Portage County Business Council

Ph: 715-344-1940
Fax: 715-344-4473

Agri-Business Scholarship Application

Since 1990, the Portage County Business Council has been able to award scholarships from money raised at the Annual SPUD BOWL event. Criteria for consideration of an Agri-Business Scholarship requires the following:

1.	The recipient must be a resident of Portage County.
2.	The recipient must properly complete the formal application.
3.	The recipient’s course of study must be in an agricultural related field.
4.	The recipient must have at least a high school senior ranking.
5.	The recipient must meet the entry requirements of the selected accredited Wisconsin school of higher education (grade point average, etc.);
	OR
6.	The recipient must attend an accredited Wisconsin school of higher education as a full-time student.

Other criteria include extracurricular activities and community service. Recipients are selected from applications submitted to the Portage Council Business Council office.

Some of the information requested may be considered personal or confidential. You may choose not to provide such information; however, the selection committee making granting decisions requests information on your financial status since Agri-Business Committee Scholarships may be partially based on financial need.

You are encouraged to complete the scholarship application form in a professional manner. Remember, the application may be the only representation of you that a selection committee has a chance to see. Be thorough, accurate and neat when completing the application with extra care given to grammar and spelling in the narrative.

If you would rather, you may download a PDF of the agri-business scholarship application. Users must have a .pdf reader installed and configured on their web browser to view .pdf files. The Acrobat Reader is available free at Adobe's web site. Please mail the completed form to:

Portage County Business Council
5501 Vern Holmes Drive, Stevens Point, WI 54481
FAX (715) 344-4473
DUE NO LATER THAN FRIDAY, JANUARY 25, 2008

* * *

Agri-Business Scholarship Form
Due no later than January 25, 2008

I. Personal Information

Name:

Home Address::

City:

State:

Zip:

County:

Phone Number:

Fax:

E-mail:

Father’s Name:

Mailing Address:

Mother’s Name:

Mailing Address:

School Currently Attending:

Ranking:

Anticipated Accredited WI School of Higher Education:

Campus Address (if applicable):

Street

City:

State:

Zip:

Campus Phone Number:

Anticipated Major:

Anticipated Minor:

Number of college credits earned as of application date:

Grade point average last semester:
(4.0 scale)

Cumulative grade point average:
(4.0 scale)

When will you be enrolled in college?

Fall Semester 20 Spring Semester 20

II. Employment Experience

Employment during the past four (4) years:

	Year: Employer: Position/Responsibility:
	Year: Employer: Position/Responsibility:
	Year: Employer: Position/Responsibility:

III. Education and Activities

High School(s) Attended:

Year(s):

Extracurricular Activities. Indicate only those in which you were especially active, held office, chaired, etc. Please add more sheets if necessary. Give the name of a reference in that organization who is familiar with contributions you have made:

Major related (List organization and extent of activities):

1.
2.
3.

School related (other than above):

1.
2.
3.

Other (National or State, Boy or Girl Scouts, Church, etc.):

1.
2.
3.

IV. Background Information

Marital status:

Single Married Number of children

Father’s employer

Occupation

Mother’s employer

Occupation

Guardian’s employer

Occupation

Are you now or have you ever been employed on the work study program at your school?
Yes No

Are you eligible for work study?

V. Financial Need

(Confidential Information for use by Scholarship Selection Committee only)

Percent of school expenses earned or must earn:

Freshman Year %	Sophomore Year %
Junior Year %	Senior Year %

Sources of income (check those applicable):

Parents or Guardian	Scholarships	Grants
Loans	Employment	Other

Explain your financial needs:

VI. Scholarships & Honors

Please list previous scholarship or merit awards and other honors received while attending school. (Include honorary society memberships):

1.	Year: Name: Amount:
2.	Year: Name: Amount:
3.	Year: Name: Amount:

List any honors or awards received during school and/or college:

VII References

List three (3) persons (not related to you) who know you and/or your need. We suggest that you include at least one person not from your school.

1.	Name: Address: Phone:
2.	Name: Address: Phone:
3.	Name: Address: Phone:

Describe the factors/individuals that influenced your decision to pursue a career in agri-business.

What are your career objectives and personal goals following graduation?

I hereby authorize the release of any information contained in my Agri-Business Scholarship application for the purpose of obtaining a scholarship.

------------- The Active Voice:Portage County Business Council Newsletter -------------