Hancock County 4-H Foundation
2024 Educational Scholarship Application
Applicant Information
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Date of Birth
-
Month
-
Day
Year
Date
Parent/Guardian(s)
Number of years enrolled in 4-H (including this year)
High School Education
Official copy of transcript MUST accompany application.
Name of High School
Class Rank
Number in graduating class
Accumulative GPA
Please summarize your school activities (include awards and recognition) below:
Future Plans/Educational Goals
Name of college or university you plan to attend
Describe your educational or vocational goals
4-H and Community Service Activities
4-H Experience Summary (Please list project areas, honors, offices held, special activities, conferences, etc)
Did you complete and submit your 4-H permanent record and/or project records for the 2022-2023 4-H year?
Yes
No
Please summarize community service activities you have been involved in (Note any special recognition)
Please tell us about your interests and activities outside of school and 4-H.
Please tell us about any work experience you have, including names of employers, dates, and job responsibilities.
Please give an example of how your 4-H experience has impacted your future educational and/or career goals.
Please list any other information you feel the scholarship committee should know about you.
Please upload your high school transcript here (must be signed by school official)
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Please upload headshot that will be used in press release
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By signing below, I verify that the information in this application is true and correct to the best of my knowledge.
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