Land of Lincoln Purebred Livestock Scholarship

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Land of Lincoln Purebred Livestock
Breeder’s Association Scholarship
Two scholarships in the amount of $750.00 each will be awarded to one male and one
female, between the ages of 17-20 years old by January 1 of the application year and
furthering their education in an Agriculture related field. Applicants and/or their family
need to be members of the LLPLBA and involved in purebred livestock. The eligible
purebred livestock are: beef, dairy, goats, horses, llamas, sheep and swine as listed in the
Illinois State Fair Open Premium Book.
Applications will be available by logging in to: www.LOLPurebredlivestock.com; 4-H
Scholarship website and FFA Scholarship website
All applicants must complete the scholarship application and provide the name of the
Institution that they will be attending. The money will be sent to the Institution in the
student’s name.
Applications must be postmarked and returned by March 31, 2010 to
Mr. Darrell Rincker, R.R. #1, Box 170, Stewardson, Illinois 62463 (faxed copies will
not be accepted).
The selection committee may request a personal interview with the finalists.
The two winners will be notified by April 30th. They, along with their family, will be
our guests at the Awards Ceremony held during the annual LLPLBA meeting on
December 10 at 10:00 a.m. at the Northfield Inn, Springfield, Illinois.
All areas of the application must be completed.
OFFICE USE ONLY
Date Received;_________________
Awarded: Yes______ No ______
Land of Lincoln Purebred Livestock Breeder’s Association
Scholarship Application
Please Print or Type
Name:__________________________________________________________________
Permanent Address:_______________________________________________________
City:________________________ State:_____________ Zip Code:________________
Telephone No.:_____________________ Social Security No.:_____________________
_____ Male
_____ Female
EMPLOYMENT SITUATION
Current Employer:________________________________________________________
Address:________________________________________________________________
City:_______________________ State:______________ Zip Code:________________
How long with this employer?_______________________________________________
FAMILY
Father’s Name and Address:_________________________________________________
Mother’s Name and Address:________________________________________________
Father’s Occupation:_______________________________________________________
Mother’s Occupation:______________________________________________________
List all other children and their ages supported by parents:_________________________
________________________________________________________________________
EDUCATION
High School/College Attending:______________________________________________
Location:________________________________________________________________
Year Graduated High School:_____________ (GPA documented by submitting most
recent transcript)
College attending in 2010-2011:______________________________________________
Address:________________________________________________________________
City:__________________________ State:__________ Zip Code:_________________
Major:__________________________________________________________________
LAND OF LINCOLN PUREBRED LIVESTOCK BREEDER’S ASSOCIATION
List all in your family who are life members and/or current members with your respective
Breed Association:________________________________________________________
What specie(s) of Purebred Livestock do you or your family have?
_______________________________________________________________________
What breed(s) of Purebred Livestock do you or your family have?
_______________________________________________________________________
Years in 4-H _______
Years in FFA _______
REFERENCES
Three (3) letters of reference are required and must be enclosed with the application.
ESSAY
Please include an essay (500 words or less, typed) of how purebred livestock has played
an important part in your life both past and present. How will you further continue your
education stressing the importance of purebred livestock in your future.
We affirm the above to be true and correct:
__________________________________
Signature of Parent/Guardian
______________________________
Signature of Applicant
________________________
Date
___________________
Date
If you are not a member of the Land of Lincoln Purebred Livestock Breeder’s
Association through your Breed Association, you may become a member by filling out
the following form and including a check for $2.00 for a one year membership.
OR
If you are interested in a Life membership, the cost is $25.00
Land of Lincoln Purebred Livestock Breeder’s Association
Membership Application
Name_________________________________________________________
Address_________________________________________ Zip Code____________
Breed of Purebred Livestock_____________________________________________
Life Membership:
Land of Lincoln Purebred Livestock Breeder’s Association
Life Membership
Name_________________________________________________________
Address_________________________________________ Zip Code____________
Breed of Purebred Livestock_____________________________________________
Mail to:
Darrell Rincker
R.R. #1, Box 170
Stewardson, IL 62463
Make checks payable to:
LLPLBA
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