ROTARY CLUB OF FORT COLLINS Rotary Rural- Urban 4-H Scholarship Scholarship: Two $1,000 Scholarships per year (or 1-$1,000 and 2 $500)

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ROTARY CLUB OF FORT COLLINS Rotary Rural- Urban 4-H Scholarship 2018 Scholarship: Two $1,000 Scholarships per year (or 1-$1,000 and 2 $500) Purpose: To provide scholarships for Larimer County Youth who have excelled in agricultural projects and are enrolling in agriculture or an agricultural related program including horticulture, landscape architecture, veterinary medicine, and food science and nutrition at a college or university. Scholarship Criteria: Scholarship selection will be based upon the following criteria: 1. Larimer County high school graduating seniors planning to attend a college or university beginning the fall of 2018 and enroll in agriculture or agriculture-related programs (see above). 2. Must have been enrolled as a Larimer County 4-H member as verified by an Extension Agent. 3. Applicant must have enrolled in and completed 4-H projects in agriculture or agriculturerelated program. 4. Applicant must complete the Larimer County 4-H Scholarship Application Form (Attachment) 5. Selection criteria include: a) Leadership/citizen activities (4-H and community) b) 4-H achievement c) Scholarship potential (cumulative GPA 3.0 on a 4.0 system) 6. Applications are due February 2, 2018 in the Larimer County Extension Office 7. As a follow-up to receiving this scholarship award, recipients will be expected to provide a report (in person, if possible) of their college experience to the Rotary Club of Fort Collins. 8. Preference will be given to Fort Collins area (Northern Larimer County) 4-H youth. 9. Selection shall be made by members of the Rotary Club (Rural-Urban) Committee. For more information, contact Pam Heeney, Administrative Assistant (970-498-6012) or Bob Heil, Fort Collins Rotary Club (970-484-0853 home or 970-214-9873 cell).

ROTARY CLUB OF FOR COLLINS 4-H SCHOLARSHIP APPLICATION Mail to the Larimer County Extension Office, 1525 Blue Spruce Drive, Fort Collins Colorado 80524-2004 by February 2, 2018. Date Name Social Security # Address Street Town Zip Phone Number (home) (school) Name of Mother Mother s Occupation Name of Father Father s Occupation Names of Brothers and/or Sisters and ages SCHOOL Name and location of High School(s) attended. Date Date Date High School Grad Point Average Standing in Class Field in which you are majoring or plan to major Name of school(s) applied for Why did you choose this field of study?

Write a brief statement concerning your plans for financing your college, university, or vocational training. (Sources of funds available, extent to which you must supplement funds with work, or other means.) List any scholarships or grants received to date of current year. 4-H CLUB WORK Number of years in 4-H Club work Dates Number of years completed in Larimer County Other Projects in which you were enrolled and how many years in each What have you learned from your project work? (Write a brief explanation)

4-H ACTIVITIES List 4-H activities in which you have participated including: demonstrations, public speaking, judging, camping experiences, talent, etc. together with important recognition or awards received in these activities. (Add additional sheet, if necessary.) LEADERSHIP 4-H Club offices held; junior leader club; committee assignment; projects led; programs planned; 4-H talks given (club, community, service clubs, etc.), (Add additional sheet, if necessary) HIGH SCHOOL, CLUBS AND ORGANIZATIONS PARTICIPATED IN BY YOU AND OFFICES HELD (Attach additional sheet, if necessary)

COMMUNITY ACTIVIITES OTHER THAN 4-H WHICH YOU WERE INVOLVED. PERSONAL DEVELOPMENT Write a paragraph citing your reasons for making application for this Scholarship; also the uses you will make of your education. (Attach additional sheet, if necessary)

RECOMMENDATIONS Must be attached to your scholarship application and in a sealed envelope and received by February 2, 2018. Recommendations must be current and be written no more than six (6) months prior to judging of scholarship applications. Ask three persons to write brief statements concerning your character, leadership, degree of responsibility and work ethics you have displayed. Ask these people to give their recommendations directly to you in a sealed envelope and include with your scholarship application. Recommendations should be obtained from the following: 1. A member of your present school faculty or last school attended. 2. One of your 4-H Club leaders. 3. One other person who knows of your character and reputation. (Should not be a current Larimer County 4-H Youth Agent) Make sure the following list matches names on Letters of Recommendations. Name of Reference Address 1. 2. 3.