Microsoft Word - Russell and Nancy Lang College Scholarship



266700-15240000right-16065500Russell and Nancy Lang College Scholarship ApplicationThe scholarship will be presented annually, in the amount of $500. It is available to high school seniors, who belong to a Dodge County 4‐H Club. Additional eligibility requirements are as follows:Applicant Eligibility:Must be an active 4‐H member at the time of application.Must have been involved in 4‐H for at least seven years (including the current year).Open to males and females.Must plan to attend a post‐secondary school in Nebraska.The applicant must have plans to return to production agriculture.Application must be completed and returned with proper signatures to the Dodge County Extension office by March 1 of the current calendar year. After submission, applications will not be returned.Notification of selection committee results will be made after May 1 of the current calendar year.Essay Requirements:Goals and Future Educational Plans A list of all 4‐H projects and activities that the applicant has been involved in.Why you want to want to return to production agriculture and how you plan to make a difference or impact in agriculture.Scholarship Information:This is a one‐time scholarship.Scholarship amount is $500.Scholarship will be awarded after receiving written notification of scholarship recipient’s college enrollment.The scholarship proceeds will be distributed directly to the college, upon verification of enrollment.The applications will be reviewed, and the winner will be selected by a committee within the Dodge County 4‐H Foundation Board.left6350005276850top00Russell and Nancy Lang College Scholarship ApplicationGeneral Information: NAME: BIRTH DATE: ADDRESS: CITY: , Nebraska, ZIP CODE: PHONE NUMBER: EMAIL: PARENT or GUARDIAN: HIGH SCHOOL ATTENDED: FUTURE COLLEGE: MAJOR: DODGE COUNTY 4‐H CLUB: NUMBER OF YEARS IN 4‐H: 4‐H MEMBER SIGNATURE DATE: PARENT/GUARDIAN SIGNATURE DATE: EXTENSION STAFF SIGNATURE DATE: Please answer the following questions in a typed essay format (2-3 paragraphs each) on a separate piece of paper. Upon completion of the application this cover sheet must be attached to the essay.Please describe your future goals and educational plans. In your 4‐H career, what projects have you completed and to what importance have they been to your learning?What 4‐H activities have you been a part of? How have they helped shape your 4-H career?Provide a statement on “Why you want to return to production agriculture and the difference or impact you plan to make in agriculture.” ................
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