Gwen D. Schwoyer 4-H Horse Member Scholarship _________________________ Applicant's Name ______________________________ High School _________________________ Home Address ______________________________ School Address _________________________ Phone # ______________________________ Principal's Name __________________________ Parent's Name ______________________________ Date of Graduation __________________________ 4-H Club ______________________________ Years of Membership Post Graduation Educational Plans: List Your Major 4-H Accomplishments: On a separate page write a short essay (about 200 words) on "What 4-H has meant to me." ___________________________ Applicant's signature _____________________________ Date Completed applications should be given to your club leader or sent to: Deadline for application is May 1st. Jennifer L. Koller Berks County Ag Center 1238 County Welfare Road Leesport, PA 19533