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Alamance County Farm Bureau Scholarship Program

About the Scholarship
This scholarship is valued at $1000.00 per academic calendar year for a 4-year college or university and is renewable for three successive academic years or $500.00 per calendar year for a 2-year community college; with an agriculture or agricultural-related curriculum.
The maximum amount of the scholarship will be $4000.00 over a four-year period or $1,000.00 over a two-year period.
*All successful applicants will be required to complete and submit a renewal form each year to continue to receive the scholarship funds for the successive years.
Eligibility
This scholarship is awarded to a graduating high school senior that meets the eligibility criteria set forth in this document. Applicant must enroll in either a four-year college or university or a two-year college in an agriculture or agricultural related curriculum. Community colleges and technical schools do qualify. Applicant must be an Alamance County resident. Preference will be given to Farm Bureau members.
A potential recipient must demonstrate:
1. Satisfactory grades and/or progress toward degree
2. Good character
3. The intention to pursue a career in agriculture or in an agriculturally related field.
4. Financial need
5. Leadership potential
*It is the applicant’s responsibility to make all arrangements for college admission.
Directions for the Applicant
1. Have your parents or guardians complete the confidential financial and nomination form. It should be mailed to Alamance County Farm Bureau, C/O County Liaison,
3047 S Church St., Burlington, NC 27215, or can be hand delivered to the same address.
*Applications are due in the Farm Bureau Office in Burlington, NC by April 15th of the current year of application. *
2. Attach a recent photograph and official transcript of academic record to current date.
3. Please attach two letters of recommendation to accompany the application.

Confidential Financial and Nomination Form
Directions:
1. Please complete this form and mail it directly to
Alamance County Farm Bureau, C/O County Liaison, 3047 S Church St., Burlington, NC 27215 or hand deliver to the same address.
2. All Information supplied by the nominee and the family is used by the scholarship committee and will be treated confidentially.
3. Applications are due in the Farm Bureau Office – Burlington, NC by April 15th of the current year of application.
Nominee’s Information:
Name: ________________________________________________________
Home address: _________________________________________________
Telephone: (home): _____________________ (cell): __________________
Email Address: ________________________________________________
Parent or Guardian Info:
Name: _______________________________________________________
Address:______________________________________________________
Employer: ____________________________________________________
Position Held: _________________________________________________
Annual Salary: $_______________________________________________
Bank Reference: _______________________________________________

Nominee’s Info:
1. Name: _____________________________________________________
2. Address:____________________________________________________
(Mailing address)
City: ______________________ State: _______ Zip: ________________
3. Telephone: (home): ____________________ (cell): _________________
4. Date of Birth: _______________________________________________
5. Gender: Male ___ Female ___
6. Marital Status: Single _______________ Married___________________
7. Name of county holding your Farm Bureau Membership: _____________________________________________________________
8. Name of high school attending: _________________________________
9. Have you been accepted to a college or university? Yes _____ No ______
Name of college or university: __________________________________
11. School organizations or extra-curricular activities:
__________________________________________________________________
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
12. Community Activities: ____________________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________________________________________________________________________________


13. Special Interests and Hobbies: ________________________________
_____________________________________________________________
_____________________________________________________________
Family Information:
Father/Guardian Name: ________________________________________
Address: ____________________________________________________
Employer: ___________________________________________________
Mother/Guardian Name: ________________________________________
Address: _____________________________________________________
Employer: ____________________________________________________
Student Statement- Please use the following space to make a statement in support of your nomination for a scholarship. Include a statement as to a specific career for which your college education will prepare you and how that career relates to agriculture.
I acknowledge that the use of Artificial Intelligence (AI) on this scholarship application is prohibited, and if I use AI to write any elements of the scholarship, my application will be deleted. Yes No (Initials)_______
Nominee’s signature _________________________ Date ______________