THE HARWINTON AGRICULTURAL SOCIETY
SCHOLARSHIP APPLICATION


The Harwinton Agricultural Society annual scholarships are available to all students who have worked or exhibited at the Harwinton Fair without discrimination as to race, color or creed. Applicants must be residents of Connecticut, and be enrolled at an accredited institution of higher learning. Previous recipients may also apply.

Two scholarships of $1,500 each will be awarded annually to a graduating high school senior or a current college student. One scholarship will be awarded to a student pursuing a course of study in agriculture, family & consumer science, or a related field during the next academic year. The other scholarship will be awarded to a student pursuing a course of study in any field during the next academic year.

The selection committee will consider the following factors:
  • 30% Fair Participation
  • 30% Scholastic Standing
  • 20% Citizenship & Leadership
  • 20% Financial Need

WHICH SCHOLARSHIP ARE YOU APPLYING FOR? (Check only one):
Agriculture, Family & Consumer Science, or Related Field 
Any course of study 
Name 
Address 
Town, Zip 
Telephone, Age 
High School Last Attended 


 Parents' or
Guardians' Name(s)
Occupation Employer
1.   
2.   


  Names of Brothers
and/or Sisters
Dependent on
Family Income
Attending
College
Name of
College
1.    
2.    
3.    


Did your parents or guardians claim you as a dependent on their income tax return last year?

Yes _____ No _____

Is anyone (other than yourself) dependent on you for support?

Yes _____ No _____            If yes, please explain:

______________________________________________________________________________

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FINANCIAL NEED

Financial Resources Available

Scholarships/Grants Received:   
Award Name:   
Award Name:   
Parent/Guardian Contribution: 
Applicant Contribution: 
Other Income: 
A. Total Resources Available Annually:
B. Estimated Annual Cost of Schooling:
C. Estimated Annual Financial Need (A–B=C):


NAME OF COLLEGE OR UNIVERSITY that you plan to attend or are attending:

______________________________________________________________________________

Years Completed: _____           If not attending college, have you been accepted? _______

Major Field of Study: _________________________________ Degree Sought: _____________

RECORD OF PARTICIPATION IN SCHOOL ACTIVITIES (Please state offices held, if any):

______________________________________________________________________________

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COMMUNITY SERVICE (Church, Clubs, Organizations, Etc.):

______________________________________________________________________________

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AWARDS RECEIVED (School, Community, Clubs, Organizations, Etc.):

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

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WORK EXPERIENCE:

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

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Please include 2 letters of recommendation



Have you exhibited at the Harwinton Fair? Yes _____ No _____

Have you worked at the Harwinton Fair? Yes _____ No _____ If yes, explain briefly.

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________



ESSAY: How will your working or exhibiting at Harwinton Fair help you with your future goals? (Approximately 50-100 words)

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

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PLEASE ATTACH HIGH SCHOOL OR COLLEGE TRANSCRIPT TO THIS APPLICATION.


I/We hereby apply for a scholarship from The Harwinton Agricultural Society and certify that all information in this application is true, correct and complete. I/We agree that if selected as the recipient of a scholarship the funds will be used for educational purposes only. I/We further agree that if selected as the recipient of a scholarship The Harwinton Agricultural Society may use the recipient’s name in its newsletter, press releases, website and similar publicity materials.

_____________________ __________________________________________
Date Signature of Applicant
__________________________________________
Signature of Parent or Guardian

Fair Secretary Use Only

I certify that the above applicant is or has been an active participant in our fair in the following areas:

______________________________________________________________________________

______________________________________________________________________________

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____________________________________
Signature of Harwinton Fair Secretary
Please return by June 30, 2017 to: Lisa Shimels
122 Moore Drive
Torrington, CT 06790