Warth Agriculture Scholarship Application

To submit your application online, fill out and submit the form below.

If you prefer to submit by mail, click here to download this application, and submit it to our address listed at the bottom of this page.

Note: You must be a member of 4H or FFA to apply.

Applicant Information

First Name

M.I.

Last Name

Address

City

State

Zip Code

Email

Phone

Work Telephone Number

Mobile Telephone Number

Education

High School

Address

Other

Address

Your Message

GPA

Scholarship recipient will be required to submit most recent transcript.

Current GPA

Plans after High School

What degree or certificate do you plan to obtain? Have you decided on a school? If so, which one?

4H/FFA

What was your involvement in 4H or FFA?

Essay Question

Please provide a separate written essay answering only ONE of the following questions using no more than 1000 words:

1. How will technology in agriculture change over the next 20 years? This could be anything from lab grown meat, to changes in farming equipment, or how we raise livestock.

2. Tell us how 4H/FFA has challenged you to grow as an individual and how that experience will impact your college years.

Essay Question

Signature

Date

Please send additional requirements postmarked or emailed by MARCH 1, 2020
Warth Insurance Agency
1701 Mt Pleasant St
Burlington, IA 52601
or
Info@warthinsurance.com

NOTE: PLEASE MAKE SURE YOU ARE COMPLETING THE 2020 APPLICATION! If the 2019 version is pulling through, clear your cookies and try again. We will email you within 5 days of receiving your application. Please contact us if you donât receive an email.