Colorado Farm Bureau Collegiate Scholarship Application
Colorado Farm Bureau Provides a $1,000 Scholarship award to one member of each Collegiate Chapter.

To be eligible you must be a current Colorado Farm Bureau Collegiate chapter member of one of the four chapters located at:
Adams State University
Colorado State University
Northeastern Junior College

You must maintain a minimum 2.5 GPA

You may be asked by the committee for an interview.

Applications will not be accepted after the deadline of January 1st.


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General Info *
Name *
Address *
City *
State *
Zip Code *
email Address *
County of Residence *
Collegiate Farm Bureau *
Current Class Level *
Anticipated College Graduation Term? *
MM
/
DD
/
YYYY
Most recent GPA *
List Employment History and Position Held
Please start with your most recent/current job.  If you are not currently employed please State on Responsibilities section.
Job 1
Dates of Employment
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/
DD
/
YYYY
Through
MM
/
DD
/
YYYY
Name of Employer, City, State
Hours Worked per Week
Reponsabilities
or state not currently employed
Name of Supervisor
Was this a Work-study or Internship?
Clear selection
Job 2
Dates of Employment
MM
/
DD
/
YYYY
Through
MM
/
DD
/
YYYY
Name of Employer, City, State
Hours Worked per Week
Responsabilities
Name of Supervisor
Was this a Work-study or Internship?
Clear selection
Extra curricular activities Section
List extracurricular activities you are currently involved in. University/community activities and professional organizations as well as participating in any academic activities like undergraduate research.
List you most current activities first and include your responsibilities/leadership roles,dates involved, advisor names and total hours involved.  If incoming Freshman you can list high school activities
Limit 500 words (from CSU Application)
Awards/Honors Section
Provide a name for each award, honor and the year received.
Limit 250 words (from CSU application)
Goals
What is your long term career goals and how do you see these goals as an asset to the ag industry?
Limit 250 words (from CSU application)
Essay Questions section
Who or what motivated you to further your education; describe the person, place and or event.
Limit 500 words (from CSU application)
Explain your participation in the chapter.
(from Collegiate members discussion)
What ideas and leadership skills do you have that would enhance the chapter and increase participation?
(from Collegiate members discussion)
How will your participation in the collegiate FB help you achieve your goals?
(from Collegiate members discussion)
Character Reference
The scholarship committee may wish to contact your character references for additional personal information about you.  (please ask his or her permission before you list someone.)
(from CSU application)
Name *
Phone Number *
Email Address *
Relationship *
Parents Names, Mailing Addresses and Phone Numbers
Names *
Mailing address *
Daytime Phone *
Optional, What else would you like us to know about you?
If you believe that you have already answered this question elsewhere within any portion of the application that you have completed, leave this blank.  This is also an opportunity for you to submit a letter of recommendation from your local county farm bureau.  
 Limit 200 words (From CSU application)
Finalizing Application and submitting results
Once you have finalized your answers and are satisfied with your application, please select the submit button.  A successful submission response will immediately follow when all required, (*) fields have been filled out.
If you have any questions or have trouble filling out the application, please contact Jayde Van Cleave at (719) 648-7947 or jayde@coloradofb.org.
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