2017 Scholarship Application Form

2017 Scholarship Application Form AGRIBUSINESS COUNCIL OF INDIANA Indiana Agribusiness Foundation

Boese Memorial Scholarship: The Boese Memorial scholarship is awarded to a graduating High School senior ONLY.

Larry Foster Memorial Scholarship: The Larry Foster Scholarship is available to both College Undergraduates and High School Seniors.

John Anglin, Jr. Memorial Scholarship: The John Anglin, Jr. Memorial Scholarship is awarded to a graduating High School senior ONLY who will be attending Purdue University studying agriculture or forestry.

PLEASE CIRCLE THE SCHOLARSHIP YOU ARE APPLYING FOR

(Please note: Parent or Guardian of the applicant must be an employee of an ACI member company in order to qualify for this scholarship. The applicant must further have proven themselves to be a strong leader in their community.)

Deadline for Applications: May 15, 2017

Name: ______

Your Phone Number: ______Parent Phone Number: ______

Mailing Address: ______

Email Address: ______

Parents’ Names: ______

Parent or Guardian Employer: ______Parent or Guardian Occupation: ______

High school and location: ______

College currently enrolled or has been accepted to: ______

What is or will be your major course of study or degree? ______

Age: ______Date of Birth: ______Sex: ______

Personal Achievement (Non-School Activities) **You may use a separate piece of paper if needed.

List your Community Involvement and Memberships and describe your participation.

Personal Achievement (School Activities)

List the activities you participated in such as class officer, theatre, athletics, music, clubs, etc.

Scholastic Record Please attach transcript of applicant’s grades signed by school official.

Class Rank: Senior Year HS______GPA: Senior Year HS ______

If a current college student:

GPA: ______**Please also include transcript.

List any scholastic awards won: (local, county, district, state or national)

Please include a Letter of Recommendation and a one-page essay describing your educational and career aspirations. Email applications to Jayne McElwain at [email protected] OR Mail completed applications to:

Agribusiness Council of Indiana P. O. Box 203 Zionsville, IN 46077 Questions, contact Jayne McElwain (317) 454-8055