Scholarship Application 2011 by jA8v0P8

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									                                                Scholarship Application
                                                Due Date: April 1, 2011
Dear Applicant:
         The Iowa State Dairy Association will be awarding six college scholarships of $500 each for the 2011 fall
semester. To be eligible for an ISDA scholarship, you must be the child or grandchild of a current ISDA member
and must be attending college full time (or plan to attend full time). If you are not currently an ISDA member or
need to renew your membership, you can find a membership application at www.iowadairy.org or contact
Jessica Bloomberg, ISDA Industry Relations Manager at jessicab@iowadairy.org or 515-971-3620. When
application and essay are complete, please email to jessicab@iowadairy.org, fax to 515-964-5498 (attention
Jessica) or mail to ISDA, Scholarship Application, 101 NE Trilein Dr., Ankeny, IA 50021.

Applicant Name: _____________________________________________________________________________
                             Last                                                        First

Permanent address: __________________________________________________________________________
                             Street Address                                    City                          State           Zip

Phone #: __________________________                        Email address: ________________________________________

Name of college where scholarship will be used: ___________________________________________________

Location of college: ___________________________________________________________________________

What will your grade classification be in the fall of 2011? ___________________________________________

What is your major (or expected major)? _________________________________________________________

Activities (i.e. hobbies, clubs, sports, music, arts, honors, etc.): _______________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________

Current GPA___________                           # of College Credits Earned __________                      ACT score __________

signed______________________________________________________________________________________
          Please have a guidance counselor or advisor sign to verify that the above information is correct (name & title)

Parent or grandparent who is an ISDA member:
___________________________________________________________________________________________
Name                                                                           Farm name
___________________________________________________________________________________________
Farm address                                                         City                          State               Zip
_______________________________________
Phone #

                                    Iowa State Dairy Association Scholarship Application
                                          Scholarship Essay
Please use this page to write your essay. Your essay should be about one page in length and should convey your
plans for the future, how/why the scholarship money would help you and how your parent’s or grandparent’s
dairy farm has affected your life.




                            Iowa State Dairy Association Scholarship Application

								
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