Ed Meliah Memorial Scholarship
Scholarship Application Form
To be considered for these scholarships or awards, you must:
1. Return this form with your essay no later than April 30, 2014.
2. Include a copy of your high school transcript.
3. Include three letters of reference.
Applicants pursuing careers in agriculture will be given priority but all applications will be considered.
Senior grades will be required for 2nd marking period or 3rd for schools with six marking periods. Make sure E-mail address and your cell phone numbers are included.
YOU MUST SUBMIT APPLICATION TO BE CONSIDERED FOR THIS SCHOLARSHIP.
Complete the following:
Name: ______SSN : (last 4 digits)- ______Gender______
First Last
Home Address ______County______Home Phone______
City______State______Zip Code______E-mail______
High School______School Phone______
Address______City______Zip ______
Graduation Year______Grade Point Average ______/______Rank in Class______Class Size______
(un-weighted/weighted GPA)
Aptitude Test:
ACT Composite Score______or SAT Scores: Verbal ______Math ______Writing______Total ______
(Please submit copy of test scores to us)
Intended major(s) or interest area(s) is/are (please list in order of preference):
First choice______Second choice ______
Long Range Career Goal______
College: List the colleges you have applied or intend to apply. (Use a separate sheet if necessary.)
Application status a – applied b – intend to apply c - accepted
First ______
Second ______
Third ______
Parent/Guardian
Mothers Name______Fathers Name ______
Personal Achievements: Use a separate sheet if necessary. You may attach a resume in lieu of I, II, III, IV, and V.
I. Extra-curricular Activities or Office Held Year Position Held
______
______
______
II. Community Service Hours served
______
______
III. Employment
______
______
IV. Awards
______
______
______
V. References: List three (3) references and their relationship to you (teacher, employer, clergy, coach, and counselor).
(Submit letters of recommendations/references with application)
______
______
______
Essay: Please write a short essay describing your background, career goals, objectives and other experiences that have contributed to your personal development and future aspirations. Use a separate sheet. Essay should not exceed 350 words.
SUBMIT COMPLETED FORM TO:
Walla Walla Farmers Co-op
Attn: Kathy Scott Phone: 509-525-6690
PO Box 928 Fax: 509-525-2128
Walla Walla, WA 99362 Email:
Please return this complete application with a copy of your latest high school transcript.
Applicant signature ______Date ______
Applicants pursuing careers in agriculture will be given priority but all applications will be considered.