Please read carefully before completing the application

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Please read carefully before completing the application
Agriculture Scholarship
Campbellsport FFA Alumni
The FFA Alumni is proud to offer (2) $700 scholarships to students who are pursuing
their interest and studies in agriculture, or related field, at a short course, technical school or
college.
The FFA Alumni recognizes the dynamic role agriculture has in our local economies. We
feel that our scholarship program will help deserving students open the doors of opportunity in
continuing their education.
Payment of the scholarship will be made after the FFA Alumni receives proof of successful
completion of the first semester.
Application Requirements:
* Applications Must Be Typed
* Applicants must be or have been Campbellsport FFA, or FFA Alumni
members
* Preference will be given to enrollment or planned enrollment in:
* A College of Agriculture (4-year course)
* The University Short Course
* Agricultural courses at a Technical College
* Have application postmarked by Friday, January 11th, 2013. The Alumni
scholarship will be awarded at the Campbellsport FFA Alumni Banquet
1/27/13. (Plan on attending the banquet)
Mail or return completed application to:
John Seibel
Campbellsport FFA Alumni President
N5190 Mushroom Road
Eden, WI 53019
FFA Alumni Scholarship Application
NAME:
BIRTHDATE:
ADDRESS:
TELEPHONE:
SCHOOL YOU PLAN TO ATTEND & MAJOR:
PERSONAL INFORMATION
NUMBER OF YEARS AS AN FFA MEMBER:
FFA ACTIVITIES - 30 pts.
SCHOOL ACTIVITIES/AWARDS: 15 pts.
COMMUNITY/CHURCH/OTHER ACTIVITIES: 10 pts.
FARM RESPONSIBILITIES, AG EXPERIENCE AND HOBBIES: 5 pts.
ENROLLMENT IN HIGH SCHOOL AGRICULTURAL CURRICULUM. 20 PTS.
ACADEMIC RECORD
HIGH SCHOOL ATTENDED & YEAR OF GRADUATION:
APPROXIMATE GRADE POINT AVERAGE:
What are your plans for the future? Please write a short narrative on your
future plans. Do not exceed 2 pages. For example, What are your goals,
your career choice, or major of study? Why do you feel deserving of this
scholarship? What have you learned from living in a farming community?
20 pts.
LIST TWO (2) REFERENCES
(A letter of recommendation from each reference must accompany application. Try to get
references that are NOT Mr. Kramp)
NAME:
ADDRESS:
PHONE:
E-MAIL:
PROFESSION:
NAME:
ADDRESS:
PHONE:
E-MAIL:
PROFESSION:
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