FCFB2021

Welcome to the Fayette County Farm Bureau Foundation Scholarship Registration Form
Scholarship Criteria:

1. Applicant, parent, or guardian must be a member of Fayette County Farm Bureau.

2. Applicant will graduate in the spring of 2023 from high school or has previously graduated and will be attending college during the 2023-2024 school year.

3. Field of study is agriculture or agriculture-related.

4. Applicant must have necessary grades that qualify for college entrance or acceptance.

5. Applicant will take designated hours to qualify as a full-time college student.

6. Applicant must exemplify good citizenship.

7. An interview may be required.

8. The scholarship award will be sent to you and your chosen college.

9. If any or all the scholarship funding is not used within in the 2023-2024 school year, the balance will be returned to Fayette County Farm Bureau Foundation.

10. Eligible applicants may not receive this scholarship more than twice.

What you need BEFORE submitting application:

1. Your high school transcript or GED and/or college transcript

2. Photo of applicant (commonly submitted are headshots or senior photos)

3. Two (2) letters of reference. (Can be uploaded or mailed directly to the Fayette County Farm Bureau Scholarship Committee at: 1125 Sunset Drive, Vandalia, IL 62471

4. Fayette County Farm Bureau Membership Number

5. Some understanding of the Farm Bureau

Scholarship Deadline: Friday, March 31, 2022 at 4:30pm

Click "Next" below to start application.

Basic information

Please fill out the below information.
Full Name*

First NameMiddle Initial Last Name
Birth Date*

MonthDayYear
E-mail*
Phone Number*

Area CodePhone Number
Mailing Address*

Street Address

Apt/Suite #

CityState

Postal / Zip CodeCountry
County of Residence*
If other, please specify*
Fayette County Farm Bureau Membership Number*
i.e 026-123456 MM

Past and Future Education Information

Please fill out the information below
High School*

Street Address

Apt/Suite #

CityState

Postal / Zip CodeCountry
Date of High School Graduation*

MonthDayYear
Date
GPA Number*
College you plan to attend*
Course of Study*
Proposed occupation/profession*

Financial Need

Please answer the questions to the best of your ability.
Number of dependents in your family including yourself*
Number attending college*
Please list other financial aid or scholarships you have received. Include family financial support, and how your plan to finance your education*

Participation in School and Community Activities
List activities (both school and non-school) in which you have participated along with years of membership or participation, and offices held.
*
To upload a document explaining all activities use "Browse Files".

Browse Files
If you upload a document, type "See attached" above. Cancelof
High Honors and Awards
List Honors and Awards you have received
*
To upload a document explaining all honors and awards use "Browse Files".

Browse Files
If you upload a document, type "See attached" above. Cancelof

Work/Volunteer Experience
Are you now employed?*

YesNo
If yes, please tell us about the type work and approximate hours per week
Do you have any volunteer experience?*

YesNo
Please describe your volunteer experience

Farm Bureau Questions
What does Farm Bureau mean to you?*
List Farm Bureau related activities you have been involved in or plan to be involved in*

Narrative
In the space provided below, please describe, in 250 words or less, why you want to be a recipient of the Fayette County Farm Bureau Foundation Scholarship and how this scholarship will support your career goals.

You may also include other abilities you have that were not previously mentioned in this form.

Your narrative is a principle factor in the scholarship selection.
*

0/250

Picture

Please upload a picture. Can be a headshot or senior photo
Upload here*

References and Transcript
Please list two references, include their contact information and upload a letter from each. One must be from a non-school source and do not include relatives.
1. Name*

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Reference Letter
2. Name*

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Reference Letter
Letters can be mailed directly to the Fayette County Farm Bureau Scholarship Committee at:

1125 Sunset Drive, Vandalia, IL 62471
Please select which option best describes how you plan to submit your transcripts*

Upload directly to this applicationSend in mail to Fayette County Farm Bureau (address above)Email to Manager at fayettebondmgr@fayettefb.com
Use this to upload a copy of your transcripts

Browse Files

Cancelof

Statement of Applicant
To the best of my knowledge, the information I have supplied is accurate
Signature*

Sign with mouse Clear
Today's date*

MonthDayYear

Submitting
Thank you for taking the time to complete the Fayette County Farm Bureau Foundation Scholarship

Your application will be reviewed, and you will get a notice sent to your email in addition a letter in the mail.

Application reveiw typically happens in March or April

If you're sure everything is filled out correctly, Click Submit!
Should be Empty:

Welcome to the Fayette County Farm Bureau Foundation Scholarship Registration Form

Scholarship Criteria:

What you need BEFORE submitting application:

Scholarship Deadline: Friday, March 31, 2022 at 4:30pm

Basic information

Past and Future Education Information

Financial Need

Participation in School and Community Activities

High Honors and Awards

Work/Volunteer Experience

Farm Bureau Questions

Narrative

Picture

References and Transcript

Statement of Applicant

Submitting