2025 RICFBF Scholarship Application

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Read and follow the instructions carefully prior to submitting your application. (Scholarship Guidelines). All winners will be notified on or before the 1st of May 2026.

If selected, you may be asked for documentation to support the data you provide. Likewise, all correspondence and award agreements will be generated from the personal information submitted below. So, please use proper spelling, capitalization and punctuation.

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Are you a resident of Rock Island County? * This field is required.

YESNO

3

Do you attend or did you graduate from a Rock Island County school? * This field is required.

YESNO

4

Are you a current Rock Island County Farm Bureau member or a dependent of a Rock Island County Farm Bureau member?* This field is required.

YESNO

5

Parents' or Your Farm Bureau Membership Number* This field is required.

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Full Name* This field is required.

First Name

Last Name

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Birthdate:* This field is required.

8

Mobile No. :* This field is required.

Area Code

Phone Number

9

E-mail :* This field is required.Please indicate correct E-mail as your confirmation for scholarship eligibility will be sent to this address.

Where the confirmation will be send to

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Home Address :* This field is required.

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

11

County of Residence:* This field is required.

12

Parents or Guardians Full Name:* This field is required.As you want it to appear in all media releases.

13

Parent Email

example@example.com

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Are you currently a high school senior?

YESNO

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High School Graduation Date* This field is required.

Year

16

High School Attended (scroll down for complete list):* This field is required.

17

High School Transcripts* This field is required.Please include your high school transcripts.

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Max. file size: 10.6MB

18

Cumulative High School GPA:* This field is required.If on a 5.0 scale, it must be converted to 4.0 scale.

19

Class Rank:

20

Class Size:

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High School activities, community activities, volunteer work, honors, offices held:* This field is required.

22

ACT score

23

SAT (EBRW) score

24

SAT (Math) score

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I will be attending the following school in the Fall of 2026:* This field is required.

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Status as of Fall 2026* This field is required.

College Freshman

College Sophomore

College Junior

College Senior

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University/College Address (Financial Aid Office)* This field is required.

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

28

Degree of Study Letter* This field is required.Please attach a letter of acceptance from your College/University. If you are studying for a two year degree, a letter from a your academic adviser is acceptable.

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Max. file size: 10.6MB

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Major Area of Study:* This field is required.Type in your anticipated major as it appears in your college course of study.

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College Transcripts* This field is required.College students need to include BOTH high school and college transcripts. For Keppy applications: If both high school and college transcripts are not included, your application will not be reviewed

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Max. file size: 10.6MB

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Current College GPA:* This field is required.

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College activities, community activities, volunteer work, honors, offices held:* This field is required.

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Do your parents farm?* This field is required.

YESNO

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Do you personally receive $2,500 or more from the sale of Ag products, services, and/or cash rent?* This field is required.

YESNO

35

Are you involved in a farming operation?* This field is required.

YESNO

36

Do you have specific duties in the farming operation?* This field is required.

YESNO

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What are your duties/responsibilities in the above mentioned farming operation?* This field is required.

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Please choose the category for the applicants' adjusted gross income for the past year.* This field is required.

Did Not File

Less than $20,000

$20,001-$40,000

Over $40,000

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Please choose the category for the parents' combined adjusted gross income for the past year* This field is required.

$20,000-$40,000

$40,001-$60,000

$60,001-$80,000

$80,001+

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List any financial scholarships and grants you have received to date toward your future schooling:* This field is required.

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How many children are living at home (exclude yourself):* This field is required.

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How many are attending college (exclude yourself):* This field is required.

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Where?

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Scholarship amount received per person:

45

Have you previously received a Keppy Scholarship?* This field is required.

YESNO

46

Have you previously received a Stulz Scholarship?* This field is required.

YESNO

47

You are eligible for the Foundation Scholarship. Would you like to be considered for this scholarship?* This field is required.

48

You are eligible for the Keppy Scholarship. Would you like to be considered for this scholarship?* This field is required.

49

You are eligible for the Bush Scholarship. Would you like to be considered for this scholarship?* This field is required.

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You are eligible for the Stulz Scholarship. Would you like to be considered for this scholarship?* This field is required.

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Production Agriculture was a very prominent role in the life of the Keppy family, and represents a large segment of the Rock Island County Farm Bureau membership and heritage. Wilbert and Carol Keppy were very committed to supporting their community. Their commitment to community and agriculture is represented today in their belief to give back with their philanthropic legacy.

52

Essay (Required for Foundation, Bush, & Keppy Applications)* This field is required.Explain to the scholarship selection committee, "How do you see advancements in technology impacting the agriculture industry?”

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Max. file size: 10.6MB

53

Post-Collegiate Career Goals Statement (Required for Stulz Application)* This field is required.

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Max. file size: 10.6MB

54

Attach a current high quality head shot photo for use in Foundation publications.* This field is required.

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Max. file size: 10.6MB

55

Letter of Recommendation* This field is required.Please list below one person whom you will request to complete a recommendation letter in support of your application. We recommend a reference be from an employer, teacher or current academic adviser. Letter of recommendation must be no more than one year old at the time of application. Applicants are responsible for ensuring that the letter of recommendation be received by the deadline date.

Reference Letters can be mailed to the Rock Island County Farm Bureau Foundation, Attn. Scholarship Committee, 1601 52nd Ave, Suite 3, Moline, IL 61265

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Additional InformationWhat additional information about yourself do you wish to share that might be relevant to this application?

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Max. file size: 10.6MB

57

It has been requested by the Scholarship Selection Committee and Foundation Board that an interview may be requested for certain applicants. By indicating "yes" below you agree to attend in person or via an online interview during the week of April 13th, 2026, if needed. I agree to complete the application process by participating in an interview in person or via Zoom.* This field is required.

Yes

No

58

I certify that to the best of my knowledge the information contained in this application is true and correct. I also understand that I am a student in good academic standing. I understand this application will not be considered for review unless I have indicated "yes" in the "yes" box below. I also understand that the application will not be complete until the letter of recommendation, essay, and transcript are received no later than the deadline date. It is also my understanding that NO MATERIALS WILL BE RETURNED. I also understand that as an applicant for the Keppy Scholarship I may be asked for an oral interview and failure to attend the interview may negatively affect my ability to receive the Keppy Scholarship. Furthermore, I understand that an Awards Luncheon for all 2026 Scholarship winners and parents will be tentatively held on Wednesday, June 10th, 2026 at 11:30 and if I am selected as a winner, I will make every attempt to attend the luncheon sponsored by the Rock Island County Farm Bureau Foundation. This statement will serve as notice that if the student withdraws, drops out of school, OR drops below full-time status, the monies from the Foundation will be payable back to the Foundation.* This field is required.

Yes

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By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.

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Date

61

E-Signature:* This field is required.

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If you answered NO to all of the 3 previous questions, you are not eligible to apply for the scholarships provided by Rock Island County Farm Bureau Foundation.