Kansas Seed Industry Association

KANSAS SEED INDUSTRY ASSOCIATION APPLICATION FOR $1,000. SCHOLARSHIP

1. Applicants may be high school seniors or college students. 2. Applicants must plan to attend a college in Kansas. 3. Applicants must be seeking a degree in Agronomy, Ag Education, Ag Econ/Business, Ag Communications, Grain/Milling Science, Ag Technology, Ag Farm Management or Horticulture.

APPLICATION DATE______(April 10 deadline) APPLICATION FOR SCHOOL YEAR ______

PERSONAL INFORMATION Full Name ______

Address ______City______St.___Zip______

Age ______Male ______Female ______

Home Phone ______Cell Phone ______

FAMILY INFORMATION Name of Parents or Guardian ______

Address if different from yours ______

Occupation of Parents ______

Do you or your family have ties to KSIA? Yes ______No ______

(If yes, please explain.) ______

List your siblings and their ages ______

______

EDUCATION

Year of high school graduation ______GPA ______(based on 4.0)

Class rank ______out of ______ACT score ______

Colleges attended or currently attending (if any):

College Hours GPA Major

College you plan to attend ______

Have you been accepted? ______Planned major ______

Do you expect to receive other scholarships? Yes ______No ______

If yes, please list dollar amount you expect to receive ______

Explain briefly why you want to go to college and your choice of a major.

SCHOOL ACTIVITIES & HONORS

______

COMMUNITY ACTIVITIES (Church, Volunteer, Scouts, 4-H etc.)

______

CAREER EXPERIENCE

List your employment experience:

Name & address of employer ______

Number of hours worked per week ______

Length of employment ______

Do you plan to work while you attend college? ______

BACKGROUND IN AGRICULTURE & SEED

Have you had any experience in agriculture or the seed industry? If so, please explain. ______

Briefly explain why you should be considered for a KSIA scholarship.

______Page 3 How did you become aware of this scholarship opportunity?

Have you applied for the KSIA scholarship in a previous year?

______

REFERENCES

Please have two people who know you and your abilities submit letters of reference along with this application.

Attach high school transcripts (college transcripts, if applicable), ACT information & reference letters and return to:

Kansas Seed Industry Assn. Roberta Donohue, Exec. Sec./Treas. 331 N. Vine St. Greeley KS 66033

Scholarship applications may be downloaded from KansasSeed.net

***Completed applications are due in our office by 5 p.m. April 10. Applications received after that date will NOT be considered. Applications may be faxed to: 785-867-2220.