100BMScholarshipApplication

Montgomery County Farm Bureau Foundation

SCHOLARSHIP APPLICATION

Due March 2, 2023

1. Field of study must be in an agricultural field or a field that directly supports agriculture.

2. Applicant or parent/guardian must be a member of Montgomery County Farm Bureau at least 2 years before the date of March 2, 2023 and in good standing.

3. Directors of Montgomery County Farm Bureau Foundation and their immediate families are ineligible to apply.

4. Up to three (3) $2,000.00 scholarships will be awarded to high school seniors. Up to three (3) $2,000.00 scholarships will awarded to those already attending college.

5. One (1) $2,000.00 scholarship will be awarded to a high school senior entering a Trade School.

6. Applicant may not win more than two (2) scholarships from the Montgomery County Farm Bureau Foundation throughout their college educaton.

7. Applicant will graduate this spring from High School or previously graduated from High School / GED and will be attending college during the 2023 - 2024 school year.

8. Applicant will graduate this spring from High School / GED and will be attending a Trade School during the 2023 - 2024 school year.

9. Applicant must have necessary grades that qualify for college entrance or acceptance as an undergraduate or trade school student.

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

11. Applicant must exemplify good citizenship.

12. The scholarship committee will make any and all selections.

13. An alternate will be selected if any of the scholarship recipients cannot or choose not to attend college. The alternate will receive the scholarship if eligible. All scholarship money will be repaid to the Montgomery County Foundation if student drops out of school before completing the semester in which the money was awarded.

14. The scholarship will be sent directly to the Financial Department of your chosen college or trade school.

15. If any or all of the scholarship funding is not used, it may be carried over to the next semester. Otherwise, the balance will be returned to the Montgomery County Farm Bureau Foundation.

16. Recipients will be notified by April 30th, 2023.

17. Application Instructions

A. This application must be completed online.

B. A recent photograph within the last 12 months must be uploaded to the application. It will be featured in the newspaper and on social media if you are selected as a winner.

C. A high school or college transcript is required to be uploaded to the application.

D. Two (2) letters of recommendation are required to be uploaded to the application.

E. Before submitting, please check to be sure you have answered all of the questions and uploaded all required attachments.

18. INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED.

19. Application deadline is Thursday, March 2, 2023 by 11:59pm.

Student Information
Student's Name*

First Name Middle Name Last Name Suffix
Student's Home Address*

Street Address
Street Address Line 2
City State
Zip Code
Student's Email*

Confirmation Email Confirm email address
Cell Phone Number*
Student's Date of Birth*

MonthDay Year
Date

Parent/Guardian Information
Parent/Guardian Name (Please list the parent the Farm Bureau membership is under.)*

First Name Middle Name Last Name Suffix
Address*

Street Address
Street Address Line 2
City State
Zip Code
Cell Phone Number*
Farm Bureau Membership Number*
Have you been a Farm Bureau member for at least 2 years and in good standing?

YesNo
Email*

Confirmation Email Confirm email address
Relationship to student*
Occupation*

Present Education Center
Name of Education Center (High School-College-Trade School)*
Phone Number*
Address*

Street Address
Street Address Line 2
City State
Zip Code
Date of High School Graduation*

MonthDay Year
Date
Which Test Did You Complete?*

SATACT
Test Score*
If applicable, enter your score from the exam selected in the previous question.
G.P.A if on 4.0 scale
G.P.A if on 5.0 scale
Counselor/Academic Advisor's Name*

First Name Last Name
Email*

Confirmation Email Confirm email address
Principal's Name*

First Name Last Name
List School and Community Activities in the last 2 - 4 years in which you have participated, along with years of membership or participation and offices held. *

In which you are currently involved 0/750
List honors and awards you have received within the last 2 - 4 years. *

0/750

Financial Analysis
Since financial need is one factor in selecting the recipient of the Foundation Scholarship, the following information is crucial to the committee in their deliberations. The information is strictly confidential and will only be reviewed by the Scholarship Committee and Manager.
Please break down by percentage (%) or dollar amount ($) how your education will be financed: *
If you selected other, please describe:
Do you (or will you) work during the school year to support your education?*

YesNo
If yes, Approximate: Number of Hours per Week?blanks*
Income? blank* Where?(if known) blank* Type of Work? (if known) blank*

References
Please list two people you are including letters of recommendation from with your application. College students must have at least one of the two letters of recommendation from your current college study program area. We recommend letters from recent teachers, school officials, employers, neighbors, friends, or other persons not related to you. Letters of recommendation must not be more than one year old at the time of application.
1. Reference Name*

First Name Middle Name Last Name Suffix
Address*

Street Address
Street Address Line 2
City State
Zip Code
Contact Number*
Relationship to applicant*
2. Reference Name*

First Name Middle Name Last Name Suffix
Address*

Street Address
Street Address Line 2
City State
Zip Code
Contact Number*
Relationship to applicant*

Personal Statement
Explain in 200 to 250 words why the scholarship selection committee should select you for a scholarship.
*
Signatures and Certifications
As an applicant, I hereby acknowledge that the information contained in this application is true and correct to the best of my knowledge.
Signature of Applicant*

Clear
Date*

MonthDay Year
Date

Documents
Upload unofficial transcript, 2 letters of recommendation, and current photo yourself.
Copy of Transcript from Current Education Center *
Upload in PDF format, your most recent unofficial transcript. We will accept a scanned copy of an unofficial transcript.
Letter of Recommendation #1*
Upload in PDF format, your most recent Letter of Recommendation. We will accept a scanned copy of a Letter of Recommendation.
Letter of Recommendation #2*
Upload in PDF format, your most recent Letter of Recommendation. We will accept a scanned copy of a Letter of Recommendation
Current Photo of Applicant*
INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED
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Student Information

Parent/Guardian Information

Present Education Center

Financial Analysis

Student's Area of Study

References

Personal Statement

Signatures and Certifications

Documents