2018 Scholarship Application - Due March 12, 2018
Current members & children/grandchildren of current members qualify. (CURRENT member = active loan as of January 1, 2018). IMMEDIATE family members of current Farm Credit of Western Arkansas EMPLOYEES or DIRECTORS are not eligible.
To be eligible for the Farm Credit of Western Arkansas Scholarship, confirm one or more of these statements are true:
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I am currently a Farm Credit of Western Arkansas member.
I am the child of a current Farm Credit of Western Arkansas member.
I am the grandchild of a current Farm Credit of Western Arkansas member.
What is the name of your parent or grandparent who is a Farm Credit of Western Arkansas member?
*
Please indicate your relationship to the FCS of Western Arkansas member:
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Child
Grandchild
N/A
First Name
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Middle Initial
Last Name
*
Preferred First or Nick Name
*
Gender
*
Please Select
Male
Female
Birth Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
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12
13
14
15
16
17
18
19
20
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22
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25
26
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28
29
30
31
Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
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1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
E-mail
*
Phone Number
*
-
Area Code
Phone Number
Mailing Address
*
City
*
State
*
Please Select
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip
*
Name of parents and city - as they would be listed in the news release
*
(i.e. "Jim and Elizabeth Jones of Russellville" or "Jim Jones of Russellville and Elizabeth Smith" of Pottsville AR" or "Elizabeth Jones of Russellville"
HIGH SCHOOL ACADEMICS
High School Name
*
High School City and State
*
H.S. Graduation Month and Year
*
GPA
*
Attach a copy of your HS Transcript
*
Highest ACT Composite Score
*
Please Select
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
20 Minimum Required
Attach a copy of your ACT score
*
COLLEGE ACADEMICS
Have you been a full-time college student prior to Fall 2017?
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Yes
No
Attach a copy of your College Transcript
*
EDUCATIONAL PLANS
Name of Educational Institution
*
Expected Academic Major or Program of Study
*
Will you be enrolled full-time during the Fall 2017 and Spring 2018 semester?
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Yes
No
Anticipated Graduation Month and Year
*
PARTICIPATION, LEADERSHIP, & RECOGNIGION
List up to 6 different activities or organizations you currently (or previously) participate in through school or community involvement. Please provide clarity by spelling out names of organizations or awards and avoiding unfamiliar abbreviations. Note any specific leadership roles or responsibilities you held and list any related awards or recognitions you have received and the years you participated in each organization or activity. Complete one activity or organization per line at a time and then hit save to list another activity or organization; you will still be able to edit fields after you save the information for each activity or organization.
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WORK EXPERIENCE & SKILLS
List up to 4 work experiences you have had(i.e. part-time or summer job, internship). Complete one work experience per line at a time and then click on save to list another work experience.
List any special skills or abilities you have acquired or are mastering related to your career interests.
FUTURE PLANS & GOALS
What specific career(s) do you expect to pursue after college?
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What other long-term professional or personal goals would you like to share?
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TOP ACHIEVEMENTS, SUCCESSES, AND POINTS OF PRIDE
List the four achievements or successes you are most proud of accomplishing or experiencing in your life so far.
1)
*
2)
*
3)
*
4)
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What special financial needs or circumstances do you have, if applicable?
What additional information would you like to share with the scholarship committee?
Confirmation of accuracy
*
Please check the box to confirm all information provided in this application is accurate and was completed by the student scholarship applicant. In addition, you approve Farm Credit of Western Arkansas using the photograph and information provided in this application for potential publication and recognition of the 2017 Farm Credit of Western Arkansas Scholarship.
Attach a high quality head & shoulders photo
*
Submit
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