Lincoln/Adams 4-H Scholarship Application | Lincoln & Adams Counties

Lincoln-Adams 4-H Scholarship

Name(Required)

First Middle Last

Address(Required)

Mailing Address Mailing Address Line 2 City State Zip Code

Phone(Required)

Email(Required)

Enter Email Confirm Email

Birthdate(Required)

Parents or Guardians Contact Information

Names of parents or guardians(Required)

Address of parents or guardians(Required)

Mailing Address Mailing Address 2 City State Zip Code

High School Information

High School Name(Required)

High School Address(Required)

Mailing Address Mailing Address Line 2 City State Zip Code

High School Phone(Required)

Date of graduation(Required)

Name of Institution you plan to attend.(Required)

Address of Institution(Required)

Mailing Address Mailing Address Line 2 City State Zip Code

Field of Study(Required)

Clearly and persuasively articulate why you wish to purse additional education, specifically in this field of study:(Required)

4-H Years

What role did 4-H play in preparing you for this field or related career?(Required)

Number of years enrolled as a 4-H member (including this year):(Required)

Please enter a number from 1 to 14.

Current County 4-H of Enrollment(Required)

4-H Club Name(Required)

Current 4-H Club Leaders(Required)

Upload Required Documents

Upload Permanent 4-H Record(Required)

Max. file size: 146 MB.

Upload 4-H Story(Required)

Max. file size: 146 MB.

Upload Letter of Recommendation and Letter from Club Leader(Required)

Drop files here or

Max. file size: 146 MB.

Signature of Applicant(Required)

Checking the box replaces your signature and you agree to the statement below:

I have personally prepared this application and attached all required supporting documents. To the best of my knowledge, the information provided is complete and accurate.