“Showing the Public a Better Way to Manage Our Natural Resources.”

APPLICATION FOR SCHOLARSHIP

Name: Last________________First_________________Middle__________

SSN:______________________Phone number:______________

Address:___________________________City__________________State____Zip__________

College_________________________________Major_________________________________

Academic Goal: Associate Degree_____________ Four Year Degree____________________

Current Grade Point Average__________

Career Goal(s):_________________________________________________________________

Family Income Level (Please check one):
Less than $50,000 ____ $50,000-$99,999 ____ $100,000-$125,000_____ Above $125,000_________

Please attach a one page statement, double spaced, telling the District why you should be selected to receive this scholarship, your current transcript and one letter of recommendation.

Candidates will be judged using the following guidelines:
*** How close the student’s major reflects the District’s mission statement.
*** How close the student’s goals or desires reflect the District’s mission statement.
*** Evidence that the student has participated in activities that reflect the District’s mission statement, i.e. Kids Day at the Farm, Land Use Judging Contest, the Envirothon, River Watch.
*** Grade Point Average.
*** Financial Need.

Certification of Applicant – All information on this form is true and complete to the best of my knowledge. I authorize the Kankakee County Soil and Water Conservation District Scholarship Committee to verify my college major and/or program enrollment. If I am the recipient winner of this scholarship, I agree to volunteer eight hours to the Kankakee County Soil and Water Conservation District to learn more about the mission and purpose of the Kankakee County Soil and Water Conservation District.

Signature of Applicant ____________________________________ Date______________

(Certification statement must be signed)