North Dakota 4-H Foundation Scholarships Application
Name
First Name
Middle Name
Last Name
Name you want used in publicity
Scholarship(s) you are applying for. Check all that apply based on requirements indicated.
Eleanor R. Schulz Memorial (first year student at NDSU)
Erwin and Nora Klusmann Memorial
John Norgaard Memorial
Rosevold Memorial (attending a ND post-secondary school)
Jerome Striegel Memorial (selected to attend or selected as an alternate for National 4-H Congress or National 4-H Conference and/or a current North Dakota 4-H Ambassador)
William Bloom (first year student; preference given to Stark County; must have completed at least three years of 4-H program work)
John DeKrey Jr. and Hannah DeKrey (first year student at NDSU; preference given to Kidder County)
John D. Paulson Memorial (Walsh County only)
Kelci Jo Willson Memorial
Steve E. and Mary M. Tuhy (attending a ND post-secondary school; preference given in the following order: McHenry, Cass, Dunn, Stark, Mercer and Ward counties; previous ND 4-H Foundation scholarship recipients are not eligible)
Hanson Family (preference given in the following order: Emmons and Grand Forks counties; or student planning to seek a career in Extension)
Domagala Family (preference given in the following order: Williams, Divide, and McKenzie counties; must have 4-H participation at local, county, and state levels)
Mobile Phone Number
Home Phone Number
Email
Address
Street Address
Apt/Unit #
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
ZIP Code
Date of Birth
-
Month
-
Day
Year
Date
Age
Are you a current or former 4-H member?
Current
Former
Number of years in 4-H (include both Cloverbud and youth membership years)
County
High School Information
Name and city of last high school attended or currently attending, including dates of attendance
College or Post-secondary Information
School you will attend October 1, 2024
Year
High School Dual Credit and/or Advanced Placement
Freshman
Sophomore
Junior
Senior
Major(s)
Minor(s)
Upload proof of enrollment such as transcript(s), class schedule, or other supporting documentation. Please use a PDF to upload.
Upload a File
Drag and drop files here
Choose a file
Cancel
of
4-H Experiences, Other Experiences & Service, Career Path, and Financial Need
Prepare responses to the following four essay questions. Please limit your answers to all four sections to a total of three pages.
Upload your responses to the four essay questions. Please use a PDF to upoad.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Recommendation Letters
Upload two letters of recommendation from adults you have worked with. Please use PDFs to upload.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit
Should be Empty: