Scholarship Application for College Students 2025 Scholarship Application for College 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 Home Town*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 PlansSchool Name*Current Form of Continuing Education*CollegeJunior CollegeTrade SchoolSchool 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 List of extracurricular activities (School and Community) and any 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?*Major course of study for current year*Have you changed major/minor in the past year?* Yes No Explanation of changing major/minorWhat occupation are you preparing for?*Have you participated in any Farm Bureau events?*College class standing in September of current year*FreshmanSophomoreJuniorSeniorGraduateHave you received a Mendocino County Farm Bureau Scholarship in the past?* Yes No Provide the years you received a Mendocino County Farm Bureau ScholarshipTranscriptsDate 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 transcripts as requested.Letters of RecommendationApplicant must submit two (2) letters of recommendations written by a school advisor/ teacher/ counselor/ employer. Letters from advisors, counselors or teachers are preferred. If an employer is used for a letter, the employment must be related to your course of study. All letters must reflect specific activities or classes that the student participated in for current school year and should have been written within the last three months. Letters cannot be written by a parent or close relative.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. Applicant EssayWhile using single spacing with a minimum of one page and not more than two pages, give a detailed description of a project or an activity that you participated in during this school year that related directly to your field of study. Please be prepared to have a follow-up discussion with the interview committee about your essay. Please view this essay as an opportunity for the committee to learn more about how you are engaging with your agricultural studies, how they are shaping you, and how you see yourself having a future impact in ag. Writing quality and depth of information will be considered as criteria for judging your essay, as well as spelling and grammar.Applicant Essay* Drop files here or Select files Max. file size: 200 MB. Application Endorsement (type full name)*PhoneThis field is for validation purposes and should be left unchanged.
