Wisconsin Berry Growers Association Scholarship Application


Date_______________________________________

Student's Name:_____________________________________________________________________________________________

Address:___________________________________________________________________________________________________

City:__________________________________________________________State:___________Zip:_________________________

Phone:(________)___________________________# of Dependents:_________________________________

Student's relation to the Wisconsin Berry Growers Association: (Check any that apply)

WBGA Member: ____Parents are WBGA members:____Employee of a WBGA member:____

Grandchild of WBGA Member:____ No relation to WBGA Members:____ Other:____________________

Next year's educational expenses are currently being paid for by:

Other Scholarships __________% Grants _____________% Loans _____________%

Work/Study Programs____________% Personal Funds ____________% Parents/Relatives ____________%

COLLEGE INFORMATION

Student's Field of Study__________________________________________________________________________________

Name(s) of Schools Attended (High School and Higher:)________________________________________________________

______________________________________________________________________________________________________

Years of Study completed: (Circle) High School: College  1  2  3   4 : BA   BS   Masters Degree

Part-time Student: ________ Full Time Student?________ Current GPA________ Graduate in Year:____________

Attach to the back of this application:

1. A current transcript from the last school you attended.

2. A 500 word essay on a topic related to the small fruit industry in Wisconsin. The essay should be type written on an 8 1/2" x 11" plain white paper. Do not include your name on the essay.

Please read the following and sign the application.

1. I understand that the essay I am hereby submitting is an original composition written by me an will become the property of Wisconsin Berry Growers Association.

2. To the best of my knowledge, the information submitted in this application is true.

 

Signed: _____________________________________________________________  Date: ____________________________

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