Applicant:
Address:
City:
State:
Zip:
Applicant's Phone:
Applicant's Email:
Parents(s):
Parent(s) Occupation:
or/Spouse:
Spouse Occupation:
Parents Phone Number:
Parents Email Address:
Name of Sponsoring Member:
Sponsoring SEG&FA Member Company:
Sponsoring Member's Relationship to Applicant:
Sponsoring Member's Work Phone:
High School & College(s) Attended
School
From
To
Major
Activities & Awards:
Credit Hours Completed:
Credit Hours Currently Enrolled:
Current Cumulative Grade Point Average
(minimum 2..5 GPA required)
Work Experience (List most recent job first)
Company
From
To
Work
Who should we contact at your school? (school address & department where scholarship check should be mailed)
What are some of the goals and objectives that you expect to achieve in the next 2-3 years?
What are your career ambitions ?
How would your friends describe you ?
What other scholarships are you receiving now ?
Why should we consider you for this scholarship ?
Everyone has successes in life and along with our successes come challenges. What would you consider your biggest challenge in life and what have you learned from the challenge and how would you change it for the future ?
Write an Essay of approximately 500 words on a topic of your choice. The essay should be an original composition written exclusively for enty in the Southeaster Grain & Feed Association Scholoarship Program.
Southeastern Grain & Feed Association Incorporated
PO Box 58220
Raleigh, NC 27658
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