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               SOUTHEAST MISSOURI DISTRICT FAIR FOUNDATION

                             EDUCATIONAL SCHOLARSHIP

    This scholarship is awarded anually to a qualified applicant from the Southeast Missouri District

    Fair service area. This application and supporting documents must be returned by the date

    shown to the address provided. The scholarship winner will be determined by the Southeast

    Missouri District Fair Foundation Scholarship Committee after May 31, 2011. The annual

    $1,000 award is a non-renewing scholarship and will be paid directly to the college or university..

                                       Requirements for $1,000 scholarship award :

                           * Scholarship is open to any college level applicant representing

                                          Southeast Missouri District Fair service area.

                           * Applicant must be enrolled in an accredited 2 or 4 year Missouri

                                           College or University

                           * Applicant must be enrolled for at least 12 credit hours during the

                                            semester where scholarship will be applied

                           * Applicant must have maintained at least a 2.5 GPA or the equivalent

                                            in last scholastic year          

                           * Applicant must have been an exhibitor at Sountheast Missouri District Fair

                           * Applicant must show involvement in school and community

                           * Enrollment presents a financial need

                           * Applicant must include one letter of reference from high school or

                                            college instructor or counselor

                           _________________________________________________________

                                      

         APPLICANT INFORMATION :

    

              Name_____________________________  Home address ______________________ 

                                                                                                          ______________________

                                                                                   Home Phone   ______________________

              Parents / Guardian Name _________________________________________________

              High School Attended ___________________ College or University________________

                                 Address ____________________                 Address   ________________

                                               ____________________                                ________________

             Year of Enrollment   F    S    J   S (circle one)               GPA   ______________________

              Degree and Major/Minor you are pursing _____________________________________

              Other Scholarships recieved _______________________________________________

                                                         _______________________________________________

   

             SEMO District Fair involvement including yeasr as an exhibitor / volunteer

                           Attach seperate page if needed.

            ______________________________________________________________________

            ______________________________________________________________________

            ______________________________________________________________________

            ______________________________________________________________________

            ______________________________________________________________________

 

           School activites and honors. Attach seperate page if needed.

           _______________________________________________________________________

           _______________________________________________________________________

           _______________________________________________________________________

           _______________________________________________________________________

           _______________________________________________________________________

           Community activities. Attach seperate page if needed.

           _______________________________________________________________________

           _______________________________________________________________________

           _______________________________________________________________________

           _______________________________________________________________________

           Please share your career goals.

           _______________________________________________________________________

           _______________________________________________________________________

           _______________________________________________________________________

           _______________________________________________________________________

           Current or pervious employment.

           _______________________________________________________________________

           _______________________________________________________________________

           _______________________________________________________________________

           _______________________________________________________________________

          Please include current personal photo with scholarship application

              Please return completed scholarship application by May 31, 2011 to

                                        Edwin Peetz, 1003 CR 332 , Jackson, Mo 63755