SOUTHEAST MISSOURI DISTRICT FAIR FOUNDATION
EDUCATIONAL SCHOLARSHIP
This scholarship is awarded annually to a qualified applicant from the Southeast Missouri District
Fair service area. This application and supporting documents must be returned by the date shown
to the address provided. The scholarship winner will be determined by the Southeast Missouri
District Fair Foundation Scholarship Committee after May 30, 2013. The annual $1,000 award is a
non-renewing scholarship. Scholarship funds will be paid directly to college or university.
Applicant Requirements for the $1,000 scholarship award:

Scholarship is open to any college level applicant
representing Southeast Missouri District Fair service area.
 Applicant must be enrolled in an accredited 2 or 4 year
Missouri College or University
 Applicant must be enrolled for at least 12 credit hours during
Semester where scholarship will be applied.
 Applicant must have maintained at least a 2.5 GPA or the equivalent in last
scholastic year.
 Applicant must have been an exhibitor at the Southeast Missouri District Fair.
 Applicant must show involvement in school and community
 Enrollment presents a financial need
 Applicant must include one letter of reference from high school
or college instructor or counselor
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APPLICANT INFORMATION :
Name __________________________
Home Address _______________________
_______________________
Home Phone _______________________
Parents / Guardian Name __________________________________________________
High School Attended _________________ College or University _________________
Address _________________
Address _________________
_________________
_________________
Year of college or university enrollment F S J S (circle one)
GPA__________
If enrolled in a College or University number of credit hours completed _____________
Degree and major/minor you are pursuing _________________________________
Other scholarships received ____________________________________________
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_
SEMO District Fair involvement including years as an exhibitor / volunteer.
Attach separate page if needed.
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School activities and honors . Attach separate page if needed.
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Community activities. Attach separate page if needed.
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Please share your career goals.
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Current or previous employment.
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P
Please return completed scholarship application to:
Edwin Peetz 1033 CR 332 Jackson, Mo. 63755 by May 30, 2013