John and Sally Ebling 4-H Scholarships

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1 John and Sally Ebling 4-H Scholarships The Cuyahoga County 4-H Development Fund is pleased to announce the opening of applications for this year s scholarship assistance. For 2015, we hope to award two scholarships given in the name of John and Sally Ebling ranging between $250 and $500. Should funds permit, an additional award may also be available. Eligibility: The applicant must be: Currently enrolled in Cuyahoga County 4-H or an alumni of the Cuyahoga County 4-H program. A high school senior or graduate who will be enrolled in a two-year or four-year certificate or degree program for the first time in the Fall of Selection Committee: A committee of 4-H advisors and members of the Cuyahoga County 4-H Development Fund will make the selection for the scholarships. This selection committee will be coordinated by an Extension 4-H Educator from the Cuyahoga County office of Ohio State University Extension. Selection will be based on the following criteria: Evidence of leadership in 4-H and in other organizations Academic achievement Community involvement and service Need for the scholarship Applications: Will be available until May 1, 2015 online at: Cuyahoga.osu.edu under the 4-H Resource link or by mail upon request from Ohio State University Extension, Cuyahoga County, 4-H Office, 5320 Stanard Avenue, Cleveland, Ohio 44103, (non-internet users only) Must be returned to the same address by May 20, Scholarship Selection and Announcement: The scholarship awards will be announced after August 3, Scholarship Payment: Will be made after October 1, 2015, to the school of the selected candidate(s).

2 JOHN AND SALLY EBLING 4-H SCHOLARSHIP APPLICATION DUE DATE: May 20, 2015 Name (last) (first) (middle initial) Home Address City State Zip Home Phone Birth date Month / day / year Name of High School: Date of Graduation Grade Point Average Name of College or University(s) to which you have applied: Name of College or University(s) to which you have been accepted: Why have you selected this/these colleges as your choice(s)? (If you receive your letter of acceptance after filing for scholarship, and before May 20th, phone the Extension Office.) Field in which you plan to major: Career Goal:

3 Name and address of father: Living: yes no Occupation: Name and address of mother: Living: yes no Occupation: (if applicable) Name and address of Guardian: Combined family income (please check one): $0 - $25,000 $26,000-34,000 $35,000-44,000 $45,000-54,000 over $54,000 Need for 4-H Scholarship: Explain your need for financial assistance for college education and describe you plans for meeting this financial need. Include your plans for self-support and aid from your family. Mention any special or unusual financial need. Do you have any brothers or sisters also enrolled in college? Yes No If yes, please list schools and expected year of graduation: Name School Graduates in Name School Graduates in List anticipated college costs for the next year: Tuition fees $ Board $ Room $

4 Have you been chosen or are you being considered for any scholarships for the next year? Yes No Name of Scholarship(s): Amount: Being Considered: Chosen: 4-H Experiences: Please tell us about our involvement with 4-H groups and project activities, the impact that 4-H has made on you and your family, and how you have been able to use what you have learned in 4-H in working with others. (Add an extra sheet if you need more room for any of the answers.) A. Number of years involved as a 4-H member (19 to 20 ) B. In what 4-H Clubs, 4-H school programs, or community center 4-H activities have you been involved? C. With what subject areas or 4-H projects were you most involved (e.g. animal science, nutrition, horses, gardening, leadership, speaking skills)? D. Describe any community service activities done through your 4-H participation and what you learned from your involvement. E. Were you ever involved in attending 4-H Camp or special County or State 4-H events? List:

5 F. List your major accomplishments and any club offices you may have held or awards or honors such as those involving County Fair or State Fair participation. G. Tell about the most important things you have learned through 4-H and the impact it has made upon your plans for the future. A. School Experiences in other group activities: Describe your involvement in other groups and interests and a little about what you feel you have learned or accomplished through them. B. Community Organizations and Service Activities C. Church D. Special Interests/Hobbies I have personally prepared this application and believe it to be correct: Signature of applicant: Date: Approval of this application is given by: Signature: (parent or guardian) Date: Applications due by May 20, 2015 to: John and Sally Ebling Scholarship Ohio State University Extension, Cuyahoga County 4-H Office 5320 Stanard Avenue Cleveland, Ohio 44103

6 Send to: John and Sally Ebling Scholarship Ohio State University Extension, Cuyahoga County - 4-H Office 5320 Stanard Avenue Cleveland, OH Application Deadline: May 20, 2015 RECOMMENDATION FOR SCHOLARSHIP BY HIGH SCHOOL PRINCIPAL OR GUIDANCE COUNSELOR APPLICANT'S NAME is a graduate of or is expected to graduate from High School DATE OF GRADUATION Number of persons in graduating class: Rank in class: Extracurricular activities in which student participated, offices held, etc. Honors and prizes won: General recommendation of character, scholastic ability, citizenship and promise of future usefulness: ATTACH STUDENT S HIGH SCHOOL TRANSCRIPT DATE SIGNATURE TITLE HIGH SCHOOL

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