2018 Scholarship Application
Dear Applicant:
The following information is for the Randolph County Farm Bureau Foundation Scholarship. The scholarship amount ranges from $250-$1,200 depending upon availability of funds.
To be eligible for consideration, an applicant must:
Graduate from high school this spring and/or be a freshman, sophomore or junior in a post-secondary (two or four year) school.
Be a member or a child of a member of the Randolph County Farm Bureau.
Be enrolled or enrolling at a post-secondary school to study in an Agriculture Related Field.
Be a resident of Illinois.
The criteria for awarding the scholarship are as follows:
Academic performance and honors
Demonstrated interest in agriculture and agribusiness
Character and personality
- Maturity
- Industriousness and motivation
- Intellectual interest
- Moral character
- Demonstrated leadership
This criteria & instruction letter is available on our website at .
Please Click on “Form for NEW APPLICANTS” and fill itout there, save as a word document,and attach to an email to .
Also required is a short letter of referenceemailed to: and a current officialtranscriptmailedto: Randolph County Farm Bureau, PO Box 504, 1403 Hillcrest Dr., Sparta, IL 62286. The deadline for all three items is January 31, 2018.
If you have any questions concerning the scholarship or the application, please call the office at 618-443-4511 or email . Thank you for your interest in Randolph County Farm Bureau Foundation Scholarship.
Sincerely,
Ronald J. Deterding, President
Randolph County Farm Bureau Foundation
** Application is on next page!**
RANDOLPH COUNTY FARM BUREAU FOUNDATION
2018NEW SCHOLARSHIP APPLICATION
Part 1: General Information
1)Name: type here type here type here Sex: type
Last First InitialDate of Birth: type here
2)Home Address:
Street or Road Click or tap here to enter text.
Citytype here Statetype hereZip type here
3)Telephone Number: type here Email: type here
4)High School Attended: type here
Date of Graduation: type here
5)Are you or your family a member of the Randolph County Farm Bureau?Yes or No - type
Ifyes, whatisyouroryourparents'FarmBureauMembershipNumber?type here
6)Father's name in full: type here.
7)Mother's name in full: type here
Part II: Academic Information
1)What is your high school grade point average? type here
If applicable, what is your college grade point average? type here
(Include a copy of your high school transcript and official college transcript if applicable)
2)What high school academic awards have you received?type here
Part III: Activities
1)List the student activities in which you participated in high school. Indicate offices and positions of leadership you held as well as any honors you received based on your participation.
type here
2)List the community activities (not directly connected with high school) in which you have participated. Indicate offices and positions of leadership you have held as well as any honors you have received based on your participation.
type here
3)Describe any employment experiences you have had during school or during summer vacations.
type here
Part IV: Interests
1)Briefly summarize your experience or interest in agriculture/agribusiness.
type here
Part V: Academic Plans
1)Name the college, university, or vocational school you will attend.
type here
2)Briefly state what your major field of study in higher education will be.
type here
3)Describe how you think your course of study will benefit the field of agriculture.
type here
4)Why do you feel you should be awarded a Randolph County Farm Bureau Foundation scholarship? (min. of 150 words)
type here
PART VI: Financial Analysis Report
Since financial need is one factor in selecting the recipient of the Randolph County Farm Bureau Foundation Scholarship, the following information will help the Scholarship Review Committee in its deliberations. The information is strictly confidential and will only be reviewed by the Foundation's Scholarship Review Committee.
Will you work during the school year to support your education? Yes or No - type here
How Many Hours/week?type here
Do you intend to work during the summer? Yes or No- type here
How Many Hours/week? type here
Will you be receiving any other scholarships or a tuition waiver? Yes or No - type here
If so, please indicate the name and value of such.
Name of Scholarship Value
Click or tap here to enter text. Click or tap here to enter text. Click or tap here to enter text. Click or tap here to enter text.
Click or tap here to enter text. Click or tap here to enter text. Click or tap here to enter text. Click or tap here to enter text.
Approximately what percentage of your education expenses are paid for by your parents? type
Father's occupation Click or tap here to enter text.
Mother's occupation Click or tap here to enter text.
Number of children in family: Brothers type hereAges type here
Sisters type hereAges type here
How many others in your family are now in some type of higher education? type here
Do you reside with your parents? Yes or No - type here
Will you live on campus? Yes or No - type here
Applicant Name: _type here______
Date:__type here______
A completed application consists of the following and is due by January 31, 2018:
-This completed form – please save this document and attach to an email to
-A short letter of reference emailed to
-Official High School Transcript and College Transcript (if applicable)mailed to: Randolph County Farm Bureau, PO Box 504, Sparta, IL 62286-0504