Student Information
Member Company Affiliation
Vocational School / Institution Information

Note: If you don't know your exact start date, choose an estimated date.

Note: If you don't know your exact completion date, choose an estimated date.

Scholarship Awards Luncheon - October 2019 (optional)

Please attach the following:

(1) A one-page typed resume of your work, community service, and education.
(2) Two (2) letters of recommendation from supervisors and/or management from your company.
(3) A .JPG photo of yourself.


I hereby certify that all information provided in this application is true and correct. I further agree that if I withdraw from school or transfer schools during the term of this scholarship (if granted), that the unused balance is forfeitable to the Agribusiness Education Foundation, and I shall notify UnitedAg within 30 days. I also give UnitedAg permission to publish my name, photograph, resume and essay in any public relations materials, press release or publication produced and disseminated by UnitedAg.