Scholarship Application
McLean County Pork Producers
2016
Name: _______________________________________
Date of Birth: ___________
Address: ________________________________ City: ________
McLean County Resident: Yes
Zip Code: ________
No (circle one)
Parent's Name and Address(es) ______________________________________________
Parents' Telephone Numbers:________________________________________________
Parent's Email Address: _________________________________________________
Brothers and Sisters (names and ages): _________________________________________
_______________________________________________________________
Applicant's E-mail address__________________________________________________
High School attended: _______________________________ Year graduated:__________
What college of university do you plan to attend or are attending? ______________________
____________________________ Major: __________________ Minor: ________________
(if applicable)
Please answer the following questions in complete sentences. Please write clearly. If
necessary you may type your answers on a separate sheet and attach the sheet to your
application. Please label your answers clearly.
A. Career Goals:
__________________________________________________________________
B. List any school or community activities, awards, clubs, organization, offices, or honors you
would like to bring to the Scholarship Committee's attention:
C. Briefly describe your experience raising/working with hogs:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
D. What is your most memorable experience working with or raising hogs?
E. What idea(s) do you have to promote the pork industry? Please be specific!
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
F. List any awards, or honors associated with raising or showing your
hogs:_________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
________________________
If you have been employed, full or part time, complete the following (include your most recent
employment):
Name of Company and Address:___________________________________________________
Dates of Employment: From______________ To_______________
Duties and responsibilities: _______________________________________________________
To complete your application, you must submit the following by June 24, 2016.
1. Complete application form
2. 1 letter of recommendation must accompany the application form. Your letter of
recommendation must be from a non-relative.
RETURN ALL MATERIALS TO: Pork Producer's Scholarship Committee
Attn: J.C. Zimmerman
38149 E. 1400 North Rd.
Saybrook, IL 61770