Coffey County Kansas Livestock Association

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Coffey County Kansas Livestock Association Scholarship Application The Coffey County Kansas Livestock Association (KLA) is offering several scholarships for the 2016-17 school year. Candidates are eligible to win only one scholarship. Criteria for the applicants are listed below.

Award Process  Applications will be reviewed by the Coffey County Kansas Livestock Association Scholarship Selection Committee.  All recipients will be notified at the schools awards banquet or at high school graduation.  Awards will be paid directly to the recipient upon receipt of paid tuition.

Criteria Requirements  Must be a resident or parent is a resident or attending school in Coffey County.  Must be a graduating senior or equivalent.  Must be enrolled in or plan to enroll in an accredited higher education or post-secondary institution.

Completed applications must be postmarked by March 31st and submitted to: Coffey County KLA Jill Barnhardt 795 22nd Rd NW Lebo, KS 66856

Scholarship Application All Information Must Be Typed Name: _____________________________________________________________________________ First

Middle Initial

Last

Permanent Address: _________________________________________________________________ Street Address/Box Number

City

State

Zip Code

Telephone: ___________________ E-Mail: _____________________Birth Date: ________________ Home County: ______________________ Parents (or Guardian): _______________________________________________________________ Academic Achievement - List schools you have attended or plan to attend and GPA (if on a four point scale). High School:

_______________________________________________________ Name

City

Graduation Year

GPA

Additional schools:

_______________________________________________________ Name

City

Graduation Year

GPA

_______________________________________________________ Name

City

Graduation Year

GPA

Please answer the following questions. Submit on separate page but do not exceed 2 typed pages. Brief Description of your Personal Agriculture / Livestock Experience 4-H/FFA & Leadership School Activities, Leadership and Honors (example - National Honor Society, Student Council, Class Leadership, etc.) Community Service Activities (include church or civic organizations) Work Experience (both agricultural and nonagricultural). If you work at home, please explain your duties. What do you consider your most significant honor or achievement and why? Career Plans

Applicant’s Signature: _____________________________________________________________