Hancock County Farm Bureau Foundation 2023 Technical & Trades Scholarship
Application deadline is midnight on March 31, 2023.
Name
First Name
Middle Name
Last Name
Date of birth
Sex
Male
Female
E-mail
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
High School
Date of Graduation
Hancock County Farm Bureau Membership # (applicant or parent/guardian)
Father's name in full
Mother's name in full
Academic Plans
Name the college or vocational school you plan to attend or currently attend.
Program of Study:
Auto or Diesel Mechanics
Truck Driving
Electrician
Welding
Precision Ag Technology
Other
I am seeking:
Associates Degree
Certificate
How many semesters have you completed in your program?
I have been accepted, but haven't started yet
1-2
3 or more
Why are you seeking this degree or certificate?
What are your career plans after completing your degree or certificate?
How do you plan to contribute to the ag industry after you complete your program or degree?
How are you funding your education? (Check all that apply)
Self
Family
Current or future employer
Student loans
Scholarships/Grants
Other
List the names and amounts of any scholarships, grants or tuition waivers you have received.
I am requesting funds for...(Check all that apply)
Tuition & Fees
Tools
Books & Supplies
Computer
Other
What is the estimated total cost of the items for which you are requesting funds?
(Electronic signature) By signing below, I verify the information in this application is true and correct to the best of my knowledge.
*
Clear
Please upload headshot that will be used in press release
Browse Files
Cancel
of
Comments
Submit Form
Should be Empty: