2012 Scholarship Application and List of Qualification

Due April 15, 2012

OTSEGO COUNTY FARM BUREAU

SCHOLARSHIP APPLICATION FORM

Name: ______________________________________________________________
.
Address: _____________________________________________________________

Telephone: _____________________________Birthdate___________________

Father's name: ________________________ Occupation__________________

Mother's name________________________ Occupation__________________

Farm Bureau Membership Number _______________________

High School attended _____________________Year graduated_______

In what extra school-related activities did you participate? List any offices you held.

In what Community Activities have you participated?

List any agricultural related activities in which you have participated. (work, study, organizations)

List your work experiences and responsibilities

Where do you plan to attend college and what will your major be?

Briefly explain what your goals are for your future.

Enclose
Minimum of two and not more than three References
Your High School Transcript

Check Off List

Be sure to include on your application

___ Farm Bureau Membership Number

___ Listing of Ag-related activities on application

Include with your application

___ References (2)

___ Transcript of Grades

Incomplete applications will not be considered for a scholarship.

Send to or Take to:

OTSEGO COUNTY FARM BUREAU FARM BUREAU INSURANCE
VARTY AND HESKA AGENCY

400 W. MAIN, SUITE 3
BOX 979 400 W. MAIN ST.
GAYLORD, MI 49734 GAYLORD, MICHIGAN

(989) 732-7444

Due by April 15 of current year

SCHOLARSHIP QUALIFICATIONS

Applicants and/or their parents must be an Otsego County Farm Bureau Member.

Preference will be given to students taking agricultural-related studies.

Winners may use the scholarship to attend a University, College. Business or Technical School.

The scholarship is a one year, non-renewable scholarship.. Applicant must have achieved a "C" grade average in High School and
Maintain a 2.0 grade average in College.

Applications must be sent to the Scholarship Committee at the address below and be received by APRIL 15th of current year.

Applicants receiving a scholarship will be notified by the
Committee.

One half of the grant will be awarded at the beginning of the first semester.
Upon receiving a copy of your first semester grades with at least a 2.0 grade average, the second half will be awarded.