Application for Jim Ledger Memorial Scholarship

Name*
First Middle Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Birth Date*
MM slash DD slash YYYY
Gender*
Parent/Guardian Name*
First Last
Second Parent/Guardian Name
First Last
Parent Address*
Street Address Address Line 2 City State ZIP Code
College/University Name*
College/University Address*
Street Address Address Line 2 City State ZIP Code
College Phone*
College Email*
Major*
Minor*
Credit Hours Completed*
Cumulative GPA*
Anticipated Graduation Date (Semester/Year)*
List agricultural curriculums or agricultural clubs in which you have participated, including committees, offices held, etc. (please list all that apply)*
Upon college graduation, what swine-related employment field will you pursue?*
Please describe any internships, study abroad experiences or other unique opportunities you have taken advantage of during your time at your college or university*
Explain why you are applying for the Jim Ledger Memorial Scholarship and why you are deserving of this award.*
Do you have (or have you ever had) a part-time job, and how do you plan to pay for college?
Indicate you, your family's or your employer's Iowa Pork Producers Association membership status*
- Producer/Member
- Associate Member
- Non-Member
- Unknown
Applicant's Signature*
Date*
MM slash DD slash YYYY
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