Scholarship Application for High School Students 2025 Scholarship Application for High School Students Contact InformationName* First Middle Last **For Anderson Valley Students OnlyDo your parents work in the Anderson Valley wine industry? Yes No Mailing Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Telephone Number*Email Address* Background InformationDate of Birth* Month Day Year Father’s Full Name*Mother’s Full Name*How did you find out about this scholarship?*College and Career PlansHigh School Name (you will be graduating from)*High School Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code College Name (if classes taken during high school)List of extracurricular activities (School and Community) and related awards and honors for the past two years*List of jobs and work-related study (internships) for the past two years*How has agriculture influenced your education/career choice?*What junior college, college or trade school do you plan to attend upon high school graduation and when?School Name*City*Month*Year*What will your college class standing be in September of current year?*FreshmanSophomoreJuniorSeniorGraduateMajor Course of Study*What occupation are you preparing for?*Have you participated in any Farm Bureau events?*TranscriptsDate Transcripts Requested*I have requested my official transcript(s) to be mailed to the office of Mendocino County Farm Bureau on this date: Month Day Year Applicant is responsible for following up with school(s) to confirm they have sent any transcripts as requested.Letters of RecommendationApplicant must submit three (3) letters of recommendation from a teacher, 4H/FFA leader, school principal/advisor, coach, or an employer. Letters must have been written within the last three months and cannot be written by a parent or close relative. Letters must contain the following: the name of the applicant, comments on the applicant’s character and abilities and an opinion of his/her ability to profit from a college education. The name, occupation and contact information for each person writing a letter of recommendation is required.First Letter of RecommendationName*Occupation*Email* Phone*Letter of Recommendation* Drop files here or Select files Max. file size: 200 MB. Second Letter of RecommendationName*Occupation*Email* Phone*Letter of Recommendation* Drop files here or Select files Max. file size: 200 MB. Third Letter of RecommendationName*Occupation*Email* Phone*Letter of Recommendation* Drop files here or Select files Max. file size: 200 MB. Applicant EssayDescribe the most important educational experiences that have led you to pursue a college/trade school education. Include reasons for your choice of major subjects, how it relates to agriculture, and your present plans for the future. Please type using single spacing with a minimum of one page and not more than two pages. Applicant Essay* Drop files here or Select files Max. file size: 200 MB. Application Endorsement (type full name)*Untitled First Choice Second Choice Third Choice NameThis field is for validation purposes and should be left unchanged.
