High School Senior Scholarship Application

High School Senior Scholarship Application
This is an application for:
- Lee County Farm Bureau Foundation High School Scholarship(s)
- Larry J. Green Memorial Scholarship
- Gentry Family Agriculture Scholarship
The Lee County Farm Bureau Foundation Scholarship(s) will be in the amount of $1,500. The number of scholarships awarded will be determined by the number of qualified applicants and upon the availabilty of funds. The Larry J. Green Memorial Scholarship is one scholarship in the amount of $1,500. The Gentry Family Agriculture Scholarship is one scholarship in the amount of $1,000.

To be eligible for consideration, an applicant must:
- Be a high school senior
- Be a resident of Lee County OR
- Be a Lee County Farm Bureau member in good standing or dependent of a Lee County Farm Bureau member in good standing, as defined in the bylaws of the Lee County Farm Bureau
- Be enrolled at a post-secondary school in a field of study for a career connected to agriculture.
- Exhibit potential for successful completion of course of study
The application focuses on criteria such as:
- Academic Achievement
- Demonstrated interest in agriculture and agribusiness
- Evidence that the student has developed a thorough financial plan to pay for their education
- Character and Personality
Additionally, the Gentry Family Agriculture Scholarship guidelines require a miniumum of two years of 4-H or FFA experience and priority consideration will be given to students who are graduating from Dixon and Amboy High Schools.

Terms: All scholarship funds are distributed directly to the student upon submission of final grades to the Lee County Farm Bureau Foundation for the completed semester following the scholarship notification. High School Senior recipient grades will be due by January 15.

All applications must be completed and submitted by February 15th at 11:59 p.m.
Section 1

General Information
Name*

First NameLast NameSuffix
Please upload a professional applicant photo.*

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Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth*

MonthDayYear
Date
Phone Number*
Email*
example@example.com
What is your or your parent's Farm Bureau Membership Number?*
(Note: According to Farm Bureau membership guidelines, students can qualify as a dependent under their parent's membership if they are age 21 and younger. Age 22 and older requires your own Farm Bureau membership.)
Name of Parent or Guardian (if applying as a dependent)

First NameLast Name
Name of Parent or Guardian (if applying as a dependent)

First NameLast Name
High School Attended*

Amboy High SchoolAshton-Franklin Center High SchoolDixon High SchoolFaith Christian SchoolIndian Creek High SchoolMendota Township High SchoolNewman Central Catholic High SchoolRochelle Township High SchoolOther
If you selected other, which High School did you attend:
What is your date of high school graduation?*

MonthDayYear
Date
What College, University, or Community College do you plan to attend this upcoming fall?*
What is your intended major or field of study?*

Section 2

Academic Information
Please upload official or unofficial transcript.*

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What is your High School GPA?*
(Please use a 4.0 scale.)
What is your high school class rank (if applicable)?
If you listed your class rank, please indicate the number of students in your graduating class.
What academic awards or achievements have you received?*

Section 3

Activities
List all student activities in which you participated in high school. Indicate years of participation, offices held, positions of leadership, and any honors received based on your participation.*
List activities held outside of school during your high school years, such as any church, civic, or community activities. Indicate years of participation, offices held, positions of leadership, and any honors received based on your participation.*
List any hobbies or special interests that have not already been described above.
List any Farm Bureau related activities that you have been involved in or plan to be involved in in the future.*
Briefly summarize your experience and/or employment in agriculture and agribusiness, outside of youth organizations. OR Demonstrated leadership within ag agriculture-related situation. (Attach additional pages if necessary.)*

0/450
Describe what you feel that you do especially well and what you feel is your biggest challenge today.*

Use no more than 100 words.0/150

Section 4

Student Statement
In the space below, please explain why being awarded this scholarship will help support you reach your future goals. (Attach additional pages if necessary.)*

0/500

Section 5

Student Statement
Explain why the scholarship committee should select you for this scholarship.*
I hereby certify that to the best of my knowledge, the above information is correct and complete. I authorize Lee County Farm Bureau Foundation to use my name and likeness in publications to announce the winners. Please put your signature.*

Clear
Thank you for your interest in the Lee County Farm Bureau Foundation Scholarships.
Should be Empty:

High School Senior Scholarship Application

Section 1

Section 2

Section 3

Section 4

Section 5