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INSTRUCTIONS. 1. Complete all of the applicable forms in the application package. All forms must be typed.

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The Maine Rural Rehabilitation Fund holds funds remaining from a federal grant made to the State of Maine.

Interest income from this fund is available to the Commissioner of Agriculture, Conservation & Forestry to

use in keeping with the original intent of the grant. The Commissioner has determined these funds may be

used to provide educational grants to Maine students seeking an agricultural education.

APPLICATIONS MUST BE TYPED

Requirements of Eligibility

1. The applicant must reside in the State of Maine;

2. The applicant must be enrolled, or accepted for enrollment, by a University or College offering an agricultural degree;

3. An applicant enrolled in a post-secondary educational program must have a cumulative grade point average (GPA) of 2.7, or greater, or have a minimum GPA of 3.0, or greater, for the most recent semester or quarter;

4. An applicant must demonstrate that an unmet financial need exists that must be overcome to pursue a higher education; and

5. The applicant must be enrolled in a full-time course load leading to a two-year, four-year or an advanced degree in agriculture.

*Eligible programs include:

Agricultural Business Sustainable Agriculture Agricultural Engineering Animal Science Plant Science Soil Science

*Students in a non-agricultural course of study need to persuasively indicate on the Autobiography page how the selected course of study relates to a career in agriculture.

INSTRUCTIONS

1. Complete all of the applicable forms in the application package. All forms must be typed.

2. If the applicant is a high school student attending a university or college for the first time, or if the applicant is a university/college student attending a new school, a letter or affidavit confirming acceptance must be attached to the application.

3. Personal & Family Information (Page 3 of the application packet). If you are, or have been living independently, please complete Section I & Section II. All applicants must complete Section II.

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the applicant’s best opportunity to provide the Committee with insights about your beliefs, interests, special aptitudes, hobbies, experiences, accomplishments, family history and impediments to achieving future plans. The Autobiography provides an opportunity to elaborate on, or explain any information elsewhere on the application, for example, if the applicant has selected a non-agricultural course of study, this section offers the opportunity to explain how your course of study relates to an agricultural career. Additional sheets may be used.

5. Student Financial Aid Information (Page 4 of the application packet) Complete and sign Items 1 through 4, then forward the form to your Financial Aid Office. This form provides permission for the Financial Aid Office to release specific information to the Scholarship Committee.

6. If the applicant is applying as a high school senior, a copy of the high school transcript (academic record) including class rank and grades from final term should be attached to the application. If the applicant is applying as a college or university student, a college transcript or academic record including grades from the most recent semester should be attached to the application.

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Mail To:

Maine Department of Agriculture, Conservation & Forestry Maine Rural Rehabilitation Fund Scholarship

28 State House Station Augusta, ME 04333-0028 Attn: Melissa Ricker

First Name: Middle Name: Last Name:

Age: SS#: Home Phone:

School: School Phone: Major:

School Financial Aid Office (Where check should be sent): Permanent Home Address:

Date of Birth: Place of Birth:

U.S Citizen: YES NO Permanent Maine Resident: YES NO Secondary School(s) Attended: Year of Graduation:

Honors, Prizes, Scholarship (Amount): Major School Activities:

Note: If applying as a high school senior, provide a copy of your high school transcript. If applying as a currently enrolled college or university student, provide a transcript including grades and cumulative grade point average or grade point average for the last semester or quarter. Include any academic distinctions, honors or prizes.

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Please Type:

SECTION I

Applicant’s Name: Name of Spouse:

Home Address (Street, City, State, Zip):

University/College: Course of Study:

University Address (Office where check is to be sent; not your living quarters):

Applicant’s Phone Number: Number at school where applicant can be reached:

SECTION II

Father’s Name: Occupation:

Mother’s Name: Occupation:

Please list the name, relationship and age of other living in the applicant’s home:

Name: Relationship: Age:

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Please Type:

Use this and additional pages to explain your career choice, the impact agriculture has had on your life and how your course of study relates to your career plans. Provide any biographical information that will help the Selection Committee

understand why you should receive an educational grant.

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INSTRUCTIONS: Applicants must complete and sign Items in Student Information Section below and forward to the

school’s Financial Aid Office for completion. Please type:

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(

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PL

LEEAASSEERREEMMEEMMBBEERRTTOOSSIIGGNNTTHHIISSSSEECCTTIIOONN)

)

Student Name:

Social Security Number: Home Telephone Number:

I, ____________________________________, give the Financial Aid Office at __________________________________ (Name of School)

permission to provide the following information to the Maine Rural Rehabilitation Fund Scholarship Selection Committee. PLEASE FORWARD THIS SECTION TO YOUR FINANCIAL AID OFFICE

2014-2015 COST OF EDUCATION (BUDGET)

Parents Contribution: Students Contribution: Student’s Expected Summer Earnings: ORIGINAL NEED: Pell Grant:

Supplemental Educational Grant

• Institutional Educational Grant

• Other Scholarships

• Work Study

• Perkins/Institutional Loan

2014-2015 UNMET NEED: BEFORE FEDERAL STAFFORD/DIRECT

Aggregate Accumulated Loans (Exclude Upcoming Year):

Perkins: Other:

Signature of Financial Aid Officer:

Date:

PLEASE RETURN FORMS TO:

Maine Department of Agriculture, Conservation & Forestry Maine Rural Rehabilitation Fund Scholarship

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