2025 Seibel Scholarship Application
Please complete all fields of this application. We suggest that you write and save your written responses in a Word document before completing this form out. If you have any questions or need assistance filling out this form, please contact Ben Brown at bbrown@maefonline.com.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Permanent Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Citizen Status
*
Please Select
U.S. Citizen
Permanent Resident
Resident Alien
Legislative District for Permanent Address
*
Find you legislative district here:
http://mdpgis.mdp.state.md.us/Legis_District/index.html
Race
*
Please Select
Asian or Pacific Islander
Black or African American
Hispanic or Latino
Native American or Alaskan Native
Multiracial or Biracial
White
I choose not to disclose
Gender
*
Please Select
Female
Male
Non-binary
I choose not to disclose
Student Certification and Goals
Please complete the following questions about your certification and goals
Name of University/College you attend/plan to attend:
*
In the Fall of 2025, I will be a:
*
Please Select
Full time student
Part time student
I plan to be enrolled in a:
*
Please Select
Two-year program
Four-year program
Graduate program
I plan to be enrolled at:
*
Please Select
Institute of Applied Agriculture
University of Maryland College of Agriculture
Other, in or out of state, institution offering an accredited agriculture program
Other program name:
Address of the Bursars Office of the University/College you attend/plan to attend:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email address of the Bursars Office:
*
example@example.com
Phone Number of the Bursars Office:
*
Please enter a valid phone number.
SAT Score (optional)
ACT Score (optional)
Current Cumulative GPA (out of 4.0)
*
Expected Degree Upon Graduation:
*
Student ID Number:
*
Please Upload a copy of your official or unofficial Transcript.
*
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Financial Analysis Data
Estimated educational expenses per year (including housing, tuition, books, etc.):
*
I am a:
*
Please Select
Dependent (parents claim you on their taxes)
Independent (parents do not claim you on your taxes)
Please explain reasons for requesting financial support:
*
0/300
What is your background in agriculture education or agriculture? What are your future goals in either fields?
*
0/300
Leadership and Community Service
Please attach a resume that highlights your leadership and community service experiences. Be sure to highlight civic and educational organizations such as 4-H, FFA, etc.
Leadership and Community Service Resume
*
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Background, Experience, & Career Goals
Please use the space below to explain why you should receive a scholarship. 300 word limit
*
0/300
Optional Information
Guardian Name 1
First Name
Last Name
Guardian Name 2
First Name
Last Name
Acknowledgements
By signing my name in the box below, I hereby certify that the information provided on this application is true and correct to the best of my knowledge. Additionally, MAEF has my permission to use my name for scholarship award announcements and promotions.
*
Date
*
-
Month
-
Day
Year
Revised December 2022
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