Colonial Farm Credit Scholarship Application

Name *

First Name Middle Name Last Name Suffix
E-mail *
Please use a valid email address as this will be the main way we contact you.

Home Mailing Address *

College or University You Plan to Attend
College or University You've Been Accepted To
College or University You Currently Attend
College GPA
Your Rank in the Fall of the Upcoming Academic Year
Major *
Is Your Major Ag or Conservation Related? *

Major is Related Major is Unrelated Major is Undecided
Please describe your career goals

List organizations (high school and later) in which you hold or have held membership such as Boy or Girl Scouts, Church, 4-H, or FFA and give position, year and/or rank held in each
List community or volunteer activities (high school and later) in which you are involved including, if applicable, position(s) held, time involved/hours served, etc.
List athletic involvement (include honors, leadership positions held, and letters received)
List important activities (high school and later) in which you have engaged such as music, theatre productions, public speaking, contests, or exhibits and show honors, awards, or letters won
List Employment Experience (Employer, Position, Dates, Hours per Week)
Write a paragraph or two describing yourself and include why you feel you are deserving of a scholarship. If applicable, please describe any agricultural background
Do you have an agricultural background (as required by several of the scholarships offered)? *

Yes No
If yes, please explain your agricultural background.
Where will financing for your educational costs be derived? *

How many dependent children (including yourself) do your parents/guardians have? *
How many children (including you) will be in college this year? *
Total Gross Annual Income Range of Parent(s)/Step-Parent(s)/Guardian(s) Providing Support *
Total Gross Annual Income Range for Applicant (if employed while in school) *
Either I or my parents are a:

County Farm Bureau member Ruritan Club member FFA Club member/alumni Farmville Masonic Lodge member Virginia Grain Producers Association Member 4H member/alumni
Name of Ruritan Club (if applicable)
Name of 4H Club (if applicable)
Name of County Farm Bureau (if applicable)
If applicable:

I attended Sunnyside Elementary School I am including my 4-H application (for endowments 63, 67, and 75)
By clicking here, the applicant approves their submission and certifies that all included information in this application is accurate. *

I agree
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