Saunders County Farm Bureau Scholarship Application
Saunders County is offering one $500 scholarship to a graduating high school senior
that is a member of Saunders County Farm Bureau.
Name:
Address:
City:
State:
Zip:
Cell phone number:
Email address:
Name of parents/guardians:
Farm Bureau Membership Number
(applicant or applicants parent/guardian):
High School:
Expected graduation date:
Please include the following items for consideration:
1. Examples of high school activities, clubs, church activities, honors and work
experience.
2. Examples of leadership activities.
3. A paragraph explaining how you plan to help rural America and your intended
major, if determined.
4. A teacher recommendation.
In the event I am chosen to receive a scholarship, Saunders County Farm Bureau/Nebraska
Farm Bureau Foundation has the authorization to use my name for publicity.
By checking this box and typing my name below, I am electronically signing this form.
Date:
Applicant’s signature:
Please send all materials to:
Saunders County Farm Bureau
Attn: Paul Cernik
PO Box 82
Wahoo, NE 68066
Application must be received by April 1 in order to be considered for the following
academic year.