Boe Brothers Foundation 4-H/FFA Scholarship Acceptance Form

Montana State University-Bozeman

Print Boe Brothers Scholarship Acceptance Form

Recipient Full Name: (Please print)

Social Security No:

I accept the Boe Brothers Foundation 4-H/FFA Scholarship, which has been awarded to me, along with all the honors and responsibilities that come with it.

I understand that I will receive $________ per semester for a total of eight (8) semesters for a total scholarship amount of $____________ provided I meet the following requirements of the award

1. I will be a full-time enrolled student at the Bozeman campus of Montana State University.

2. I will maintain a cumulative grade point average of 2.8 on a 4.0 grading scale; and my major course of study will be in an agricultural-related field or a field that will allow me to serve a rural area.

I understand that I will receive any refund due me as a result of this award after the 15th day of class of each semester for which I am eligible.

In the case of a special circumstances such as illness, a death in the family, or other extenuating situation that may prevent me from enrolling full-time in any academic year or portion thereof, I will contact the Montana State University Office of Financial Aid Services for assistance in determining my continuing eligibility to receive the scholarship.

I understand that the Boe Brothers Foundation may request academic, financial, and/or biographical information for the purpose of determining or maintaining my eligibility. Therefore, I authorize the release of my academic, financial and/or biographical information to the Boe Brothers Foundation for this purpose. I also grant permission to release appropriate information, as it applies to this award, to the MSU Foundation.

Recipient Signature

Date

Home Address (# Street/PO Box, City State Zip)

Phone

Please complete and submit this form soon as possible by mail or fax to the Office of Financial Aid Services at the address or number below. Your award cannot be posted to your student account until the Office of Financial Aid Services receives it.

Mail to:
Office of Financial Aid Services 
Montana State University
PO Box 174160
Bozeman, MT 59717-4160

Or Fax to: 406.994.6962