Applications due: January 22, 2021

2021 WILLIAMS COUNTY 4-H SCHOLARSHIP APPLICATION
Background and Purpose

Williams County 4-H Scholarships were established in 2002 to help young people continue their efforts toward becoming self-directing, productive, and contributing members of society. The number of scholarships and amounts will be determined each year by the Williams County Endowment Committee.

Selection Procedures and Criteria

All applicants are eligible who:
•	Have attained the academic rank of high school senior, college freshman, college sophomore, or college junior; and
•	Are current or former Williams County 4-H member for a minimum of four years; and
•	Are pursuing any post-secondary education; and
•	Are entering any field of study the following academic year.
•	Past applicants and recipients may re-apply as eligible.
•	Applicants must use the 2021 application template in order for the application to be considered. 

To apply for this award, members need to complete:

•	Include a photograph, mounted with rubber cement or rolled tape on a separate sheet of paper with applicant’s name. This photo is used for publicity purposes and should be an actual photo not a scanned copy.
•	Complete the Ohio 4-H Achievement Record – Must be stapled in the upper left corner.
•	Submit 4-H Story - shared how 4-H contributed to your personal development, leadership skills, and/or career plans (single-sided, double-spaced personal, typed in Arial 11 point font and limited to two (2) pages.)
•	Submit 4-H Pictures – show growth and experiences of 4-H involvement in photos (one- page and on one side only.)
•	Potential for Success – describe what your potential career and successes are on your horizon.
•	A current transcript of your grades with a school administrator or official signature and complete the other educational information requested in the application.
•	Financial Need Information – limited to one page by completing the information requested.
•	Financial Need Information Statement – explain how you plan on paying for a college education, explain a special family circumstances, include any work/study opportunities, and financial assistance from family members, grants, scholarships etc. (double spaced).
•	Work Experience – explain any type of work experience you have performed now or in the past at home, on the farm or a job in business/industry.
•	A one-page Letter of Support from a past or present 4-H Club Advisor (non-family member expected).
Criteria used in selections:

•	Applications must be completed and submitted to the OSU Extension Williams County office by the deadline: January 8, 2021.
•	Criteria used in selections of the Williams County 4-H Scholarship winners will include:
o	Ohio 4-H Achievement Report Form categories:
•	4-H Project Work (20 points)
•	4-H Participation (20 points)
•	Major 4-H Honors (10 points)
•	4-H Community Service/Citizenship (10 points)
•	4-H Leadership: Education/Promotion (15 points)
•	4-H Leadership: Office/Community (10 points)
•	Non 4-H Experiences in School, Church and Community (5 points)
•	4-H Story (5 points)
•	4-H Photo Page (5 points)
o	Potential for Success – 10 points
o	Transcripts and Educational Information – 10 points
o	Financial Need Information – 5 points
o	Financial Need Information Statement – 5 points
o	4-H Advisor Letter of Support (non-family member) – 5 points
o	Work Experience – 10 points
o	Photo for Publicity – 5 points
o	Total Points – 150 points

The awards and their presentations

Williams County 4-H Scholarship winner(s) will be publicly recognized at a county 4-H recognition program. In addition, scholarship winners will receive their scholarship monies sometime after their first grading period in college following selection. Recipients must submit a transcript from their first grading period, proving a minimum cumulative grade point average (GPA) of 2.5 and “full time” status. The monies will be credited to the appropriate college admissions office where it is applied directly to the cost of the recipient’s college fees. The scholarship is to be repaid in full if the recipient does not successfully complete the year of college education. Scholarships must be used within the first 12 months following the announcement of awarding.

Potential for Success (10) Points:

College, university, or other educational institution you plan to attend (or already attend):

Field in which you plan to major (or you already major): 	

•	Cumulative Point Hours Accrued: 	

GPA: 4.0 scale 	or 5.0 scale 	

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Year in School:	High School Senior	College Freshman

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College Sophomore	College Junior
If enrolled in a non-traditional program, please share what percentage of the program you have completed thus far. 	
•	Number of years I participated as:

 	4-H Club Officer
 	Jr. Fairboard Member

 	4-H Camp Counselor
 	Competed at Ohio State Fair

•	Scholastic awards won: (local, county, district, state)

Describe what your potential career and successes are on your horizon.

Financial Need Information (5 Points):

I am the 	(First, Second, etc.) child in my family.

There is a total of __________children (include step-brothers/step-sisters) in my family. There is a total of 		children actually living at home with me at this time.
The number of children in my family who will be attending college full time this fall (including myself) is: 	.

Combined total gross annual income level of my parent(s)/guardian(s) who are financially responsible for me is: $ 	.

List name and amount of any scholarships already received for coming year:

 		$ 	

 		$ 	

 		$ 	

Financial Need Information Statement (5 Points):

•	Please explain how you plan on paying for your college education. If you have a special family circumstances, please explain. You should also include work/study opportunities, financial assistance from family members, grants, etc.

Work Experience (10 points):

•	Explain any type of work experience you have performed now or in the past at home, on the farm, or a job in business/industry.