Oklahoma Association of Conservation Districts

Oklahoma Association of Conservation DistrictsAuxiliary

Agricultural or Natural Resource Field

Scholarship Application

For College Student

$300.00 SCHOLARSHIP

SCHOLARSHIP PAYMENT WILL BE PAID TO THE COLLEGE OR UNIVERSITY OF RECIPIENT’S CHOICE

Instructions: Type or print legibly, if more space is needed use additional paper, attach a copy of college transcript, and return to OACD Auxiliary, Dianne Jeans, 6751 South 13th Street, Tonkawa, OK. 74653By January 9, 2012,(Phone) 580-628-2223

Name______
Last First Middle

PRESENT ADDRESS AND PHONE NUMBER

Address______

StreetCityState Zip Code

PHONE ( )______BIRTHDATE______

Month Date Year

PERMANENT ADDRESS AND PHONE NUMBER (Summer & Non-School)

Address______

StreetCityState Zip Code

PHONE ( ) ______

HIGH SCHOOL GRADUATED FROM______YEAR____

COLLEGE OR UNIVERSITY CURRENTLY ATTENDING ______

Fr.____ Soph.____ Jr.____ Sr. ____ Year

COLLEGE OR UNIVERSITY YOU WILL BE ATTENDING IN THE FALL OF 2012______

PARENTS______GUARDIAN______PLEASE INDICATE BY CHECKING ONE

NAME______Phone______

______Phone ______

ADDRESS______

StreetCityStateZip Code

ADDRESS______

StreetCityStateZip Code

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ELIGIBILITY REQUIREMENTS

  • Scholarship applicant must be a child or grandchild of a District Director seeking higher education in AGRICULTURAL OR NATURAL RESOURCE FIELD
  • Applicant must have a 3.0 Grade Point Average in their field of study
  • Applicant must be enrolled in a college or university
  • Applicantmust be a full time student

SCHOLARSHIP OBJECTIVE

  • The OACD & OACD Auxiliary Agricultural or Natural Resource Field Scholarship is intended to encourage qualified students to increase their interest in Agricultural or Natural Resource Conservation
  • To obtain competence in Agricultural or Natural Resource Conservation
  • To pursue a career in this field of endeavor

SCHOLARSHIP APPLICATIONS WILL BE EVALUATED ON THE FOLLOWING CRITERIA. ALL DECISIONS BY THE SCHOLARSHIP COMMITTEE WILL BE FINAL.

  • College Honors ------0 to 15%
  • Volunteered at District, Area, or State Conservation Activities------0 to 10%
  • Community Service------0 to 10%
  • Jobs held while attending college (Average monthly hours worked)------0 to 15%
  • GPA------0 to 10%
  • Essay------0to40%
  1. List any college honors you have received: (Note any special honors, awards, offices held, and other recognitions.)

______

2. List jobs held while attending college and the average monthly hours worked.

JobsAverage hours per month

______

______

______

______

  1. Describe any volunteer services you have performed for a Conservation District during your college career: ______

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4. List any other community service performed during your college years: ______

5. Write and attach an essay telling what contribution you can make to your fieldof study in 250words or less.

6. Please include one letter of reference from a college or university official thatis familiar with your college career.

SIGNATURE OF APPLICANT______Date______

Have you sent us these items by January 9, 2012?

  • Completed scholarship application
  • Copy of college transcript
  • One reference letter from college or university official
  • Essay

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