Martin County 4-H Council Scholarship Application

MARTIN COUNTY 4-H COUNCIL SCHOLARSHIP APPLICATION

For current Martin County 4-H’ers graduating from high school in 2018

- Up to FOUR (4) $500.00 Scholarships Will be Awarded -

--- Due May 11, 2018---

Return completed application to:

University of MN Extension, Martin County

201 Lake Avenue Suite 104, Fairmont, MN 56031

NameClick here to enter text.

Address Click here to enter text.

City, State, Zip Click here to enter text.

Parent (Guardian) Click here to enter text.

Years in 4-H _____ Years as Junior Leader _____

High School Click here to enter text.

College or school you plan to attend:

Name Click here to enter text.

Address Click here to enter text.

What are you planning to major in? Click here to enter text.

When do you plan to begin school? Click here to enter text.

How many months, or years, will it take to graduate? Click here to enter text.

How are you planning to finance your education?Click here to enter text.

Approximate cost of tuition, room and board for one year: Click here to enter text.

What career do you plan to study for? Click here to enter text.

If undecided on a career, check here: Click here to enter text.

Have you received any other scholarships or grants? ______Yes ______No

If yes, please list:Click here to enter text.

4-H Involvement

List your main 4-H projects:

Project / Main Goal / Skills Learned or Improved / Special Awards/
Honors
1.Click here to enter text.
# of years in project ______/ Click here to enter text. / Click here to enter text. / Click here to enter text.
2.Click here to enter text.
# of years in project ______/ Click here to enter text. / Click here to enter text. / Click here to enter text. /
3.Click here to enter text.
# of years in project ______/ Click here to enter text. / Click here to enter text. / Click here to enter text. /
4.Click here to enter text.
# of years in project ______/ Click here to enter text. / Click here to enter text. / Click here to enter text. /
5.Click here to enter text.
# of years in project ______/ Click here to enter text. / Click here to enter text. / Click here to enter text. /
6.
# of years in project ______/ Click here to enter text. / Click here to enter text. / Click here to enter text. /

List your involvement in 4-H activities:

Activity/Group / My Role/Responsibility
CLUB
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COUNTY
Click here to enter text. / Click here to enter text. /
DISTRICT
Click here to enter text. / Click here to enter text. /
STATE/NATIONAL/INTERNATIONAL
Click here to enter text. / Click here to enter text. /

List all school activities in which you have participated during the past 4 years (e.g. student government, music, sports, etc.). List all community activities in which you have participated without pay during the past 4 years (e.g. Red Cross, church work, volunteer work). Indicate all special awards, honors.

Activity / # of Years Participation / Special Awards, Honors / Activity / # of Years Participation / Special Awards, Honors
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"How 4-H has Helped Me Plan for My Future" – Write a brief essay explaining your career goals for seeking this education. Use additional sheets, if needed.

Click here to enter text.

Attach two (2) written references.

One must be from a 4-H leader (screened 4-H adult volunteer) and the other from a person of your choice. Letters may be attached to this form or sent directly to the office. References should not be related to you.

Scholarship applications will be evaluated on the basis of:

50%4-H Participation

20%Career goals and reasons for seeking education

20%Service to school, church and community

10%How member is financing education