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Columbia County 4-H Alumni Scholarship Application Information Sheet


Academic year: 2021

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Columbia County 4-H Alumni Scholarship

Application Information Sheet

The Columbia County 4-H Leaders Association, Inc. is offering a maximum of ten (10) $300 scholarships. These scholarships will be divided between graduating high school seniors currently enrolled in 4-H and 4-H alumni. A maximum of two (2) male and two (2) female applicants may be eligible for the $500.00 Comstock scholarship, which is given instead of the Columbia County 4-H Leaders Association scholarship.


The applicant for this scholarship must meet the following requirements to be eligible for a 4-H scholarship: 1. Have five (5) or more years of active membership in the Columbia County 4-H program (excluding

years as a Cloverbud).

2. The maximum age, as of January 1st, is 25 years old.

3. Be re-enrolled in a post high school educational institution and have successfully completed at least one semester of 12 or more credits/full time status (2.0 or better on a 4.0 scale).

4. Plan to continue in a post high school educational institution during the coming year.

5. Submit a copy of your college/technical school’s transcript or grades no later than March 15th. 6. Submit a completed scholarship application to UW-Extension Columbia County, no later than March


7. Applicant must receive a 70% or higher evaluation score to receive a 4-H scholarship.

8. Scholarship money will be sent when a copy of confirmation of registration for that coming year and proof of payment for at least the first installment of fall registration is received by Leaders Council. Applicants may reapply for this scholarship in future years if he/she has been an active member for seven (7) or more years and will continue a post high school education. An applicant may not receive a Columbia County 4-H Scholarship more than two (2) times total.

Note: It is suggested that applicants double-check their list of requirements prior to mailing or emailing to be sure all required documents are included. Applicants may call the Extension Office prior to March 15th to confirm receipt of mailed/emailed application and transcripts. Incomplete applications will not be evaluated.


1. Academic – complete all scholarship requirements listed above 2. 4-H Activities (40%) – project and activity involvement

3. 4-H Leadership (45%) – leadership (office held, committees) 4. Essay (15%) – expression of a clear thought process

Suggestions for Preparation of Application:

1. Review your old 4-H record books, Member Evaluation Forms (M.E.) and school records before you begin.

2. Get an early start.

3. Type neatly. May use a computer generated copy, but must use same format. 4. Take time to review and check your completed scholarship form.

5. Any questions, or more information, can be obtained from: UW-Extension Columbia County, 4-H & Youth Agent, 120 W Conant St, Suite 201, Portage, WI 53901 or (608) 742-9680.


Columbia County 4-H Alumni Scholarship

Evaluation Worksheet


Please comment in the space provided about each applicant’s strengths or weaknesses.


Meets qualifications (check one): Yes No

Completed application by March 15th

Years in 4-H

25 years old or under as of January 1st

Completed at least one semester of 12 or more credits/full time status in a post high school educational institution

Has received 4-H scholarship before? When: Neat, Concise, and Organized

Submitted College Transcript by March 15th

I. Academic Information

Major: ________________________________________ GPA College: ____________

II. 4-H Activities: Project and Activity Involvement ... (40 Points) _____

Takes part in a variety of experiences and depth in projects? ...15 points Takes part in a variety of activities? ...15 points What is the type and level of county and state involvement? ...10 points

III. 4-H Leadership ... (45 Points)

Is there specific evidence of club leadership? ...30 points Is there specific evidence of county and state leadership? ...15 points

IV. Essay “Clear Thought Process” ... 15 Points_____

Shows evidence of thought and insight?


Columbia County 4-H Alumni Scholarship

Scholarship Application

Please complete this form and submit the required documents on or before March 15th to: UW-Extension Columbia County, 4-H and Youth Agent, 120 W Conant St, Suite 201, Portage, WI 53901.

I. Academic and Personal Information

Name: Age on Jan. 1st:

Street Address:

City, State, Zip: Email:

4-H club(s) belonged to as a member:

Total years in 4-H in Columbia County (excluding Cloverbuds):

College or Technical School Attending:

Dates attending: GPA:

Major field of study:

Type of degree you are seeking:

Have you received the 4-H High School Senior, 4-H Alumni or Comstock Scholarship before?

If so, which one and when?

Transcript (check one): Attached with form. School is sending in by March 15th.

*If you are awarded the Comstock Scholarship, your Social Security Number will be requested.

Project Summary

List your 4-H Projects and number of years enrolled.

Project # of Years Enrolled


II. 4-H Activities

List the 4-H Activities in which you have participated and year(s) you participated. This may include any achievements or awards received. List in order: club, county and state 4-H activities.


Check Year(s) of Participation


III. 4-H Leadership

Describe your 4-H Leadership experiences and year(s) you participated. You may include offices held, committee involvement, project leadership, etc. (Note: Achievements and awards should be recorded under “II. 4-H Activities” unless there is a leadership component.) List in order: club, county and state 4-H leadership experiences.



Check Year(s) of Participation


IV. Essay

Answer the following question in 500 words or less.

What impact, if any, did your 4-H experience have in equipping you to become a better citizen since graduating from high school?


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