SCOTTS BLUFF COUNTY
FARM BUREAU
Scotts Bluff County Farm Bureau Scholarship Application
Scotts Bluff County is offering three scholarship opportunities: (1) Larry Birdsall Memorial
$1,000 Scholarship and (2) Scotts Bluff County $500 Scholarships to Scotts Bluff high school
seniors or current college students. Membership required. Applications are due April 15.
Applicants must be children or grandchildren of Scotts Bluff County Farm Bureau members;
or a student member of Scotts Bluff County Farm Bureau.
Name:
Date:
Address:
City:
State:
Zip:
County of residence:
Cell phone number:
Email address:
High School:
Expected graduation date:
GPA:
ACT/SAT:
Class rank:
Out of:
Parent/guardians’ Farm Bureau membership number:
Parent/guardians’ names:
Please include the following items for consideration:
1. Personal statement which must address exposure to agriculture
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, Scotts Bluff 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 Scotts Bluff County Farm Bureau at: PO Box 313,
Scottsbluff, NE 69363. Application must be received by April 15
th
in order to be
considered for the following academic year.