IMPORTANT: THESE DOCUMENTS MUST ACCOMPANY THIS APPLIATION

1. Two letters of recommendation:
   a. Someone connect with your college or high school who will evaluate you as a student.
   b. Someone in your community who will evaluate you as a citizen.
2. Sealed transcript of grades from the registrar of your high school and college or university if applicable.

If you are human, leave this field blank.

2024 Scholarship Application

Name

Home Address

City, State, Zip

Telephone

Email

Sex

Mailing Address, if different from above

City, State, Zip

San Mateo Co. Farm Bureau Membership #:

Name:

Date of Birth

Place of Birth

Marital Status

SingleMarriedSeparated/DivorcedWidowed

Name of Spouse

Name of Sisters and Brothers

Age

School Attending

Name of Parents

Parents' Address, if different from Home Address

Occupation of Parents/Spouse

High School/College now attending

List the colleges you applied to if you are not presently attending

List extracurricular high school/college activities

List any academic honor or scholarships you received in high school/college

For what business or profession are you preparing?

Do you have experience in the agricultural industry? If yes, describe briefly

Are you presently employed? If so, give name and address of employer, hours work per week and brief description of duties:

Do you expect to work during the coming summer vacation? If so, supply information as to such expected employment:

If married, is your spouse employed? If so, annual earnings:

Please state below you annual anticipated income and expenses for coming school year. Be specific on all items. Additional data may be attached.

Expenses

Tuition/Fees

Room & Board

Books & Supplies

Social (Frat.,Sor.,etc.)

Car Payment

Car Insurance

Personal Debt Payments (Specify)

Misc. Expenses (Specify)

Income

Earnings: Summer

Between Quarters

During School Year

Total Earnings

Spouse's Earnings

Aid from Family

G.I. Bill

Loans (Specify)

Scholarships (By Name and Amount)

Aid from Other Sources (Specify)

Please state below (or attached) in letter form why you are applying for this scholarship. Cover both financial need and academic promise.

High Resolution Photo

Other File Uploads

*Please remember to mail two letters of recomendation in a sealed envelope to the Farm Bureau*

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