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SUTHERLIN FFA ALUMNI SCHOLARSHIP APPLICATION | Unnamed: 1 | Unnamed: 2 | Unnamed: 3 | Unnamed: 4 | Unnamed: 5 | Unnamed: 6 | Unnamed: 7 | Unnamed: 8 | Unnamed: 9 | Unnamed: 10 | Unnamed: 11 | Unnamed: 12 | Unnamed: 13 | Unnamed: 14 | Unnamed: 15 | Unnamed: 16 | Unnamed: 17 | Unnamed: 18 | Unnamed: 19 | Unnamed: 20 | Unnamed: 21 | Unnamed: 22 | Unnamed: 23 | Unnamed: 24 | Unnamed: 25 | Unnamed: 26
Due the first Friday of April
I Applicant Information
First Name |  |  |  |  |  |  | Last Name |  |  |  |  |  |  |  |  |  | Phone Number
Street Address & PO Box |  |  |  |  |  |  |  |  |  |  |  | City |  |  |  |  |  | State |  | Zip Code
 |  |  |  |  |  |  |  |  |  | YES |  |  | NO
FFA Chapter Name |  |  |  |  |  |  |  |  | Current FFA Member? |  |  |  |  |  |  | Date Chapter Degree Received
 |  |  |  |  |  |  |  |  | REQUIRED |  |  |  |  |  |  | REQUIRED
II Student Certification
1.  I will be a full-time college student in the fall of |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Yes |  |  | No
2.  At the time of application, I am currently a senior. |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Yes |  |  | No
3.  I intend to receive my degree from a: |  |  |  |  |  |  |  |  |  |  | college or university
 |  |  |  |  |  |  |  |  |  |  | community college
 |  |  |  |  |  |  |  |  |  |  | private school
 |  |  |  |  |  |  |  |  |  |  | vocational/technical school
4.  The highest undergraduate degree I plan to obtain is a: |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 2 year
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 4 year
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  | vocational/technical
5.  My major field of study will be:
6.  My intended career field is:
7.  The college(s) I am interested in attending in the fall of the next calendar year:
 |  |  |  |  |  |  |  | 1
 |  |  |  |  |  |  |  | 2
 |  |  |  |  |  |  |  | 3
III Academic Information
GPA:      Cumulative GPA of |  |  |  |  |  |  |  |  | on a 4.0 scale.
IV  Supervised Agricultural Experience Program (SAE)
A.  Essay 1 - Explain brieflywhat your SAE is, how you started your project, how it has developed and what you
 | have learned during the process. (25pts)
B.  Total Hours of SAE during high school: |  |  |  |  |  |  |  |  |  |  |  |  |  | Total number of SAE projects: |  |  |  |  |  |  |  |  |  | (10 points)
V  Agricultural Education Courses (Classroom)
A.  List your agricultural education courses you've taken in high school.  (2pts per credit)
 | Course |  |  |  |  |  |  |  |  |  |  |  |  | # of Credits |  |  |  | School Year (9th, 10th, etc)
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Need more rows?  Right-click here and hit "Insert…Entire row"
VI  Activities
A.  List major FFA activities (offices held, committee assignments, awards, competitions, etc)
 | One entry per line, specifying the year and level(s) of participation.  Attach additional pages as needed.
Activity |  |  |  |  |  |  |  |  | Local/Chapter |  |  |  | District |  |  |  | State |  |  |  | National
 |  |  |  |  |  |  |  |  | 2pts each |  |  |  | 4pts each |  |  |  | 6pts each |  |  |  | 10pts each
 |  |  |  |  |  |  |  |  | 9th | 10th | 11th | 12th | 9th | 10th | 11th | 12th | 9th | 10th | 11th | 12th | 9th | 10th | 11th | 12th
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25 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Need more rows?  Right-click here and hit "Insert…Entire row"
B. | List major non-FFA school and community activities and/or accomplishments achieved that were helpful in
 | making you a more involved and contributing individual to your school and community.  These activities may
 | include class offices, club activities, extracurricular student activities, church activities, etc.(DO NOT
 | duplicate items listed in section A above.)  One entry per line, please!  Attach additional pages if needed. (1pt each)
Activity |  |  |  |  |  |  |  |  |  |  |  |  |  | 9th Grade |  |  | 10th Grade |  |  | 11th Grade |  |  | 12th Grade
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14 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Need more rows?  Right-click here and hit "Insert…Entire row"
15
VII Student Statement
 | In the space below, explain why the scholarship committee should select you for a scholarship. (30 points)
VIII | Advisor's Statement:
 | How many years has the applicant been an FFA member?
 | Do you recommend this student for a scholarship? |  |  |  |  |  |  |  |  |  |  |  |  | Yes |  | No
 | SAE Recordbook Score (determined by advisor): |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | (10 points)
 | Advisor Signature (required)
 | I hereby certify that all academic information submitted on this application by the applicant is true and correct to the best of my knowledge.
 | High School Principal/ Guidance Counselor Name (Print) |  |  |  |  |  |  |  |  |  |  |  | High School Principal/Guidance Counselor Signature (Required)
 | Scholarship recipents agree to the use of their names, likenesses & information, contained in their application packages for advertising and
 | promotional purposes for the [NAME] FFA Alumni Scholarship Program without further compensation or notification.  "I certify that the
 | information on this application is true and correct to the best of my knowledge as evidenced by these signatures. I understand that all
 | information contained on this appliction is subject to verification by the Sutherlin FFA Alumni and that false information will lead to
 | disqualification."  Scholarship will be for the 2nd semester/term of college and paid at that time; first semester grade transcript will need to
 | be submitted to the FFA Alumni.
 | Applicant Signature (Required) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Date:
 | Parent(s)/Guardian(s) Signature (Required) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Date:
Applications are due the first Friday in April to the FFA advisor.