I certify that, to the best of my knowledge, the information contained in this application is true and accurate. I also understand that the application will not be complete until the recommendation form and transcript are received no later than the deadline date.
EDUCATIONAL INSTITUTION AUTHORIZATION AND RELEASE: I authorize all educational institutions where Student is or has been enrolled to disclose to McLean County Farm Bureau Foundation (“Foundation”) any information in their possession about Student’s education and academic record. I release those educational institutions from any liability or claim relating to the disclosure of such information to Foundation.
PHOTO RELEASE: By signing this form, I hereby grant to the Foundation unconditional rights to use the image I submitted, in whole or in part, in partnerships with commercial and editorial entities.
It is also my understanding that no materials will be returned. This statement will serve as notice that if the student withdraws or drops out of school, the monies from the Foundation will be payable back to the Foundation.
By submitting my electronic signature, I agree to the Terms outlined in the Agreement Statement.