2026 PATTI JEANNE HIGGINS 4-H SCHOLARSHIP APPLICATION

PATTI JEANNE HIGGINS 4-H SCHOLARSHIP APPLICATION GUIDELINES
Completed Application due on or before 4:00 PM on March 1.
1) The scholarship shall be for one year, available to high school seniors or persons enrolled in the first year of college, university, technical or vocational school.

2) Two (2) $500 scholarships will be awarded each year.

3) Applicant must be a resident of Mercer or Warren County.

4) Applicant must have been actively involved in 4-H for a minimum of three (3) years.

5) Preference will be given to applicants who are or were a member of the Alexis All Stars 4-H Club.

6) Applicant may attend any college, university, technical or vocational school.

7) Applicant is required to verify acceptance to or present enrollment at a college or university prior to receiving the grant.

8) The selection committee will make its decision by May 1.

In addition to eligibility guidelines, the following will be considered in selecting recipients:

1) Academic performance and honors: GPA, Rank in class, ACT or SAT Score.

2) Character and personality: Consideration shall be given to maturity; industriousness and motivation; intellectual interest; moral character; and demonstrated leadership.
PATTI JEANNE HIGGINS 4-H SCHOLARSHIP APPLICATION
DATE*

MonthDayYear
Date
SECTION 1. GENERAL INFORMATION
Name*
County*
(Street/ Box #)*
(Town & State)*
(Zip Code)*
Phone*
E mail Address*
example@example.com
High School Attended*
Graduation Date*

MonthDayYear
Date
Name of College, University, Technical or Vocational School Accepted or Attending.*
What will be (or is) your major area of study? Please be specific.*
Father's Full Name*
Mother's Full Name*
SECTION 2. ACADEMIC INFORMATION
What is your high school GPA? (Mail Transcripts)*
What is your high school class rank?*
(# in graduating class)*
What was your composite ACT or SAT score?*
Please specify if it was ACT or SAT
What high school and/or college academic honors have your received? *
A. Identify the name of the 4 H Club that you are, or were, a member of*
List the years that you were a member of this 4 H Club*
List the officer positions you held in the 4-H Club, other positions of leadership and activities you participated in.*
Briefly summarize your experience as a member of the 4 H Club*
B. List the activities in which you have participated in high school and/or college. Indicate offices held and positions of leadership you have held as well as any honorees you have received based on your participation. *
C. List church, civic or community activities.*
D. What are your educational and professional goals and objectives.*
SECTION 4. PERSONAL REFERENCES

Please have two adult 4-H leaders from your 4-H Club complete the Personal Reference Jot form @ https://form.jotform.com/260043795245155

The references may not be relatives of the applicant. The completed Personal Reference forms must be submitted by 4:00 p.m. on March 1.
Please list below the name, phone number, and email of each personal reference:
Name*
Phone Number*
Email*
example@example.com
Name*
Phone Number*
Email*
example@example.com
I hereby certify that to the best of my knowledge, the above information is correct and complete.
Student's signature*

Clear
Date*

MonthDayYear
Date
Parent/Guardian's signature*

Clear
Date*

MonthDayYear
Date
APPLICATION DEADLINE IS 4:00 PM on March 1 of the current year.

Mercer County: Please mail a copy of your high school transcript to the scholarship committee at the following address:

Patti Jeanne Higgins 4-H Scholarship c/o Mercer County Extension Office 910 13th St. Viola, IL 61486.

Warren County: Please mail a copy of your high school transcript to the scholarship committee at the following address:

Patti Jeanne Higgins 4-H Scholarship c/o Warren County Extension Office PO Box 227 Monmouth, IL 61462
Email*
example@example.com
Should be Empty:

PATTI JEANNE HIGGINS 4-H SCHOLARSHIP APPLICATION GUIDELINES

PATTI JEANNE HIGGINS 4-H SCHOLARSHIP APPLICATION