CottonwoodCounty 4-H/Livestock Improvement Association Scholarship Application

Student #______

NameAge

Address

Phone ______4-H Club ______

Parents

High School

This sheet will be removed once a number is assigned to you. The scholarship committee will NOT know the names of those applying for the scholarships.

If you have any questions regarding this application, please contact the Extension Office at 507-831-4022.

Applications are due by April 1, 2018

Cottonwood County Extension Office

41385 US Hwy 71 Windom, MN 56101

Email:

(phone) 507-831-4022 (fax) 831-4024

Minimum requirements:

  • Will have completed at least four (4) years in Cottonwood County 4-H by October 2018
  • High school graduating class of 2018
  • Continuing education upon high school graduation
  • Applicant must show leadership, commitment, and participation by one or more of the following: county ambassador program, club/county officer, participation in 4-H activities/trips, served on club/county committee
  • Application should be typed,if possible
  • Two letters of recommendation – one from an individual associated to your 4-H work and one from an individual associated to your school work. Letters must be addressed to the Cottonwood County 4-H/LIA Committee.

Up to THREE (3) $500.00 scholarships may be awarded in 2018. Scholarship recipients will be announced at your high school awards program.

CottonwoodCounty 4-H/Livestock

Improvement Association

Scholarship Application

G.P.A.Years in 4-H

Years as CountyAmbassadorYears as Club/County Officer______

Years as Livestock Exhibitor ______

*Preference will be given to youth that have exhibited livestock at the county fair.

What are your plans following high school? (College, TechnicalSchool and Major of Study)

______

______

What are your future goals and/or career plans?

______

How have you been a leader in your school and community/4-H? (please also list any major offices you’ve held)

______

______

List your 4-H citizen and community service experiences.

______

What is something important to you that many people don't know about you? (Ex. family, positive

personal characteristics, people who have influenced you, significant experiences, values, goals, etc.)

______

What have you contributed to 4-H at the club and county level? How do you plan to continue giving back to 4-H after graduation?

______

What has 4-H taught or given you?

______

Please describe how you have been involved in the ag industry. Please describe how you plan to be

involved in the ag industry after high school.(i.e. promotion, family farm, porkambassador, 4-H

volunteer, etc)

______

List the major 4-H awardsyou have received (additional pages may be added).

Year / Type of Award / For What Received / Level (co/state/dist/nat)

In addition to this application, you should attach the following documents:

  • One letter of recommendation from an individual associated to your 4-H work.
  • One letter of recommendation from an individual associated to your school work.

(Letters should be from someone other than a family member or the 4-H Program Coordinator)

Signatures

I certify that the above information is correct as to the best of my ability.

Signed: ______Date: ______

(Applicant)

Signed: ______Date: ______

(Cottonwood County Adult Club Leader)