Murdoch S Ranch & Home Supply

MONTANA 4-H (AMTOPP) SCHOLARSHIP APPLICATION (For youth involved in Montana 4-H)

DEADLINE: POSTMARKED ON OR BEFORE FEBRUARY 1st OF THE CURRENT YEAR

A $250 scholarship for 4-H age youth involved in, or wanting to become involved in, a 4-H project or learning opportunity associated with the “greens industry”. In this case, “Greens Industry” includes areas such as: Fruit and vegetable gardening, floriculture, horticulture, ornamental and turf grass, arborists (trees), crops and weeds, as well as pesticide application. The Scholarship is funded by AMTOPP (Association of Montana Turf, Ornamental & Pest Professionals).

NAME: ______

ADDRESS: ______

CITY: ______STATE: ______ZIP: ______

COUNTY:______EMAIL:______

PHONE: ______DATE OF BIRTH: ______

Describe your project (what you would like the funding for) including a detailed budget on a separate page:

What do you hope to gain or learn by doing this project?

Could you see yourself someday working in a green’s industry related area? Please Explain.

Are you or any members of your family AMTOPP members? YES or NO (circle one). If yes, what is/are their name/s? ______.

Would you be willing to submit a short evaluation form (attached) and a photo or two of you with your project upon completion of your project work? YES or NO (circle one). The information included in this application is an accurate representation of my activities and involvement.

______Applicant Signature Date

Approved by:

______County Agent Signature Date

MAIL COMPLETED APPLICATION TO THE MONTANA 4-H FOUNDATION OFFICE, POSTMARKED ON OR BEFORE FEBRUARY 1ST.

MONTANA 4-H FOUNDATION PO Box 173580 Taylor Hall, Room 111 Bozeman, MT 59717-3580

SELECTION WILL BE MADE BY THE AMTOPP SCHOLARSHIP SELECTION COMMITTEE IN FEBRUARY.

APPLICANTS WILL BE NOTIFIED BY THE MONTANA 4-H FOUNDATION IN MARCH.

The Montana 4-H Foundation is a 501(c)3 working in affiliation with MSU Extension, an ADA/EO/AA/Veteran’s Preference Employer and Provider of Educational Outreach.

Scholarship application last updated 12.04.12 MONTANA 4-H (AMTOPP) SCHOLARSHIP EVALUATION To Be Completed Upon Completion of Funding Project/Program

NAME: ______

ADDRESS: ______

CITY: ______STATE: ______ZIP: ______

COUNTY:______EMAIL:______

PHONE: ______DATE OF BIRTH: ______

Describe your project and how you used the funding received: ______.

What did you gain or learn by doing this project? ______.

How might you continue to work with this project or a similar “green’s related” project in the future? Please Explain. ______.

Please include 1-2 pictures of you working with your project that might be shared with AMTOPP. Thank you!