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The Lou Barnett Scholarship was established under the will of Lou S. Barnett in memory of her family and husband Donald C Barnett. Applicant must be a graduating student from Pikeland Unit #10 who are attending a college or university pursuing any field of study, with preference to those attending in the State of Illinois. The recipient is selected by the Pikeland School Board Scholarship Selection Committees based on financial need, scholarship, leadership, service to his or her high school, character, and a strong desire for educational advancement.

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

Eligibiity

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

I CONFIRM THAT I AM IN FINANCIAL NEED FOR THIS SCHOLARSHIP

I ATTEND PIKELAND COMMUNITY UNIT SCHOOL DISTRICT #10

I WILL BE ATTENDING A COLLEGE OR UNIVERSITY

Personal Information

Name (First, Middle, Last)

Telephone Number

Email Address

Home Address

City, State, Zip

High School Attended

Name of Parent or Guardian

Address

City, State, Zip

College Information

Name of College You are Planning to Attend

Location of College

Anticipated Cost of First Year's Tuition, Room, and 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

Student Loans

Money Furnished by Family

Earnings During the Summer

Student Employement

Other Means

Please list other means:

Are you aware of other monetary awards you are receiving?

IF SO, PLEASE LIST:

High School Activities and Community Involvement

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 (PDF files please)

Acknowledgement

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

Date

Signature (Please Type Name)

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