Veterinary Scholarship Application

Veterinary Scholarship Application
The Lee County Farm Bureau Foundation will be awarding scholarships, valued at up to $2,500, to students enrolled in their 3rd or 4th years of the professional DVM curriculum at an accredited college of veterinary medicine, specializing in Large/Food Animals. Students have been accepted and completed at least their 2nd year of veterinary school are eligible to apply. The number of scholarships awarded will be determined by the number of qualified applicants and upon the availability of funds. Applicants must be members of the Lee County Farm Bureau in good standing. Applicants may not have been a previous recipient of the LCFB Foundation Veterinary Scholarship.

To be eligible for consideration, an applicant must:
- Be entering their 3rd or 4th year in veterinary school, specializing in Large/Food Animals, in the fall
- Be a Lee County Farm Bureau member in good standing, as defined in the bylaws of the Lee County Farm Bureau.
- Be enrolled in a qualifying veterinary school for the coming year
- Exhibit potential for successful completion of course study
- May not have been a previous recipient of the LCFB Foundation Veterinary Scholarship
The selection for the scholarship(s) are according to criteria such as:
- Academic Achievement
- Finanical Need
- Evidence of self-help. How is the student contributing financially to his/her education?
- Character and Personality
  - Maturity
  - Industrousness and Motivation
  - Intellectual Interest
  - Moral Character
  - Demonstrated Leadership
Special consideration will be given to applicants intending to return to Northern Illinois to practice.

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

General Information
Name *

First Name Middle Name Last Name Suffix
Please upload a professional applicant photo. *

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Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Date of Birth *

Month Day Year
Date
Phone Number *
Email *
example@example.com
What is your Farm Bureau Membership Number? *
High School Attended *

Amboy High School Ashton-Franklin Center High School Dixon High School Faith Christian School Indian Creek High School Mendota Township High School Newman Central Catholic High School Rochelle Township High School Other
If you selected other, which High School did you attend:
What was your date of high school graduation? *

Month Day Year
Date
Where did you attend college for your undergraduate? *
What was your graduation date from college? *

Month Day Year
Date
What is the name of the Veterinary School you are currently enrolled? *
Year in Program: *
What is your DVM Specialty? *

Section 2

Academic Information
Please upload a copy of your Veterinary School transcript. *

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What was your High School GPA? *
(Please use a 4.0 scale.)
What was your undergraduate GPA? *
(Please use a 4.0 scale.)
What is your current GPA? *
(Please use a 4.0 scale.)
What academic awards or achievements have you received? *

Section 3

Activities, Leadership, and Interest
List all agricultural activities in which you participated in high school and college. Indicate years of participation, any offices held, positions of leadership, and any honors received based on your participation. Include FFA and 4-H. *
List all non-agricultural activities in which you participated in high school and college. Indicate years of participation, any offices and positions of leadership held, and any honors received based on your participation. Include clubs, sports, etc. *
List all community activities that are not directly connected to school in which you have participated. Indicate years of participation, any offices held, positions of leadership, and any honors received based on your participation. Include church, scouts, etc. *
List any Farm Bureau related activities that you have been involved in or plan to be involved in in the future. *
Describe any employment experiences that have prepared you for your professional studies in veterinary medicine. *

Section 4

Academic Plans & Student Goals
Briefly outline your future plans as they relate to being in veterinary medicine for food/large animals and how you think you can impact the future of the agriculture industry. *

Section 5

Financial Analysis Report
Since financial need is one factor in selecting the recipient of the Lee County Farm Bureau Foundation Veterinary 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 No
If Yes, give the approximate amount of hours you would work every week, how much you get paid, who your employer is, and the type of work.
Do you intend to work during the summer? *

Yes No
If Yes, give the approximate amount of hours you would work every week, how much you get paid, who your employer is, and the type of work.
Do you have a tuition waiver or scholarship(s) for the upcoming school year. *

Yes No
If Yes, please list the name of the tuition waiver and scholarship(s) and their value(s).

Please break down by percentage on how your veterinary schooling will be financed: *

	Percentage
Student
Parents
Scholarships
Grants
Gifts
Loans
Other

If you put an amount for "Other," please specify:
Do you have any financial responsibilities or debts that you are responsible for? *

Yes No
If Yes, please give a description of financial responsibilities or debts and list amount for each.

Section 6

Student Statement
Why do you feel you should be awarded a Lee County Farm Bureau Foundation Veterinary Scholarship? *

0/100
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 winner. Please put your signature. *

Clear
Thank you for your interest in the Lee County Farm Bureau Foundation Veterinary Scholarship.
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Veterinary Scholarship Application

Section 1

Section 2

Section 3

Section 4

Section 5

Section 6