4-H Manitoba Scholarships Application - Deadline February 13, 2026

Section 3

Declaration Of Applicant
I declare that, to the best of my knowledge, all information contained in this application is correct.

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Date

MonthDayYear
Date
Signature of parent/guardian if applicant under 18

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Section 4

4-H Involvement
Number of years completed in 4-H
Are you currently a 4-H member?

YesNo
What was your last completed year as a 4-H member?
List of projects taken
List of responsibilities and offices held at various 4-H club, Area, or provincial levels
List club, Area, and provincial 4-H activities in which you have participated as well as special awards/trips

Section 5

Extra-Curricular
List extra-curricular activities during high school and post-secondary studies outside of 4-H work (e.g., school, community, church, music, volunteer work, etc.)
List major non 4-H awards received (e.g., honour roll, Toastmasters, sports, etc.)

Section 7

Education/Career
What level of education are you currently taking? Include grade or year of study
What post-secondary educational institution and specific program have you applied to, do you plan to attend, or are you attending? (Provide a copy of your letter of acceptance)
Letter of Acceptance

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Section 8

Scholarship References
Scholarship References
Please provide the names and emails of two references.

Please notify each person that they should expect an email requesting the reference questionnaire to be completed on your behalf.

After filling the below information for each reference, they will receive a direct email from the 4-H Manitoba Scholarship Committee to complete the reference questionnaire.

Must be from two separate individuals.

Must include one 4-H reference and one school/community involvement reference.

References from family members or relatives will not be accepted.
Reference #1 - (Must be a 4-H Reference)*

First NameLast Name
Reference #1 Email*
example@example.com
Phone Number
Please enter a valid phone number.
Reference #2 - (Must Be A School/Community Involvement Reference)*

First NameLast Name
Reference #2 Email*
example@example.com
Phone Number
Please enter a valid phone number.

Section 9

Attachments Required: Education Records, Essay/Report
Please attach your education records (Transcript/Statement of Marks) in this space for the last 3 academic years, please attach one at a time.

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John & Ona Schellenberg 4-H Bursaries. Must submit a detailed report about financial needs and future career plans. Outline your goals and breakdown anticipated/actual expenses to be incurred. (eg. books, tuition, travel, accommodation)

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Please attach a photo of yourself to accompany your biography. Please ensure photo file size is adequate for printing.

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Please note there will be no interviews required.
Should be Empty:

Section 1