Revised September 1,

2016

2016-2017 FFA Alumni Scholarship Application

PLACE AN X IN THE SCHOLARSHIP APPLYING FOR (CHOOSE ONE BOX PER EVENT):
212 Conference

Illinois FFA Camp

(Last Week in July)

$550 Scholarship for Washington

Leadership Conference (WLC)

(Please Note: Alumni will only accept 1 Application per School per Conference)
(Students may only attend one 212 Conference, Leadership Camp & WLC while in High School)
(Must have an Active National/State FFA Alumni with your FFA Chapter.)
Please note: Preference will be given to FFA members that:
are current Sophomores for 212 Postmarked November 1, 2016
are current Juniors for WLC Postmarked November 1, 2016
are current Sophomores & Juniors forFFA CampPostmarked February 1st (New Date)
PLEASE CHECK SPELLING & TYPE APPLICATION (DO NOT USE PENCILS/PENS)
Name
Address
City State Zip
Name of School Attending
FFA Advisor
Name of local FFA Alumni Chapter

Current Year in School

Section

Part 1. List your current Supervised Agricultural Experience Program(s) (SAE). Briefly describe all programs that you
have in the box provided. (10 points) (Maximum 880 Characters)

Part 2: A. FFA Leadership Activities (offices, greenhand, chapter, or section), Conferences and Conventions, Leadership
Schools or Workshops, Public Speaking, Parliamentary Procedures and any other events of this type that are sponsored by
FFA at the local level or above. (4 points) (Maximum 6 Activities)
Event
Freshman
Sophomore
Junior
Senior

Page1

Revised September 1,
2016
Part 2: B. FFA Activities and Career Development Events (not listed above). Activities may be any CDE attended at the
Section, District, or State levels, local activities such as selling fruit, working on concession stands, attending chapter
recreational activities, and any other activity that is sponsored by the FFA or the FFA Alumni Chapters. (16 points)
(Maximum 7 Activities)
Event

Freshman

Sophomore

Junior

Senior

Part 2. C. School and Community Events (not listed above). Events may include (but are not limited to) activities such as
Class Officer, 4-H member, involvement in school sports, music, FCLA, and other scholastic activities or clubs, Church
Activities, Livestock Breed Memberships, etc. Please note: ACTIVITIES THAT ARE SPONSORED BY A LOCAL
CIVIC GROUP, AND YOU WORKED AS PART OF YOUR CHAPTERS INVOLVMENT ARE ACCEPTABLE IN
THIS AREA. Example: Your school replaced the flag poles at your school and you and other FFA members worked on
this project. (20 points) (Maximum 10 Events)
Event

Freshman

Sophomore

Junior

Senior

Page1

Revised September 1,
2016
Part 3. What is your career objective or goals in the FFA? Your response should fit inside the box below:
(10 points) (Maximum 850 Characters)

BONUS Section: In the space provided below explain up to 3 activities that you were a part of with your local FFA
Alumni Chapter. Please describe the activity and your involvement. (Up to 5 points for each activity)
(Maximum 300 Characters)
1.
2.
3.
*NOTE: IF THE SCHOLARSHIP WINNER CANNOT ATTEND THE EVENT, THE ADVISOR OR
STUDENT MUST NOTIFY THE IL FFA CENTER 2 WEEKS PRIOR TO THE EVENT. OTHERWISE,
THE STUDENT IS RESPONSIBLE FOR THE FULL EVENT AMOUNT TO BE REMITTED TO THE
IL FFA ALUMNI.

Required Signatures
Applicant
Parent/Guardian
FFA Advisor (s)
High School Principal
Local FFA Alumni President

Page1

Return to: (FAXES NOT ACCEPTED)

Signed applications can be scanned and emailed to pdavis@illinoisffa.org
Illinois FFA Alumni Association
3221 Northfield Drive
Springfield, Illinois 62702

Revised September 1,
2016
(SCORING RUBRIC FOR YOUR INFORMATION, DO NOT NEED TO MAIL IN WITH APPLICATION)
School
Other comments:

PART 1:
10 pts= more than
1 project; if 1
project only, scope
and growth are
excellent, well
written with good
grammar and
excellent detail.

5-8 ts=average
levels of scope
and growth;
some grammar
mistakes;
average detail
on
Descriptions.

0-4 pts=lacks evidence

of scope and growth
with project; several
grammar mistakes;
lacks detail.

PART 2. A.
4 pts=6 lines
complete with
leadership
activities

/10

Other comments:
2-3 pts=at least
3 lines with
leadership
activities

1 pt=one line with

leadership activities

10-14 pts=at
least 7 lines
contains
adequate
activities

Less than 10 pts=at

least 1 to 4 lines of
adequate activity

PART 2. C.
20 pts=all 10 lines
contain adequate
and quality
activities

Part 2. C
Score:
/20

Other comments:
5-9 pts=above
average
written career
objective &
goals.

Part 2. B
Score:
/16

0-13 pts=at least 6

lines contain adequate
and quality activities

PART 3.
10 pts=excellent &
well written
career objective &
goals.

Other comments:

Other comments:
14-19 pts=at
least 7 lines
contain
adequate and
quality
activities

Part 2. A
Score:
/4

PART 2. B.
16 pts=each line
contains adequate
activities

Part 1 Score:

4 pts or less=below
average written career
objective & goals.

Part 3. Score:
/10

TOTAL POINTS

/60

ADD BONUS POINTS

(UP TO 15 PTS)

/15

FINAL SCORE =

Page1

Name