Youth Scholarship Form - FCS Financial

FCS Financial believes in the future of our next generation. For that reason, the Board of Directors began the FCS Financial Scholarship Program in 2004 to support higher education for children or grandchildren of FCS Financial customers. Each year up to 35 scholarships in the amount of $1,500 each are provided to eligible Missouri high school seniors. Since its inception, more than half a million dollars has been awarded through the program.

Qualifications

You must be a child or grandchild of an FCS Financial customer to be eligible for this scholarship. Additionally, students who are a relative of a director or an employee or who are receiving a full-ride scholarship are not eligible to receive the FCS Financial scholarship.

Are you a child or grandchild of an FCS Financial customer?*

Yes No

You are not eligible for this scholarship.

Your relationship to the FCS Financial customer:*

Child Grandchild

FCS Financial customer’s name*

Which FCS Financial office services your family’s account?*

What is the name of your FCS Financial representative?

Are you a relative (child, stepchild, grandchild, step-grandchild, sibling, niece or nephew) of an FCS Financial director or employee?*

Yes No

You are not eligible for this scholarship.

Are you receiving a full-ride scholarship?*

Yes No

You are not eligible for this scholarship.

Congratulations!

You qualify for the scholarship.

Please bookmark this page and check back on September 1st to fill out the application form.

Personal InformationIncomplete

First Name*

Middle Initial*

Last Name*

Address*

County*

City*

State

Zip*

Phone*

Email*

Names of Parent(s) or Guardian(s)*

High SchoolIncomplete

Name of high school*

High school address*

High school phone*

City*

State

Zip*

College / UniversityIncomplete

Name of college or university you are planning to attend*

Colleges and universities located in Missouri will be given preference over schools located in other states.

Have you applied?*

Yes No

Have you been accepted?*

Yes No

What is your intended major or field of study?*

An agricultural major or field of study will be given preference over other fields of study.

Income Producing Work ExperienceIncomplete

Please list your paid work experience, SAE projects, entrepreneurial jobs, internships, etc. You can list up to 6. (10 points possible)

Name of Employer *

Number of Years Employed *

Role and Responsibilities *

add an employer

Volunteer Activities and AccomplishmentsIncomplete

Please list any civic or community volunteer experience including non-profits, church, etc. You can list up to 10. (10 points possible)

Name of organization *

Dates of Participation *

Role and Responsibilities *

Offices Held

Special Awards, Honors or Recognition

add an organization

Ag-Related Activities and AccomplishmentsIncomplete

Please list any activities, honors or awards you have received through FFA, 4-H or other ag related groups. You can list up to 10. (10 points possible)

Name of Organization *

Dates of Participation *

Role and Responsibilities *

Offices Held

Special Awards, Honors or Recognition

add an organization

School Activities and AccomplishmentsIncomplete

Please list any school-related activities, honors or awards. You can list up to 10. (10 points possible)

Name of Organization *

Dates of Participation *

Role and Responsibilities *

Offices Held

Special Awards, Honors or Recognition

add an organization

Essay QuestionsIncomplete

Please write a brief essay describing your short and long-term goals. Maximum 500 words. (25 points possible) *

Please write a brief essay describing what value FCS Financial brings to your community. Maximum 750 words. (35 points possible) *

Download FormsIncomplete

Academic Achievement Form

Your high school principal or guidance counselor must complete the Academic Achievement Form as part of this application.

Download Form

Photo Release Form

You and your parents/legal guardians must complete the Information and Photo Use Authorization as a required part of the application.

Download Form

Download these forms and have the respective individual return it via mail by March 1 to:
FCS Financial
Attn: Marketing Dept.
1934 E. Miller St.
Jefferson City, MO 65101

I have downloaded these forms and will complete and return the forms to FCS Financial by March 1.

Youth Scholarship Application