Scholarship Application

Personal Information
Name*
First Name Middle Initial Last Name
Address*
Street Address City State ZIP Code
Email*
Phone*
Academic Information
Highest level of education completed*
Course of Study*
GPA*
In the fall I will be*
- Freshman
- Sophomore
- Junior
- Senior
Institution name*
Course of Study*
Did you participate in any of the following activities?*
- FFA
- Agricultural or environmental Fraternity/Sorority
- 4-H
- ONLA
- NCLC
- Other
Other
Explain participation in any of the above*
Extracurricular Activities
Briefly list your extracurricular activities, including leadership positions. Please type your response below. Keep your entry under 1500 characters. Do not insert images, spreadsheets, etc.
Work Experience
Please list present and previous employment. Please type in your response below. Do not insert images, spreadsheets, etc.
Personal Statement*
Please write a personal statement about significant experiences, community involvement, and the qualities of character and leadership important to achieving your goals. Highlight personal accomplishments, achievements, experiences, and life circumstances that have helped form your character. Comment on your aspirations in terms of your educational and career goals and explain the impact receiving a scholarship would have in your life. Please type your response below. Keep your entry under 300 words. Do not insert images, spreadsheets, etc.
Personal References*
Please insert name, contact information and relationship. You may also upload written statements.
Upload Resume
Accepted file formats: Word document, PDF. Maximum file size: 5MB.
Accepted file types: pdf, doc, docx, Max. file size: 5 MB.

EMI’s, Jose Armando Ortega Pablo Memorial Scholarship

Personal Information

Academic Information