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LINHART FAMILY YOUTH SCHOLARSHIP APPLICATION Please print or type all information Name zip Address City/State E-mail Date of Birth Parent/Guardian Name s Number of family members enrolled halFtime or more in college next fall At the end of your seventh semester high school what was of your G.P. A. Class Rank ACT Score if available Academic honors and awards received while in high school attach additional sheets if necessary Extra-curricular activities in which you have participated attach additional sheets if necessary Have you ever been charged with acrime in adult or juvenile court College or school you expect to attend Tuition Room Board Have you received or will you receive other scholarships Books Other Expenses Fees Yes n No If yes list name s amount s How do you plan to finance your education Please include a copy of the Financial Ail letter from your post-secondary school if available. Attach an essay briefly describing your proposed major field of study the reason for selecting this major and your plans for using your education to strengthen local rural communities. Also please describe what having a good character means to you If you answered above that you were charged with a crime in adult or juvenile court please also provide an explanation of what occurred and what you learned from the event. do fully agree to the stipulations of this scholarship and affirm the above stated information is accurate to the best of my knowledge. Student Signature Date l/We the parent s or guardian s of scholarship and affirm the above stated information is accurate to the best of my knowledge. A. Class Rank ACT Score if available Academic honors and awards received while in high school attach additional sheets if necessary Extra-curricular activities in which you have participated attach additional sheets if necessary Have you ever been charged with acrime in adult or juvenile court College or school you expect to attend Tuition Room Board Have you received or will you receive other scholarships Books Other Expenses Fees Yes n No If yes list name s amount s How do you plan to finance your education Please include a copy of the Financial Ail letter from your post-secondary school if available. Attach an essay briefly describing your proposed major field of study the reason for selecting this major and your plans for using your education to strengthen local rural communities. Attach an essay briefly describing your proposed major field of study the reason for selecting this major and your plans for using your education to strengthen local rural communities. Also please describe what having a good character means to you If you answered above that you were charged with a crime in adult or juvenile court please also provide an explanation of what occurred and what you learned from the event. Also please describe what having a good character means to you If you answered above that you were charged with a crime in adult or juvenile court please also provide an explanation of what occurred and what you learned from the event. do fully agree to the stipulations of this scholarship and affirm the above stated information is accurate to the best of my knowledge. .

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