MADISON COUNTY
FARM BUREAU
Madison County Farm Bureau Scholarship Application
Madison County is offering two $500 scholarships to graduating high school seniors
pursuing an agriculture related field. While not required, members of Madison County
Farm Bureau will be preferred.
Name:
Date:
Address:
City:
State:
Zip:
County of residence:
Cell phone number:
Email address:
Parent/guardians’ Farm Bureau membership number:
High School:
Expected graduation date:
GPA:
ACT/SAT:
Class rank:
Out of:
Please include the following items for consideration:
1. Personal statement addressing:
a. What agriculture-related involvement have you had;
b. What schools have you applied to, and why?
2. Resume
3. Two letters of recommendation addressing your potential for success:
a. One must be from a teacher, counselor or principal;
b. Another from a non-family member
4. Most recent transcript(s)
5. Copy of ACT/SAT scores
6. Recent photo of self that will be used in media if you’re selected
In the event I am chosen to receive a scholarship, Madison County Farm Bureau/Nebraska
Farm Bureau Foundation has the authorization to use my name and photo for publicity.
Applicant’s signature:
Please send all materials to Madison County Farm Bureau Foundation at 401 E.
Norfolk Ave, Norfolk, NE 68701. Application must be received by August 1 in order
to be considered for the following academic year.