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The Geneva McRill Scholarship Fund is made available under the will of Geneva McRill. Applicants must be planning to pursue a medical doctor degree, law degree or ministerial degree. Preferences will be given to applicants planning to attend a college or university in the State of Illinois. Applicants must be graduating students of any Pike County, Illinois, high school. Recipients are selected by the Superintendents of Pike County Schools, based on character, scholarship, financial need, leadership, service to his or her high school and earnestness and desire of the student for further educational advancement. Per the trust guidelines, no scholarship may be given to any child of any person who has ever received public aid.

Please note you will need the following items available to complete this application, as you will not be able to save and return to the document.

Anticipated cost of first year’s tuition, room & board and books
Page one and two of your parents' and your FEDERAL INCOME TAX RETURNS
Copy of High School Transcript

Eligibility

Students must meet these criteria to be eligible. Please select answer.

I confirm that I am in financial need for this scholarship

I will be attending a college or university

I confirm the field of study I plan to pursue is a medical doctor degree, law degree or ministerial degree.

I confirm that my parent/guardian has never received public aid.

Personal Information

Name (First, Middle, Last)

Social Security Number

Telephone

Email Address

Home Address

City, State, Zip

High School Attended

County

Length of residence in this county (years)

Name of Parent or Guardian

Address

City, State, Zip

Date and Place of Birth

Is anyone dependent on you for support?

If yes, name and relationship

How many family members will be attending college full-time during the next four years?

Please list their names, relationship and years they will be attending college:

I am planning to pursue a career as a:

College Information

Name of college you are planning to attend

Location of College

Anticipated cost of the first year's tuition, room & board and books

Financial Need Information

Check any of the applicable items below to indicate how you plan to pay your expenses not covered by the scholarship:

Money furnished by family

Earnings during the summer

Student Employment

Student Loans

Other means

Please list other means

Are you aware of other monetary awards you are receiving?

If so, please list:

As financial need is a requirement for this scholarship, you must attach a copy of pages one and two of your parents' and your Federal Income Tax Returns.

One of the considerations for this award is financial need. If there are special circumstances that you feel the selection committee should be aware of, please describe below.

High School Activities and Community Activities

Please list below activities in which you have participated during your high school career. (include high school activities and community activities)

Special Honors and Awards

Please list below any special honors or awards received in high school or in the community while in high school.

Essay

Please write below a short essay describing your career plans

Transcript

Please upload High School transcript or have guidance office send transcript to trust@farmersstate.com

Acknowledgment

I certify, to the best of my knowledge, that all information given on this application is true and correct.

Date

Signature (please type name)