FCCB Agricultural Scholarship Application Each year, First Citizens Community Bank will award a one‐time $1,000 scholarship to a high school student continuing their education in an agricultural-related field. The scholarship will be paid out to the recipient for their second year in college or tradeschool, upon completion of the recipient's prior year transcript. The funds will be sent directly to the school. Eligibility Requirements: • Available to a high school student continuing their education in an agricultural- related field • Minimum cumulative GPA of 3.0 • Applicant must reside in the First Citizens market area • Preference will be given to students who are customers or have family members that are customers Question Title * 1. Date of application: Question Title * 2. Student’s first and last name: Question Title * 3. Date of birth: Question Title * 4. Home address: Question Title * 5. Phone number Question Title * 6. Name of college/university or trade school attending: Question Title * 7. Program of study: Question Title * 8. Anticipated year of graduation: Question Title * 9. List any activity that demonstrates community service: Question Title * 10. List any current or previous agricultural work experience: Question Title * 11. List any awards received for school or community involvement: Please include the following with your application: Two academic letters of reference Letter(s) of reference from a representative of the community service organization(s) you are involved in; do not include relatives. Essay stating why you would be a good investment if you were awarded this scholarship to continue your education in the agricultural field. Copy of your photo ID Question Title * 12. Please upload your files here. Submit your completed application packet and accompanying materials to any First Citizens Community Bank Office or mail to:First Citizens Community Bank Attn: Agricultural Scholarship Selection Committee 15 S. Main Street Mansfield, PA 16933 You may also email your scholarship application and accompanying materials to emcole@myfccb.comNote: Prior year’s college transcript must be received prior to the disbursement of funds to confirm the minimumcumulative GPA of 3.0 after completing your first year of school. Submit Application