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Jeff Silva & Kyle Hubbard Memorial Scholarship Farm Supply Company Application deadline: Must be postmarked no later than June 01, 2018 Farm Supply Company will be awarding three (3) $1,000 scholarships in memory of Jeff Silva and Kyle Hubbard. The scholarships will be awarded to students pursuing a career in the agricultural field. The scholarships will be awarded based on the applicant s participation in 4-H/FFA activities during their high school years, leadership and community involvement while in high school, present community activities, academic performance and any ongoing employment the applicant is involved in. To be considered for a scholarship the applicant must follow the rules and requirements listed below. Because every effort is made to award the scholarships on a fair and impartial basis, the requirements should be read carefully and followed completely or the applicant will be disqualified. Scholarship Applications are available beginning April 1, 2018 at any San Luis Obispo County Farm Supply Company location or on our website at http://www.farmsupplycompany.com Rules & Requirements 1. Applicants must be a resident of San Luis Obispo, Santa Barbara or Monterey Counties. 2. The applicant must be either a high school senior, a student currently enrolled at a 2 or 4-year college or university, or enrolled in a vocational/technical school. All applicants must be pursuing a degree in the agricultural field. 3. Applicant must have participated in FFA and/or 4-H activities during high school years. 4. The applicant must submit official transcripts of all courses completed, with their application. 5. Scholarships will be awarded Monday, July 09, 2018 at the Santa Barbara County Fair Quiz Jam and Sunday, July 22, 2018 at the Mid State Fair Quiz Jam. Recipients will need to be present at one of these events. 6. The Application package must be mailed by the U.S. Postal service to the address given.

Instructions for Completing the Application 1. The application itself consists of seven (7) pages and must be filled out exactly as stated in the instructions for each page. a. Pages 1 & 2 outline the applicant s personal information, their present school information, work history and community service. b. Page 3 reviews the applicants FFA and/or 4-H history and participation. c. Page 4 choose one (1) topic and write a brief essay. d. Page 5 & 6 guidelines for letters of recommendation. e. Page 7 is an Authorization and Release 2. In addition to the application itself, the applicant must submit two letters of recommendation and a copy of the applicant s official high school or college transcripts. 3. The application package must be postmarked no later than Friday, June 01, 2018 4. The entire application package is to be placed in a large manila envelope and mailed by the U.S. Postal service to: Jeff Silva and Kyle Hubbard Memorial Scholarship C/O Farm Supply Company PO Box 111 San Luis Obispo, CA 93406

Page 1 Applicant s Personal Information Applicants Name: Permanent Address: Mailing Address: Home Phone: ( ) Cell Phone: ( ) Email: Date of Birth: Family Information Father s Name Address Place of Employment Position Mother s Name Address Place of Employment Position Siblings Name Age

Page 2 School Information School Attending: Address: Anticipated date of Graduation: Which school do you plan to attend in the fall? What is your intended career goal? Work Experience Position w/brief job description Date Hours/Week Wages Community Service Activity or Event: Date:

Page 3 FFA/4-H History Name of 4-H/FFA Club Advisor/Leader Name Number of years in 4-H/FFA Projects and years in project Major FFA/4-H events, accomplishments, or achievements Offices held Briefly state what 4-H/FFA has meant to your future

Page 4 Essay Choose one (1) topic below and write a brief essay, no more than two pages. Describe your most meaningful achievements and how they relate you your field of study and your future goals. How has your family background affected the way you see the world? Indicate a person who has had a considerable influence in your life, and describe that influence. How have your family, school, neighborhood and background impacted your educational goals and ambitions?

Page 5 Letters of Recommendation To the Applicant: Please submit two letters of recommendation on character, ability and competency. Recommender Information Recommender #1 Name Permanent Address City/Town State Zip Code Email Phone Number Occupation How long have you known the recommender? Is this person related to you? Recommender #2 Name Permanent Address City/Town State Zip Code Email Phone Number Occupation How long have you known the recommender? Is this person related to you?

Page 6 Please give this page to your recommender. To the recommender: Farm Supply Company has established a fund to award (3) $1,000.00 scholarships to deserving high school seniors and current college students in memory of Jeff Silva and Kyle Hubbard. These scholarships will be awarded to students pursuing careers in the agricultural field. Each recipient will have demonstrated innovation, organization and leadership abilities. In your letter of recommendation, please include information on the student s character, ability and competence. Attach recommendations to this page. Postmark on or before June 1, 2018. Name of Applicant Applying for Jeff Silva & Kyle Hubbard Memorial Scholarship Letters of recommendation may be sent with application or mailed to: Jeff Silva & Kyle Hubbard Memorial Scholarship C/O Farm Supply Company PO Box 111 San Luis Obispo, CA 93406

Page 7 Authorization & Release In submitting this application, I affirm that I am pursuing a career in the agricultural field and certify that the information provided is complete and accurate to the best of my knowledge. Falsification of information may result in termination of any scholarship granted. Applicant s Signature Print Name Date I, hereby authorize Farm Supply Company the right to use and to disseminate information I have submitted in my application for the Jeff Silva & Kyle Hubbard Memorial Scholarship to any third party including but not limited to newspapers, newsletters and or news media. I further understand that I will hold Farm Supply Company harmless from disseminating information I have submitted in my application for the Jeff Silva & Kyle Hubbard Scholarship to third parties, newspapers, newsletters, and or news media. Applicant s Signature Print Name Date