American Dairy Association Todd County American Dairy Association

Scholarship Application

This $100 Scholarship is designed to help a Todd County Dairy farm person (male or female) who wishes to further their education.

Eligibility

1. Applicants must be accepted at an accredited university, college, or vocational/technical institute for a degree program or short course.

2. Must be a Todd County Resident

3. Must be a high school graduate

4. Scholarship must be used within 1 year

5. Applicant must be, or an immediate family member must be, an active Todd County Dairy Farmer with the cows located in Todd County

6. Scholarship is to be used for continuing education, regardless of field of study or location

of institution.

7. Applicant will receive scholarship only once.

8. Community service is important.

9. Applications are due June 4, 2016 with a copy of your school transcript and a letter of recommendation from a teacher or high school counselor.

10. Applications should be submitted to:

Todd County American Dairy Association, % Shirley Hulinsky 33624 170th St Burtrum, MN 56318.

The scholarship will be presented directly to the recipient after they show proof of successfully completing one semester of college.

American Dairy Association Todd County American Dairy Association

Scholarship Application Name________________________ Birth Date____________ Address______________________ Parents Names________________ ______________________ Name of dairy farm________________ Telephone _______________ E-mail __________________________ High School_______________ School Address____________________ Graduation Date _____________ College Planning to Attend or Attending _______________________________ CERTIFICATION I HERBY CERTIFY THAT THE INFORMATION CONTAINED IN THIS REPORT IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE __________________ Date ______________ Signature Direct completed forms and questions to: Todd County American Dairy Association % Shirley Hulinsky 33624 170th St Burtrum, MN 56318 Phone (320) 285-2050

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