Meeker County Scholarship - Minnesota Corn Growers Association

MEEKER COUNTY CORN GROWERS SCHOLARSHIP

Name*

First Last

Scholarship Mailing Address*

Street Address Address Line 2 City State ZIP Code

Permanent Address*

Street Address Address Line 2 City State ZIP Code

Home Phone*

Cell Phone*

Email*

Date of Birth*

High School*

High School Location*

City State

High School GPA*

High School Graduation Date*

College/University*

College Location*

City State

Present Academic Standing: HS Senior or College Class?*

Major Field of Study*

Anticipated Completion Date of Current Field of Study?

What are your future career aspirations in agriculture after graduating from college? (200-300 words)*

Letter of Reference

Please provide one letter of reference that recognizes the applicant’s personal, academic or leadership character.

Drop files here or

Accepted file types: pdf, doc, docx, jpg, jpeg, png, gif, Max. file size: 10 MB.

Extracurricular Activities*

Briefly list your extracurricular activities in high school and/or college (<200 words)

Community Service*

Briefly list your involvement in civic organizations in high school and/or college (<200 words)

Work Experience*

Please list your jobs (including summer employment) you have held in the past three years. Click the plus (+) button to add another row.

Job	Employer	Approx. Date of Employment	Approx. Number of Hours Per Week

Signature of Applicant, Guardian and School Counselor

We certify that all information given on the application is true, correct and complete. We understand that this scholarship is to be used for tuition, fees or room and board. We understand that the scholars must enroll, and remain in good standing, in an agriculture-related degree program.

Applicant Name*

Date*

Parents(s) or Guardian(s)*

High School Counselor or College Advisor:*

By checking this box, I certify that the above fields will serve as my signatures.*

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