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