mail documents to

PERSONAL DATA

Name:Social Security Number:

Address:

(Street)(City)(State)(Zip Code)

Date of Birth:Email:

ACADEMIC INFORMATION

Cumulative GPA:ACT Composite Score:

Class Rank:out ofAnticipated Undergraduate Major:

ACTIVITY INVOLVEMENT

Organization / Positions Held / Involvement

AWARDS / HONORS

Award/Honors / Institution/Organization / Date

EMPLOYMENT EXPERIENCE

Employer / Positions Held / Dates of Employment

Will you be working while attending the post secondary educational institution of your choice?

YesFull TimePart TimeNo

ESSAY QUESTIONS

What is your career objective?

How will you finance your college education and how will this scholarship impact your plans?

How will your experiences in Ag. Ed classes and FFA enhance and assist you in your future goals?

Tell us about experiences that have influenced your decision to pursue a career in Agriculture and

how these experiences will help you in your career choice.

Describe a leadership experience in which you made a difference in your school or community?

What additional personal information do you wish to share with the scholarship committee?

The following documents should be attached to this application:

1)High School Transcript

2)Resume

Please e-mail all documents to .

This scholarship committee does not discriminate on the basis of race, color, religion, gender, age, national origin, disability, marital status, or any other protected class.