Isabel Nashville Medicine Lodge Sawyer Zenda Lake City the Farmers Cooperative Equity

ISABEL  NASHVILLE  MEDICINE LODGE  SAWYER  ZENDA  LAKE CITY THE FARMERS COOPERATIVE EQUITY CO P. O. BOX 40 ISABEL, KANSAS 67065 PHONE (620) 739-4335

AGRICULTURAL SCHOLARSHIP

The FCE Agricultural Scholarship was designed to help any student who pursues studies in a college, junior college, university or a trade school within the state of Kansas. Preference will be given to applicants that are pursuing study or a degree in agriculture or agri-business, and the applicant or applicant’s parents or guardian must be a stockholder in the Farmers Coop Equity Co.

A committee consisting of one member of the board of directors and two stockholder members, as appointed by the board of directors, will review the applications and select the scholarship recipient. It may be amended or changed at the discretion of the board of directors.

The amount of the scholarship shall be one thousand dollars and be awarded to the recipient after enrollment (five hundred per semester). A letter of enrollment from the college will be needed before payment is made.

Selection will be based on the above criteria along with performance in school and activities etc., as well as a need for such scholarship.

Enclosed please find two copies of the amended application. You may make additional copies as needed. Please discard any of the previous application forms you may have in your files.

Charles Swayze, General Manager

Please return application by April 1st to: Farmers Coop Equity Co. Attention Scholarship Committee PO Box 40 Isabel, Ks 67065 ISABEL  NASHVILLE  MEDICINE LODGE  SAWYER  ZENDA  LAKE CITY THE FARMERS CO-OP EQUITY CO P. O. BOX 40 ISABEL, KANSAS 67065

AGRICULTURAL SCHOLARSHIP APPLICATION

Name of Applicant Date Last First Middle

Address Rt or Street City State Zip Date of Birth I will graduate from Cunningham High School on

Name of Father (guardian) Occupation

Name of Mother (guardian) Occupation

Number of brothers Ages Sisters Ages

Number of brothers and sisters in college now.

Not including those currently in college, how many of your siblings have attended college? # of years for each Have you been awarded any other scholarships? If so list them and the amounts of each

Why is this scholarship important to you?

Cumulative Grade Point Average ( 7 semesters on a 4 pt system )

This grade point average ranks me in a class of

On a separate page please list classes taken during your junior and senior years and grades earned for each. What school do you plan to attend following high school? Why did you select this college or university?

What is the approximate cost per year of education at this institution (include tuition, books, room and board) What course of study do you plan to pursue? Farmers Coop Equity Scholarship Application Page 2

On a separate paper explain in one paragraph why you have chosen your future career.

List the school activities in which you were involved.

List the honors that you received during your school work.

How many years of post secondary training do you plan to complete?

What do you plan to do following the completion of your post secondary training?

How do you plan on financing your education? % scholarships and grants % parents % your savings and employment

What jobs have you held? (List hours per week worked and dates of employment for each).

Are either you or your parents (or guardian) currently members of the Farmers Cooperative Eq. Co.? Yes or No Name

Voting Nonvoting

List any other information that may be helpful.

Applicants signature

Parent or Guardian’s signature