Scholarship Application

Scholarship Application
Date

MonthDayYear
Date
Time

Hour Minutes

AM/PM Option
Candidate Contact Information
Scholarship Candidate Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Candidate's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Candidate's Email
example@example.com
Candidate Questions:

In order to apply for this scholarship, you must complete the following two questions.
Why you are interested in bees and beekeeping, and what you hope to accomplish if you are chosen for this scholarship?
How are you involved in your community?
Please summarize what involvement in school, community, church, and other youth or civic organizations.
Parent/Guardian Contact Information
Parent/Guardian Name

First NameLast Name
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email
example@example.com
Parent/Guardian Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Questions:
In what ways do you feel your child can benefit from this program?
Does anyone in your immediate family have bees or have your kept bees before, if so when?
Will you support and encourage your child in this effort, including bringing them to monthly classes and MBA meetings?
Parent/Guardian Consent
All of these statement must be true
Terms and Conditions
If the scholarship recipient has met all requirements, a Certificate of Completion and full ownership of the colony and equipment will be presented at the December meeting.
The Scholarship program depends on volunteers and MBA budget. Requirements and awards can be changed with MBA Board approval.
Confirmation
Application Confirmation
Please verify that you are human
Should be Empty:

Scholarship Application

Candidate Contact Information

Candidate Questions:

Parent/Guardian Contact Information

Parent/Guardian Questions:

Parent/Guardian Consent

Terms and Conditions

Confirmation