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FDA Scholarship Application
FIRST DISTRICT ASSOCIATION 2010 SCHOLARSHIP APPLICATION Name________________________________________________________________________Date____________ (Last) (First) (Middle) Address______________________________________________________________________________________ Street City State Zip Code Telephone ( )_________________________________Age________________Date of Birth________________ Parent or Guardian______________________________________________________________________________ Address of Parent or Guardian (if different from yours)_________________________________________________ Parent or Guardian is a: Direct milk patron of First District Association__________________________(Check One) Patron of a member creamery of First District Association_________________ High School___________________________________________________________________________________ Name Address Years Attended College, Vocational School, or Community College you are/will be attending: _____________________________________________________________________________________________ _____________________________________________________________________________________________ Agricultural or Food Preparation Courses to be taken: __________________________________________________________________________________________________________________________________________________________________________________________
Activities participated in: List projects, awards, offices held, etc.(Use additional sheets if needed) _____________________________________________________________________________________________ _____________________________________________________________________________________________ Other community activities (hobbies, sports, music, church)_____________________________________________ _____________________________________________________________________________________________ List three references (not related to you) NAME ADDRESS OCCUPATION 1.____________________________________________________________________________________________ 2.____________________________________________________________________________________________ 3.__________________________________________________________________________________ Please include the following along with this application: 1. Statement from the applicant stating how this $500.00 scholarship will help you. 2. What are your career goals? 3. Letter of recommendation from school principal or counselor. 4. Letter of recommendation from each reference. 5. High school and current grade transcript (to be furnished by the school). MAIL THIS APPLICATION WITH ALL REQUIRED MATERIALS TO: First District Association Scholarship Committee 101 South Swift Avenue Litchfield, MN 55355 April 5 is the Deadline for Receiving All Scholarship Applications
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