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Scholarships will be awarded to a Virginia Junior Holstein
member who is a member in good standing of the Virginia Junior Holstein Assoc.
with dues paid by May 1 of current year AND have been a member for at least 2
years.
A. Available to students enrolled in post secondary education.
B. Scholarship can be received only once.
C. Application for scholarship is due July 1 of current year.
Return application to:
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P.O. Box 340
Midland, VA 22728
Phone and Fax: 540-439-2980
D. Scholarship awarded at the Virginia Holstein Field Day, date/location to be announced.
Last Name First Middle
Home Address
City State Zip
______________________________________ _____________________________________ ______________________
Telephone Number Social Security Number Birth date
School now attending or last attended Date of Graduation
_______________________________________________________________________________________________________________________
School Address
_______________________________________________________________________________________________________________________
College that you wish to attend (or are
presently attending)
_______________________________________________________________________________________________________________________
Major that your plan to study (or are currently studying)
_______________________________________________________________________________________________________________________
Father’s Name Father’s Occupation
___________________________________ _____________________________________
Mother’s Name Mother’s Occupation
_____________________________________ _____________________________________
___________________________________________________________________________________________________________________________________
Names and ages of other children in family
Please answer these questions on another sheet. Also, please put your name and the corresponding number of the questions, plus the question with each of your answers. Please make sure all pages submitted are numbered and have your name at the top.