Berks County Community Foundation-4H Application

The Jim Haldeman Berks County 4-H
Scholarship Fund Application
Scholarships are available for graduating seniors enrolled in post-secondary education who have been for the past three years and currently are (as of January 1st) members in good standing of the Berks County 4-H Program, and who best exemplify the fundamental values guiding 4-H members. Preference will be given to members who remained active in 4-H in the last three years.

To be considered for this scholarship, complete and submit the form below electronically between January 15th and April 1st.

This application and all required attachments must be submitted on-line by the deadline.

If for some reason you are unable to submit this application and all attachments on-line, you may print the application, complete it, and send it and all required attachments in one envelope to the following address with a postmark of no later than the deadline.  If you mail in the application, and if all of the required attachments are not included in one envelope along with your application, your application will be marked as incomplete and will not be considered.  No exceptions will be made.

The Jim Haldeman Berks County 4-H Scholarship
Berks County Community Foundation
237 Court Street
Reading, PA 19601

Attachments Required:

  • A one-page essay on the topic "Why would you encourage a younger child to participate in 4-H?"
  • A copy of your most recent high school transcript. Transcript can be unofficial.
  • Three letters of recommendation. One letter must be from a 4-H leader and two letters should be from individuals who can provide information about you. This letter should be from a teacher, school official, clergy, employer, advisor, community leader or other person who knows you well.

Applicant Name: 
Prefix
First
MI
Last
Suffix
 
 
 
 
 

Street Address:
 

Address 2 (optional):
 

City:  

State:   Zip Code:   County  

Email address:  

Home Phone Number:  

Township/Borough:
 

High School Name:
 

Graduation Date:
 

Post-Secondary Plans

What educational institution are you planning to attend? 
 
Educational institution location: 
 
Have you been accepted? Yes No 

Briefly describe the course of study you will pursue:  

4-H Involvement

How many years were you a member of 4-H?
 

Which 4-H Clubs are you enrolled in? Indicate the years you were enrolled in each (example: Berks County 4-H Club (1999-2007).
 

Describe the three 4-H activities that had the biggest impact on your 4-H career and why their impact was so memorable and/or important. (Activities can include club, county, and/or state events or projects.):

 

Name the top five 4-H leadership positions you have held over the past three years. (Leadership positions can include teen leader, club officer, committee chairperson, advisory board/council representative, etc.):

 

Describe your involvement in community service projects at the club, county, regional and /or state level over the past three years. (Example: I participated in club visits to Berks Heim (2005, 2006, 2007) where we played bingo with the residents.):

 

List the major awards you have received in the 4-H Program over the past three years. Be sure to indicate the year received. (Example: 2006 Senior Division Record Book Award Winner):

 

Activities, Awards and Honors
List all school activities (outside of 4-H) in which you have participated in the past three years:

 

List all community activities (outside of 4-H) in which you have participated in the past three years:

 

Indicate all special awards, honors and offices held (outside of 4-H) in the past three years:

 

List any work experience you have had in the past three years, even if unpaid. (Example: Checkout cashier, Target, Wyomissing - 2007):

 


Please attach a one-page essay on the topic "Why would you encourage a younger child to participate in 4-H?" 

Please attach your most recent high school transcript. Transcript can be unofficial.  

Please attach a letter of recommendation from a 4-H Leader.  

Please attach a second letter of recommendation from an individual who can provide information about you such as a teacher, school official, clergy, employer, advisor, community leader or other person who knows you well.  

Please attach a third letter of recommendation from an individual who can provide information about you such as a teacher, school official, clergy, employer, advisor, community leader or other person who knows you well."  

How did you hear about the Community Foundation?

 

Note: Berks County Community Foundation employees, board members and/or committee members are not eligible to apply or be nominated for a grant or scholarship, nor are their immediate family members. Immediate families include spouses, children, stepchildren, grandchildren, and stepgrandchildren. The ineligibility period for Berks County Community Foundation board members or employees extends five years after board service or employment terminates. The ineligibility period for committee members who are not Berks County Community Foundation board members or employees is in effect only during their term of service.