February 13, 2017

Guidance Counselor Cocalico Senior High School South Fourth Street Denver PA 17517

Dear Guidance Counselor: $ociety offarm Women No. 3 of Northern Lancaster County is pleased to offer a $500 scholarship to a 2017 high school graduate planning to further his or her education in the field of agriculture or home economics. -

We would appreciate if you could distribute this application to students whom you feel may qualify. Applications must be returned to the address below by April 15, 2017. Thank you for your consideration. If you should have any questions or concerns please contact me at 299-5361 x.1 17. Mail completed applications to:

Sincerely, > Sallie Gregory Scholarship Committee Chair

Sallie Gregory 721 E. 2$t DivHwy Lititz PA 17543

Society of Farm Women No. 3 of Lancaster County Scholarship Application Honoring Collegiate Education in Agriculture or Home Economics —

This scholarship of $500 is given by the Society ofFarm Women No. 3 of Lancaster County. The applicant must be a 2017 graduate of the Cocalico, Ephrata, or Warwick School District. The applicant must be planning to fiwther his or her study in the field of agriculture or home economics. —

This application must be completed and returned to the Farm Women Scholarship Committee by April 15, 2017. PERSONAL DATA Name

Age

Address

Phone

Parent or Guardian Occupation of Parents or Guardians

Number of Brothers and Sisters

Ages

SCHOLARSHIP High School attended Number in Class

Your class rank (tenths)

College at which you have been accepted Major

or

Course

of

study

FINANCIAL NEED Will you be able (from your own resources) to meet the expenses of a year at the college/university of your choice? Please list part time employment experiences:

ACTIVITIES Please list community, church, 4-H, FFA, and/or activities in which you have participated.

REMARKS Include a statement of approximately fifty words outlining why you have chosen your field of study.

REFERENCES

Please give the name and telephone number of two people, other than family or school personnel, whom we may contact.

1. Name

Telephone

2. Name

Telephone

Any high school staff member may add additional information which will help in evaluating the applicant.

Approved

and recommended by (High School Guidance Counselor or Principal)

Signature

of

Applicant

Signature of Parent