Lincoln County 4-H Rocky Lockler Memorial Scholarship for Continuing Education Application Deadline: Thursday, March 3, 2014 – 5pm The Rocky Lockler Memorial Scholarship was established in 1994 after the tragic death of Rocky Lockler, an active 4-H member in sheep and rabbits from Toledo. A minimum $1000 award is available to previous recipients of the scholarship who are currently pursuing a higher education degree and are within the first 5 continuous years of their education. This scholarship recognizes meritorious work and achievement in 4-H, especially an animal science project, that shows leadership, character development and citizenship. On-going service to 4-H is encouraged. Financial need is part of the selection criteria. To apply for the Rocky Lockler Memorial Scholarship, please provide three sets of the following: Completed application (page 2 of this form) School transcript (unofficial accepted, subject to verification prior to award disbursement) One letter of recommendation or acknowledgement of ongoing merit Personal interview (to be scheduled by selection committee) Answer briefly (on a separate piece of paper) the following three questions (also listed on page 2): 1. Describe your 4-H involvement during the past year or what you have committed to do before August of this year. 2. As a leader, what would you change with 4-H programs to enable 4-H youth to better learn life skills, etc.? 3. How has what you learned in 4-H affected your college experience? Write an essay answering the following (also listed on page 2): Why are you pursuing a higher education? How has the past year’s educational experience affected you? Selection Process The 4-H Extension Agent will arrange for a Scholarship Selection Committee with interviews and selection to take place shortly after the application deadline. The application materials are available online to download or can be mailed to individual candidates as needed. The Selection Committee will evaluate all candidates according to the selection criteria as follows: Selection Criteria Leadership Community Service/Citizenship Scope of 4-H Involvement School Records Application/Interview Points 30 25 25 5 15 Applications DUE by 5pm, March 3 Submit Applications To: Lincoln County Extension Office – 4-H 29 SE 2nd Street Newport, OR 97365 Questions? Call the Office at 541-574-6534 Special Note: Course work must commence within the academic year following the award. The scholarship must be claimed within one year or forfeited back to the scholarship fund. Checks will be made out to the educational institution in the name of the award recipient upon receipt in the county office of the name of the institution and the student’s ID number. Page 1 Lincoln County 4-H Rocky Lockler Memorial Scholarship Application for Continuing Education Name: Home Phone: Age: ______ Grade: ______ Cell Phone: Address: E-mail Address: Institution Name: Student ID #: Address for Office of Financial Aid: Career Goal: Explanation of Financial Need Please list your anticipated costs for the next year: Estimated expenses: Tuition ______________ Room ______________ Food _______________ Books _______________ Clothing _______________ Transportation _______________ Personal _______________ Other _______________ Estimated Income/Support Personal Savings: ___ _________ Parent Contribution: _ ______ ____ Will you be eligible for (amounts, if known): Pell grant __ _______ Academic scholarship _______ __ Athletic scholarship ______ ___ Other ______________________ Please explain your need for financial assistance to provide for your education during next year and describe your plans for meeting this financial need. Short-Answer and Essay Questions Answer briefly (on a separate piece of paper) the following three questions: 1. Describe your 4-H involvement during the past year or what you have committed to do before August of this year. 2. As a leader, what would you change with 4-H programs to enable 4-H youth to better learn life skills, etc.? 3. How has what you learned in 4-H affected your college experience? Write an essay answering the following: Why are you pursuing a higher education? How has the past year’s educational experience affected you? Page 2