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Lincoln Center Kiwanis 4-H Scholarship Application

Lincoln Center Kiwanis 4-H Scholarship Application

Due January 3

Designed for Lancaster County 4-H members who plan to attend any institution of higher learning.

Each year, Lincoln Center Kiwanis awards one $1,000 scholarship for a graduating senior enrolled in the Lancaster County 4-H program.

Basis of selection:

40% — 4‑H projects and/or program
25% — Scholastic standing
25% — Activity involvement
10% — Financial need

Please include one transcript of your high school grades showing grade point average at the time of application and three letters of recommendation (work, school or community).

Recipients will be announced at Lancaster County 4‑H Achievement Celebration (usually held in February).

Conditions of acceptance: Seniors must plan to enroll in post-secondary education immediately following graduation from high school. Prior to the beginning of the first semester/quarter of their admission and enrollment for classes, students must email the name and location of their post-secondary institution to lancaster4H@unl.edu. Enrollment will be verified, and the scholarship will be awarded directly to the bursar’s office of the post-secondary institution for the beginning of first semester/quarter.

Note: This form cannot be saved in-process. It must be completed and submitted in one sitting.

Applicant Information:

Name of 4-H Member:

First Required

Last Required

Suffix

Home Address:

Address Required

Address 2

City/Town Required

State/Province Required

ZIP/Postal Code Required

Home Residence:

Town under 10,000

City over 10,000

Phone (daytime): Required

Phone (evening): Required

Email:

Age on January 1 of this year: Required

Birthdate: Required

Birthdate: : Month Required

Birthdate: : Day Required

Birthdate: : Year Required

Name of High School: Required

School Address:

Address Required

Address 2

City/Town Required

State/Province Required

ZIP/Postal Code Required

Date of Graduation Required

Date of Graduation: Month Required

Date of Graduation: Day Required

Date of Graduation: Year Required

At the end of junior year:

Scholastic Average: Required

Out of (Total Points): Required

Class Rank: Required

In a Class of (Total Students): Required

Parent/Guardian Information:

Parent/Guardian Name:

First Required

Last Required

Suffix

Relationship to Applicant:

Relationship to Applicant: Required

Enter other…

Living:

Yes

Occupation: Required

Is this parent/guardian’s address different from the applicant’s address?

Yes

Parent/Gaurdian Address:

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Would you like to add information for another parent or guardian?

Yes

Parent/Guardian Name:

First

Last

Suffix

Relationship to Applicant:

Enter other…

Living:

Yes

Occupation:

Is this parent/guardian’s address different from the applicant’s address?

Yes

Parent/Gaurdian Address:

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Siblings:

Number of Brothers: Required

Number of Sisters: Required

College Information:

Describe why you are interested in pursuing higher education: Required

What post-secondary educational institution do you plan to attend? Required

In what year: Required

In what year:: Year Required

For which semester: Required

What will be your major(s)? Required

Outline your reasons for choosing this area: Required

Explain your need for financial assistance to continue your education during the next year and describe your plans for meeting this financial need. Required

List anticipated college costs for the next year:

Tuition Fees: Required

Lab Fees: Required

Books: Required

Room: Required

Board: Required

Personal Expenses: Required

Clothing: Required

Transportation: Required

Other: Required

Will you have any brothers or sisters attending college during the next year? Required

Yes

Please explain:

Will you be receiving or will you be a candidate for other scholarships next year? Required

Yes

Please explain:

List below your most important 4-H accomplishments.

Number of years enrolled as a 4-H member: Required

Major Projects: Required

4-H Offices Held: Required

4-H Honors Received: Required

Special 4-H Activities: Required

List below other interests and activities.

School: Required

Community: Required

Church: Required

Special Interests: Required

I agree the information provided is true and accurate. Required

A parent/guardian has approved this scholarship application. Required

Supporting Documents:

Transcript of your high school grades showing grade point average (at time of application). Required

One file only.
20 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

1 of 3 letters of recommendation (work, school or community). Required

One file only.
20 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

2 of 3 letters of recommendation (work, school or community). Required

One file only.
20 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

3 of 3 letters of recommendation (work, school or community). Required

One file only.
20 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

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Contact us

https:// www.unl.edu

Nebraska Extension in Lancaster County

Address: 444 Cherrycreek Road
Suite A
Lincoln, NE 68528 US

Phone: 402-441-7180

Email: lancaster@unl.edu

Office Hours: Mon.–Fri., 8 a.m.–4:30 p.m. (except holidays)

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Nebraska Extension in Lancaster County is a partnership between the Lancaster County government, University of Nebraska–Lincoln and the U.S. Department of Agriculture.

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