White-Reinhardt Fund for Education Volunteer Educator Scholarship

I am currently a volunteer. (If no please fill out the Teacher Educator Application)

Full Name:

Address:

City:

State:

Zip:

Phone:

Fax:

Email:

State Farm Bureau Contact:

State Farm Bureau Contact Email:

State Farm Bureau Contact Phone:

Education information

School name or place(s) of
volunteering activities:

Grade(s) and/or subjects you
currently volunteer with:

Have you received a White-Reinhardt scholarship before?

If yes, what year?:

Have you ever attended the National Agriculture in the Classroom Conference?

If yes, what year?:

Why do you believe in agriculture literacy as a part of consumer awareness and learning?

Briefly describe your past involvement in agricultural literacy programs (past and present)

How do you plan to use the information gained from the conference in your volunteering?

How do you plan to share the information gained from the conference with others?

Please explain why you want to attend the 2014 National Agriculture in the Classroom Conference:

If you are applying for other funding to attend this conference please specify:

If selected for this scholarship, I understand that I will be reimbursed for up to $1,500 in expenses upon submission of receipts for approved expense items and a one to two-page report of the conference.

Applicant Signature:


When you press "submit" a copy of this application will be sent to your State Agricultural Literacy Coordinator for review.