Please read carefully before completing the application Agriculture Scholarship Campbellsport FFA Alumni The FFA Alumni is proud to offer (2) $700 scholarships to students who are pursuing their interest and studies in agriculture, or related field, at a short course, technical school or college. The FFA Alumni recognizes the dynamic role agriculture has in our local economies. We feel that our scholarship program will help deserving students open the doors of opportunity in continuing their education. Payment of the scholarship will be made after the FFA Alumni receives proof of successful completion of the first semester. Application Requirements: * Applications Must Be Typed * Applicants must be or have been Campbellsport FFA, or FFA Alumni members * Preference will be given to enrollment or planned enrollment in: * A College of Agriculture (4-year course) * The University Short Course * Agricultural courses at a Technical College * Have application postmarked by Friday, January 11th, 2013. The Alumni scholarship will be awarded at the Campbellsport FFA Alumni Banquet 1/27/13. (Plan on attending the banquet) Mail or return completed application to: John Seibel Campbellsport FFA Alumni President N5190 Mushroom Road Eden, WI 53019 FFA Alumni Scholarship Application NAME: BIRTHDATE: ADDRESS: TELEPHONE: SCHOOL YOU PLAN TO ATTEND & MAJOR: PERSONAL INFORMATION NUMBER OF YEARS AS AN FFA MEMBER: FFA ACTIVITIES - 30 pts. SCHOOL ACTIVITIES/AWARDS: 15 pts. COMMUNITY/CHURCH/OTHER ACTIVITIES: 10 pts. FARM RESPONSIBILITIES, AG EXPERIENCE AND HOBBIES: 5 pts. ENROLLMENT IN HIGH SCHOOL AGRICULTURAL CURRICULUM. 20 PTS. ACADEMIC RECORD HIGH SCHOOL ATTENDED & YEAR OF GRADUATION: APPROXIMATE GRADE POINT AVERAGE: What are your plans for the future? Please write a short narrative on your future plans. Do not exceed 2 pages. For example, What are your goals, your career choice, or major of study? Why do you feel deserving of this scholarship? What have you learned from living in a farming community? 20 pts. LIST TWO (2) REFERENCES (A letter of recommendation from each reference must accompany application. Try to get references that are NOT Mr. Kramp) NAME: ADDRESS: PHONE: E-MAIL: PROFESSION: NAME: ADDRESS: PHONE: E-MAIL: PROFESSION: