2022 Renewal Scholarship Application

Eligibility

1. The applicant must be a member of the North Carolina State Grange. Applicants will not be considered for renewal unless Grange membership has been maintained.

Requirements for Membership:

The applicant must be a member of either a Community Grange, or an Associate member of the North Carolina State Grange. Community Grange members must pay the dues established by that organization or a special rate of $5.00 per year for student membership. Associate membership dues to the North Carolina State Grange are $20.00 per year. There is no special student rate for Associate members.

2. The applicant must be enrolled in a post secondary institution. Qualifying institutions are two and four year colleges, universities, community colleges, or trade schools.

3. The applicant must be applying as a full-time student.

4. The applicant must have maintained no less than a 2.8 Grade Point Average at the school which he or she has been attending.

5. Scholarships will be renewed for an amount up to $1,000.00 each when all requirements are met. Scholarships are paid directly to the school unless extenuating circumstances exist. Scholarships can be renewed up to three times for a total of four years at the undergraduate level. Scholarship renewal is now available for four years at the graduate level.

The Application

1. Applications submitted must contain the applicant’s signature.

2. A current transcript must be provided which will verify continued attendance in school and the Grade Point Average. Please be sure that your transcript is official, current and includes your spring semester grades.

3. Applications must be submitted by June 30, 2022. Late applications will not be considered for renewal. All required information is due by this deadline. If transcripts are being sent from the school to the Grange office, they too must be postmarked by June 30, 2022. Any applications that are missing required information by the deadline will not be considered.

Applicants must certify that they have completed one of the following:

Complete no less than 10 hours of community service during the past year, June 30, 2021 to June 30, 2022.

OR

Recruited no less than two new members to the Grange during the year, June 30, 2021 through June 30, 2022.

Applicant Name *

First Name Last Name

Email

example@example.com

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Phone Number *

Please enter a valid phone number.

Parent/Guardian Names: *

Grange Join Date: *

Date

I am a member of: *

Name and address of present college or university: *

Are you enrolled in the same college or university in the fall? *

Yes No

If no, where do you plan to attend?

What is your major and/or minor?

Please sign the following pledge:

I, , pledge to represent the North Carolina State Grange at my respective college or university as an upstanding citizen and student. I understand that my actions, on or off campus, are a reflection on my character and the character of the North Carolina State Grange.

Therefore, I will conduct myself in an appropriate and respectful manner. I will lend a hand to those around me and will strive to be a productive member of my community. I will continue to develop leadership techniques that will assist my future endeavors.

I have completed a minimum of 10 hours of community service in the last 12 months.

Yes No

I have recruited the following new members:

How has your Grange experience contributed to your leadership skills?

How have lessons learned in the Grange affected you in your college career thus far?

How will values learned in the Grange be relevant to your future career?

Signature *

Clear

Please upload any of the required items below. If you must mail the transcript or letters of recommendation, they must be postmarked by April 1, 2022.

Official Transcript

High resolution photo *