Leaders Of Tomorrow Scholarship Application

Leaders Of Tomorrow Scholarship Application

Please note, ALL sections of this application must be completed before submitted.
Below is the application reference guide for your use.
Section 1

General Information
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Club Name
Anticipated Year Of Study
Date Of Birth*

YearMonthDay
Date

Section 2

Declaration Of Applicant
I declare that, to the best of my knowledge, all information contained in this application is correct.

Powered by Jotform SignClear
Date

MonthDayYear
Date
Signature of parent/guardian if applicant is under 18

Powered by Jotform SignClear

Section 3

4-H Involvement
Number of years completed in 4-H
Are you currently a 4-H member?

YesNo
What was your last completed year as a 4-H member?
What aspect of 4-H encouraged you to maintain your membership?
List of responsibilities and offices held at various 4-H club, Area, or provincial levels
From which club, Area, or provincial 4-H activity (project, Executive role, travel) did you learn the most and what did you learn?

Section 4

Community Involvement
List extra-curricular activities during high school and post-secondary studies outside of 4-H work
List major non 4-H awards received. Did your 4-H experience contribute to these?

Section 6

Attachments Required: Biography, Photo, Essay, Education Records, References
Scholarship References
Please provide names of two separate individuals:
- One 4-H reference
- One school reference
- One community involvement reference
References from family members or relatives will not be accepted.

Your references must submit a PDF letter dated within the last four months.

After filling the below information for each reference, they willl receive a direct email to provide 4-H Manitoba with their reference letter.

Please notify each person that they should expect an email requesting their reference letter on your behalf.
Reference #1*

First NameLast Name
Reference #1 Email*
example@example.com
Phone Number
Please enter a valid phone number.
What is your connection to reference #1
Reference #2*

First NameLast Name
Reference #2 Email*
example@example.com
Phone Number
Please enter a valid phone number.
What is your connection to reference #2

Please attach your education records (Transcript/Statement of Marks) in this space, please attach one at a time. Those currently in school must submit a transcript/statement of marks or photocopy of the same for the last academic year.

Cancelof

Please attach your completed Leaders of Tomorrow Scholarship essay as a PDF. Please DO NOT include your name in your essay.

Cancelof

Section 1