Mike Samuelson Memorial Scholarship
This scholarship fund was established in the memory of Mike Samuelson by the
generosity of his friends and family.
Mike had three passions in his life; his family, farming and Iowa State. Mike had
the opportunity through Iowa State and agriculture to make many friends and
touch many lives. He will always be remembered by those that knew him as a
caring, friendly and hard-working man.
Eligibility:
The scholarship is in the amount of $1,000.00 with the check made out to the
recipient and Iowa State University. This scholarship will be awarded to a central
Iowa graduating senior attending Iowa State University with a major in the
College of Agriculture who excels in the following criteria:
Award Criteria:
o
Involvement in extracurricular and/or community activities
o
High standards of personal conduct, character and integrity
Application Procedure:
1. Complete the application form and essay
2. Include two letters of recommendation
3. Submit application to the Ogden High School Guidance Counselor
Application deadline: April 1st
Please include a short typed essay of no more than 250 words indicating your
future academic and vocational goals. Include any additional information you
would like to have considered on your application.
Obtain two letters of recommendation from non-relatives who are members of
your community and who can attest to your character, school and/or community
involvement and potential for future success.
Mike Samuelson Memorial Scholarship
Name: _____________________________________________________
Street Address or Box number: _________________________________
City _________________________________ Zip code: _____________
Telephone Number: _______________________________
Parent’s Name: _________________________________________________
Parent’s Address: _______________________________________________
Degree being pursued: __________________________________________
Anticipated graduation date: ______________________________________
GPA __________
High School activities in which you have been involved:
Community activities in which you have been involved:
I certify that the information I have provided is complete and correct to the best
of my knowledge. I also authorize the release of information concerning the
application.
Signature:____________________________________Date:_________________