High School Scholarship Program

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1 High School Scholarship Program 2016 Scholarship Application Badgerland Financial is proud to invest $22,000 toward students continued education through our 2016 High School Scholarship Program. Qualifications: Applicant must be a graduating high school senior who is continuing his or her education at either a: Four-year university; University short course; or Technical/trade school. * An additional five points will be given to those who choose to study an ag-related field. Applicant must be the child/dependent of a current Badgerland Financial customer in good standing. * Children of either current Badgerland Financial directors or employees are not eligible for this scholarship. * Children of AgDirect customers are not eligible for this scholarship. Applicant must have a 2.0 or higher grade point average (GPA) to apply. Applicant must indicate which Badgerland Financial team member(s) service the account. One scholarship winner will be selected from each branch office. An additional five at-large scholarship winners will be selected from all qualified applicants. Students who receive a full-ride scholarship (academic or other) are not eligible to apply. CompleteD Application Includes the Following: 1. Scholarship Application Form (in the provided editable PDF) 2. One letter of recommendation from a non-family member 3. One professional headshot photo of yourself (i.e. senior picture; wallet size). Please write your name on the back of your photo. Photo will not be returned. Applications must be typed in the provided PDF. Handwritten applications will NOT be accepted. Applications must be mailed. Applications submitted by will NOT be accepted. Deadline for Application: January 29, 2016 Completed application, letter of recommendation and photo must be postmarked on or before January 29, No exceptions allowed. Badgerland Financial Scholarship 1430 North Ridge Drive Prairie du Sac, WI Questions? Please contact Rochelle Schnadt at (608) or Rochelle.Schnadt@badgerlandfinancial.com. All applications are judged blindly by a committee. Scholarship payment will be made directly to the college or university after Badgerland Financial receives proof of successful completion of the first semester of college.

2 High School Scholarship Program 2016 Scholarship Application Personal Information First Name: Last Name: Middle Initial: Home Address: City: Zip Code: Phone Number: County of Residence: Name of Parent(s) or Guardian(s): Badgerland Financial Customer Identification (CIF) Number (found on statement or bill): Please indicate the names of your Badgerland Financial representatives (Put N/A if service is not utilized.) Loan Officer: Crop Insurance Specialist: Tax Consultant and/or Accounting Specialist: Branch (office use only): Education High School Currently Attending: City: Number of Students in Graduating Class: GPA: Class Rank: College/University/Program You Plan to Attend: City, State: Intended Major: Will you be receiving a full ride scholarship (academic or other)? Yes No If I am awarded a Badgerland Financial scholarship, my school has an award assembly and would welcome a Badgerland Financial representative to present the award at that time. Yes No Award Assembly Date & Time (if known): I verify that the above education information for this applicant is correct. Signature of Guidance Counselor (required): Legally, we have to include the following photo release verbiage so we can use your photo in press releases and other communications if chosen as a scholarship winner. By signing below, I have officially submitted my application and also consent to the unrestricted use by Badgerland Financial of the use of my name, portrait or picture for advertising purposes or purpose of trade, and I waive the right to inspect or approve such completed portraits, pictures or advertising matter used in connection therewithin. Applicant s Signature (required) Date

3 School and Future Plans Please write a short narrative explaining your future plans, including your intended major of study, career choice and other short and long-term goals. Statement of Financial Need Please provide a short explanation (one or two paragraphs) of how you plan to pay for your education, financial challenges in doing so and what you would gain from winning this scholarship.

4 School Activities (Academics, Sports, Clubs, FFA, etc.) In the space below, please list your involvement in school activites. Please include any leadership roles, honors or awards. When indicating years of involvement, please limit to high school years only. No extra pages, please. Activity Years Involvement Community, Volunteer and Work Activities (4-H, Girl Scouts, Boy Scouts, etc.) In the space below, please list your involvement in community, volunteer and work activites. Please include any leadership roles, honors or awards. When indicating years of involvement, please limit to high school years only. No extra pages. Activity Years Involvement

5 essay Question From your lists of activities on the previous pages, select one activity that is the most meaningful to you. In a few paragraphs, please share why you are most proud of this activity and its impact on you and/or others. Personal Hashtag (#DescribeYourself) Hashtags are often used to share the personality of people and companies. Share with us a hashtag that best represents you! judging Criteria 5 points Education 10 points School and Future Plans 15 points School Activities 15 points Community Activities 20 Points Essay All applications are judged blindly by a committee using the following points breakdown: 15 Points Statement of Financial Need 5 points Personal Hashtag 5 points Complete Application (Used provided PDF; signed application; included letter of recommendation and photo) 10 points Overall Appearance (Proper grammar, punctuation and spelling; all fields completed, etc.) 100 points Total (+5 additional points for studying an ag-related field)

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