2018 Scholarship Application

Application Code

For FCI Use Only

This scholarship application form has auto-fill capabilities for most of the fields. Responses of your work-in-progress before submitting the application should be automatically saved in your local browser storage. You can continue working on the application from where you left off if you return to this webpage using the same computer and browser without clearing the browser cache in the interim.

Scholarship applicants must either reside - or their family must actively farm - in one of the 60 counties served by Farm Credit Illinois. To see a map of those 60 counties, click here: FCI Service Area.

To be eligible for the Farm Credit Illinois Agriculture Scholarship, confirm each of the following statements are true:*

I am currently a high school senior and plan to enroll at a college or university in the Fall of 2018.I plan to pursue an agriculture-related academic major and career.I reside ‒ or my family farms ‒ in one of the 60 southern Illinois counties served by Farm Credit Illinois.I do not have a parent or grandparent who is a current Farm Credit Illinois employee or board director.

Your Legal Name*

PrefixFirst NameMiddle NameLast NameSuffix

Preferred First/Nick Name (i.e., as on a nametag)*

Email*

Cell or Home Phone*

Your Mailing Address*

Street Address

Street Address Line 2

CityState

Zip Code

County of Residence*

Which of the following is one of the counties where your family farms?*

Date of Birth*

Date

What is your racial or ethnic heritage?*

Other Heritage

If your family has a business affiliation with Farm Credit Illinois, please confirm with which office:*

Name of Parents and City ‒ as they would be listed in a news release:*

HIGH SCHOOL CREDENTIALS

(use most recent GPA and class rank, preferably as of the end of the first semester of your senior year)

High School Name:*

High School City:*

Highest Earned ACT Composite Score:

Highest Earned SAT Score:

Class Rank:*

Number of Students in High School Class:*

GPA:*

Scale for an "A" Grade:*

Other "A" Grade Scale:*

Please indicate if any of the following statements apply to you by checking the respective box:

My family owns or operates a farming enterprise.At least one of my parents has a career related to agriculture.I have been a member of an FFA chapter.I have been enrolled in a 4-H club.

PARTICIPATION, LEADERSHIP, & RECOGNITION

List up to 8 different activities or organizations you participated in through school, community, or industry 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, list any related awards or recognitions you received, and which years you participated. 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 line.

WORK EXPERIENCE & SKILLS

List up to 3 work experiences you have had (i.e., farm labor, 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 (i.e., restore antique tractors, completed auctioneer course, private pilot license, artificial insemination technician).

If you or your family have a farming operation or agriculture enterprise, provide a few facts about the operation or enterprise and describe any roles you play in contributing to the business. If you are not directly involved in farming, share how your interest in agriculture has evolved.

FUTURE PLANS & GOALS

College or university expected to enroll in Fall 2018 semester:*

Other college or university:*

Expected Academic Major or Program of Study:*

What was the most important factor for choosing this college and major?

What specific career(s) do you expect to pursue after college?

What other long-term professional or personal goals would you like to share?

TOP ACHIEVEMENTS, SUCCESSES, & POINTS OF PRIDE

List the 4 achievements or successes you are most proud of accomplishing or experiencing in your life so far.

1)

2)

3)

4)

EXPLORING YOUR FUTURE IN AGRICULTURE(essay may either be submitted in the space below or attached as a WORD or PDF document to this application)

In 500 words or less, describe one specific role you plan to play in helping positively shape the future of agriculture, food systems, or the environment.

Is there anything else you want to share with the selection committee or are there questions you want to ask Farm Credit?

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 Illinois' use of the photograph and information provided in this application for potential publication and recognition of the 2018 Farm Credit Illinois Agriculture Scholars.

ATTACH Essay as WORD or PDF Document

Select File

ATTACH high quality digital JPEG head & shoulder photo

Select File

REMINDER

Be sure a high school administrator submits an Academic Verification Form for you at www.farmcreditIL.com/AVF by February 28, 2018. Your application will not be complete until the Academic Verification Form has been received.