William McAllister Scholarship
Given by Macoupin County 4-H Foundation
Judging Criteria
Financial Need
4-H Accomplishments
Essay Questions
School & Community Background
References
Year_____________
1. Applicant
2. Address
3. Local Telephone #
4. Place & Date of Birth
5. High school record (to be filled in and signed by the principal or counselor of the high school from which
applicant graduates):
A.
Rank in High School:___________________________________
Name of High School:__________________________________
Grade Point Average:___________________________________
B. Test scores - include raw scores and percentile for A.C.T. or S.A.T. and PSAE, if available. If these are
not available, report any others scores that are available.
_____________________________________________________
_____________________________________________________
_____________________________________________________
Principal or Counselor
_________________
Date
6. Are you a candidate for or do you hold any other scholarships or grants? If so, what scholarship or grant?
7. Name of parent or guardian________________________________________________________________
Address of parent or guardian______________________________________________________________
Are parents living: Yes / No
Number of
(a) Older brothers______
(c) Younger brothers_____
(b) Older sisters______
(d) Younger sisters______
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8. Will you have any brothers or sisters attending college during the same year for which you are requesting
financial assistance?
_______________________________________________________________________________________
If yes, explain___________________________________________________________________________
9. Father's occupation_______________________________________________________________________
10. Mother's occupation ______________________________________________________________________
11. How many persons are dependent upon him (or her) for support?___________________________________
12. If you do not receive any scholarships will you attend college?____________________________________
13. How much financial aid do you expect to receive from your family during the next year? Explain fully.
Estimate amount for school fees and amount for housing and transportation.
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
From others financial sources? Explain_______________________________________________________
_______________________________________________________________________________________
14. Explain any employment you have had during the past year.
_______________________________________________________________________________________
15. Indicate the approximate total amount of money you will have available from all sources to aid you during
the forthcoming year at college.
_______________________________________________________________________________________
_______________________________________________________________________________________
16. What is the name(s) of the college(s) or University(ies) you plan to attend:
_______________________________________________________________________________________
17. Field in which you plan to major:
_______________________________________________________________________________________
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18. List costs as stated by chosen college. Example: Tuition, fees, board and lodging, etc:
_______________________________________________________________________________________
_______________________________________________________________________________________
19. Do you expect to be employed while at college next year? If so, by whom and in what capacity?
_______________________________________________________________________________________
20. Record of 4-H Club work: Number of years enrolled_______ County_______________________________
Kinds of projects_________________________________________________________________________
_______________________________________________________________________________________
Offices held_____________________________________________________________________________
Honors won in 4-H Club work______________________________________________________________
_______________________________________________________________________________________
4-H Leadership Involvement
club level:______________________________________________________________________________
county level:____________________________________________________________________________
state level:______________________________________________________________________________
21. Other school and community interests and activities. Note honors received.
_______________________________________________________________________________________
______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
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22. Statement indicating reasons for your decision to study in the field that you have chosen and any other
factors which you may wish the committee to be award of in considering your qualifications for a
scholarship:
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
23. What will this scholarship mean to you?
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
24. What reason would you give a young person for joining 4-H?
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
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_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
25. List names and addresses of two references you have asked to write a letter of recommendation.
Name
Address
_______________________________________________________________________________________
_______________________________________________________________________________________
Reference letters should be attached to the Scholarship Application.
_______________________________________________________________________________________
Signature of Applicant
Date
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William McAllister Scholarship
Scorecard
Name of Applicant
4-H Accomplishments (20 points)
__________
Essay Questions (20 points)
__________
Financial Need (20 points)
__________
School & Community Background (20 points)
__________
References (20 points)
__________
TOTAL POINTS (possible 100)
__________
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WILLIAM MCALLISTER SCHOLARSHIP
Given by the Macoupin County 4-H Foundation
GUIDELINES & PROCEDURES
SCHOLARSHIP INTENT
To provide encouragement and financial assistance to a Macoupin County 4-H member who displays well balanced attributes of good citizenship, commitment to 4-H, participation and leadership in extra curricular
activities and scholastic ability.
ELIGIBILITY REQUIREMENTS
1. The applicant must have been a 4-H member during the last year.
2. The applicant must be a high school senior or a current college student who plans to attend or is attending a
college, university, junior college, or a vocational school.
3. The applicant must not have previously received a William McAllister Scholarship.
PROGRAM PROCEDURE
1. Applicants may obtain a scholarship application from the University of Illinois Extension - Macoupin
County office.
2. Completed applications must be returned by July 1, 2009 to:
University of Illinois Extension - Macoupin County, #60 Carlinville Plaza, Carlinville, IL 62626
3. In completing the application, applicants must demonstrate the required attributes.
4. One (1) $400.00 scholarship will be awarded. Payment will be made directly to the individual.
5. Applications will be judged by a panel of three anonymous judges.
6. Scholarship recipients will be invited to attend the Achievement Night where they will receive their
scholarship.
7. News releases will be sent to all county newspapers and radio stations announcing the scholarship recipient.
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