Clay County 4-H Scholarship Application

The purpose of this scholarship is to provide post-secondary tuition funds to Clay County 4-H members who have an outstanding record of participation and active involvement in the Clay County 4-H program and are wishing to pursue higher education.

The funds for this scholarship are provided each year by the Clay County Bankers Association. The number of scholarships awarded each year is dependent upon the number of qualified applicants and is at the discretion of the scholarship review committee.

Requirements for Eligibility and Disbursement of Scholarship Funds are as follows:

Youth must be a currently enrolled Clay County 4-H member and high school senior
Youth must be an active member of a Clay County 4-H Club
Youth must submit a 4-H record book for the previous 4-H year.
Applicants will be asked to participate in a scholarship interview with Extension Staff and Council Members as part of the application process.
Scholarship money will be awarded upon completion of the first semester of further education, provided a 2.00/4.00 grade point average is earned during the first semester. Recipients must submit a copy of their first semester grade slip or transcript to the Clay County Extension Office.

Name*

First NameLast Name

Email*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Please enter a valid phone number.

What 4-H Club are you a member of?*

How many years have you been a Clay County 4-Her?*

What college, university, or technical school do you plan to attend?*

What field of study or major do you plan to pursue and what are your career goals?*

List any club, county, or state offices, or leadership roles you held during your time in 4-H, as well as the ways in which you participated in 4-H at the club, county, and state level throughout your 4-H career. *

This can be a bulleted list. Please include dates when possible.

List the ways you spend your time outside of 4-H. This may include leadership roles, in-school or out-of-school activities, honors, work experience, volunteer and community service activities, and more.*

This can be a bulleted list. Please include dates when possible.

Positive Youth-Adult partnerships are the foundation of the 4-H program. Identify one person who has made a positive impact on your life during your time in 4-H and share specific examples of ways in which they helped you grow or supported you throughout your 4-H career. *

Write at least 300 words.

Describe one or two of your most significant 4-H projects or project areas that were of special interest to you. Explain what you learned by completing those projects or exploring those project areas. *

Write at least 300 words.

Share about one significant 4-H experience and what you learned and the ways you grew personally because of that experience. *

Write at least 300 words.

To be an eligible applicant and recipient of this scholarship, I agree that I have conducted myself in an honest, ethical, and upstanding manner in my daily living. As stated in the Iowa 4-H Expectations of Youth document, I have treated other youth and adults with respect and have been respectful of other's property. I understand my behavior reflects on my family, leaders, club, community, and the entire 4-H program. I understand my scholarship may be reduced or canceled if I fraudulently misrepresent any information in this application or engage in serious misconduct.

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