Georgia 4-H Achievement Scholarship Application

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Georgia 4-H Achievement Scholarship Application

 If you wish to be considered forscholarships that consider your financial need, please check the following box and complete and attach the statement of need.

 I wish to be considered for a S.A.F.E. Scholarship.

PERSONAL INFORMATION

Name ____________________________________________ County _____________________________

Home Address ___________________________________________________________________________

Street City State Zip Code

Email Address ____________________________________________________________________________

Phone Number _____________________ Age ________ Date of Birth ______________________

Year in College ____ Incoming Freshman ____ Freshman ____ Sophomore ____ Junior ____ Senior

Applicants must summarize, highlighting the information you feel most important for the scholarship committee to know about you. Do not add extra pages, except for the required personal statement, resume, and

transcript. If you wish to be considered for the scholarships that consider financial need, attach the statement of need. Please complete the Georgia 4-H S.A.F.E. portion of the application, if you wish to be considered for these scholarships. Only use the provided space on the application to answer questions.

EDUCATIONAL STATUS

Name of college/university at which you have been accepted for the fall semester.

If the University of Georgia, to what college or school did you apply?

If you have not received an admission decision, list the schools you have applied to.

_______________________________________________________________  Applied  Accepted _______________________________________________________________  Applied  Accepted _______________________________________________________________  Applied  Accepted _______________________________________________________________  Applied  Accepted _______________________________________________________________  Applied  Accepted _______________________________________________________________  Applied  Accepted

General Area of Study (check all that apply)

 Agriculture  Family and Consumer Sciences  Business  Education

 Other _____________________________________________________________________________

Specific Major ________________________________________________________________________

If you are enrolled in high school, please list:

Grade Point Average ________________

Highest SAT Score ____ Critical Reading ____ Math ____ Writing (if applicable)

Highest ACT Score ____ English ____ Math ____ Reading ____ Science ____ Composite ____ Writing (if applicable)

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If you are enrolled in college, please list:

Grade Point Average ________________

Please Check All that Apply

Are you currently active in a collegiate 4-H program? ____ Yes ____ No

Have you received a Georgia 4-H Achievement Scholarship in the past? ____ Yes ____ No If yes, please include the name(s) of scholarship(s) received and year(s).

Name of Scholarship Year Received

Have you mastered in a 4-H project or special event? ____ Yes ____ No

If yes, please include the project(s) or special event(s) you mastered in and year(s).

Name of Project and/or Special Event Year Received

The following items are required and must be received by the Georgia 4-H Foundation by the due date to be considered for all available scholarships:

____ Official Copy of Transcript ____ Applicant Signature

____ 4-H County Extension Staff Member Signature ____ Personal Statement

Use one separate page to tell the committee about yourself beyond what is already your application. Limit one page only, 12 point font, double spaced.

____ Resume

Limit two pages, 10 point font, ½ inch margins minimum.

____ Statement of Need

If you wish to be considered for scholarships that consider your financial need.

Use the space provided on page four of the application.

____ Georgia 4-H S.A.F.E. Application

If you wish to be considered for these scholarships.

Use the space provided on page five of the application.

____________________________ _________________________________________

Date Signature of Applicant

____________________________ _________________________________________

Date Signature of 4-H County Extension Staff Member

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Georgia 4-H Achievement Scholarship Statement of Need

Complete ONLY if you wish to be considered for scholarships that review your financial need.

Please complete this form and attach to your application. Please limit explanation to the space provided.

Have you or do you plan to file for Free Application for Federal Student Aid (FAFSA)?

____ Yes ____ No

Are you your sole support and will not receive assistance from parent/guardian?

____ Yes ____ No

DETERMINATION OF UNMET NEED

Costs per Year

Tuition and Fees $ ____________

Room and Board $ ____________

Miscellaneous Expenses $ ____________

Books and Supplies $ ____________

Meals $ ____________

Other _________________________ $ ____________

TOTAL ANNUAL COLLEGE COSTS $_____________

Contributions per Year

Expected Family Contribution $____________

Expected Student Contribution $____________

TOTAL ANNUAL CONTRIBUTION $(____________)

Financial Aid Awarded (Grants, Loans, scholarships, etc.)

HOPE Scholarship $____________

Pell Grant $____________

FSEOG Grant $____________

Stafford Loan $____________

State Aid $____________

ROTC $____________

Scholarship___________________________ $____________

TOTAL AID AWARDED $(_____________)

UNMET NEED (subtract total annual contributions and aid from total costs) $______________

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OTHER FINANCIAL INFORMATION

Please discuss any special circumstances you want to have considered in this application.

I certify that this is a true and complete statement of the finances available for my studies. Georgia 4-H reserves the right to require proof of the resources stated above, if necessary, to verify the financial need.

____________________________ _________________________________________

Date Signature of Applicant

____________________________ _________________________________________

Date Signature of Parent/Guardian

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Georgia 4-H S.A.F.E. Application

Complete ONLY if you wish to be considered for Georgia 4-H S.A.F.E. scholarships.

Please complete this form and attach to your application. Please limit explanation to the space provided.

SCHOLARSHIP AREA

____ Archery ____ Pistol/Rifle ____ Shotgun

SCHOLARSHIP ELIGIBILITY

To be eligible for a Georgia 4-H S.A.F.E. Scholarship, applicants must be an active graduating senior 4-H member in the 12^th grade and have applied to a creditable, university, or technical institute for the coming year. In addition, applicants must meet the following minimal requirements:

1. Participated in Project S.A.F.E. on the county level for at least two years as a high school student.

2. Applicant must be currently enrolled in the county 4-H program.

3. Applicant must show involvement in the 4-H program outside of Project S.A.F.E. events and activities.

4. Applicant must demonstrate involvement in citizenship and leadership activities.

PROJECT S.A.F.E. INVOLVEMENT

Activity Year(s) Participated

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Georgia 4-H S.A.F.E. Applicant Statement of Experience and Impact

Highlight Your S.A.F.E. Experience

Impact