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4-H Legacy of Leadership Scholarship Application (type in - pdf) 12/11/07

Deadline: Completed applications must be postmarked by March 1, 2008

Applicant Criteria:

1. This scholarship is available to current 4-H members who are high school seniors or in an approved post-high school educational program (junior college, 4-year university, trade school, etc.). Members must have been enrolled in the 4-H program a minimum of five years.
2. The number of recipients shall be determined annually by the University of Illinois Extension State 4-H Office and Illinois 4-H Foundation, Inc. Scholarships will be for $1,000 and will be paid directly to the scholarship recipient upon receipt of proof of enrollment in an approved post-high school educational program. Once a member has been awarded a Legacy of Leadership Scholarship, they are ineligible to reapply. Winners will be required to complete a specific 4-page form from the University of Illinois in order to meet IRS requirements. This will include a request for the winner’s Social Security Number. Social Security Numbers (SSNs) are collected by the University of Illinois as the individual unique identifier for the purpose of accurately processing and maintaining educational records as required by state, Federal and other agencies. Your SSN will be used for scholarship award disbursement by the University of Illinois; it will not be disclosed to individuals or agencies except in accordance with University of Illinois policy. The law requires the University to include SSNs on information returned by the University to the IRS. Withholding the SSN when required for disbursement may result in a $50 penalty being imposed against you by the IRS as authorized by law.
3. Applications must be complete and include the following:

• Completed front page of personal information (5 points)
• Maximum of FOUR (4) typed pages, single-sided, that provide answers to questions included in the application (70 points)
• TWO written recommendation letters, enclosed in sealed envelopes with the applicant’s name on the front of the envelope and signature of the persons providing the recommendations across the seal on the back of the envelope. One recommendation must be from a 4-H volunteer OR a University of Illinois Extension staff member; the second recommendation must be from a high school or college staff member OR an individual from your community. Recommendation letters should NOT be from individuals related to the applicant. (5 points each, 10 total)
• Completed contact information on individuals who wrote recommendation letters, including verification of 4-H enrollment
• An official transcript from your high school or your post-high school educational program, if currently enrolled in such a program

4. Semi-finalists will be required to participate in an interview. Dates and locations of the interviews will be determined after March 1. Interviews will only be conducted on the specific dates as determined by the selection committee. Interviews will be videotaped for scoring by a selection committee at a later date. (15 points)

Complete applications must be postmarked no later than March 1 of the year applying. Faxed applications will not be accepted. Semi-finalists will be notified as soon as possible after the initial selection proceedings as to available interview dates, times, and locations.

Applications should be sent to:

Debra Stocker
Attn: Legacy of Leadership Scholarship
State 4-H Office
302 E. John, Suite 1901
Champaign , IL 61820

Scoring Criteria:

Revised 12/2007

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