{"id":87,"date":"2020-02-06T03:21:56","date_gmt":"2020-02-06T03:21:56","guid":{"rendered":"https:\/\/wastatedairywomen.org\/?page_id=87"},"modified":"2022-03-08T22:51:06","modified_gmt":"2022-03-08T22:51:06","slug":"state-scholarships-application-form","status":"publish","type":"page","link":"https:\/\/wastatedairywomen.org\/?page_id=87","title":{"rendered":"State Scholarships Application Form"},"content":{"rendered":"<div class=\"wpforms-container wpforms-container-full wpforms-block\" id=\"wpforms-86\"><form id=\"wpforms-form-86\" class=\"wpforms-validate wpforms-form\" data-formid=\"86\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F87\" data-token=\"907d0e03e39e2e0fc8add822b33c36b8\" data-token-time=\"1777731238\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-86-field_3-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third wpforms-first\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-86-field_3\">First Name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-86-field_3\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][3]\" required><\/div><div id=\"wpforms-86-field_4-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-86-field_4\">Middle Name (Optional)<\/label><input type=\"text\" id=\"wpforms-86-field_4\" class=\"wpforms-field-large\" name=\"wpforms[fields][4]\" ><\/div><div id=\"wpforms-86-field_5-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-86-field_5\">Last Name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-86-field_5\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][5]\" required><\/div><div id=\"wpforms-86-field_1-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-conditional-trigger\" data-field-id=\"1\"><label class=\"wpforms-field-label\">Which 2026\/2027 scholarship(s) are you applying for?<\/label><ul id=\"wpforms-86-field_1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-86-field_1_1\" name=\"wpforms[fields][1][]\" value=\"Washington State Dairy Women - University\/College\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-86-field_1_1\">Washington State Dairy Women &#8211; University\/College<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-86-field_1_5\" name=\"wpforms[fields][1][]\" value=\"Washington State Dairy Women - Vocational\/Technical School\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-86-field_1_5\">Washington State Dairy Women &#8211; Vocational\/Technical School<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-86-field_1_2\" name=\"wpforms[fields][1][]\" value=\"Simplot Western Stockmens\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-86-field_1_2\">Simplot Western Stockmens<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-86-field_1_4\" name=\"wpforms[fields][1][]\" value=\"AgWest Farm Credit\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-86-field_1_4\">AgWest Farm Credit<\/label><\/li><\/ul><div class=\"wpforms-field-description\">Be sure to answer the essay question for each scholarship you select.<\/div><\/div><div id=\"wpforms-86-field_32-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third wpforms-first\" data-field-id=\"32\"><label class=\"wpforms-field-label\" for=\"wpforms-86-field_32\">WSDW County Unit<\/label><input type=\"text\" id=\"wpforms-86-field_32\" class=\"wpforms-field-medium\" name=\"wpforms[fields][32]\" ><div class=\"wpforms-field-description\">If applying for WSDW Scholarship<\/div><\/div><div id=\"wpforms-86-field_33-container\" class=\"wpforms-field wpforms-field-name wpforms-two-thirds\" data-field-id=\"33\"><label class=\"wpforms-field-label\" for=\"wpforms-86-field_33\">WSDW Member Name<\/label><input type=\"text\" id=\"wpforms-86-field_33\" class=\"wpforms-field-medium\" name=\"wpforms[fields][33]\" ><div class=\"wpforms-field-description\">If applying for WSDW Scholarship<\/div><\/div><div id=\"wpforms-86-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-86-field_6\">Mailing Address <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-86-field_6\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][6]\" required><\/div><div id=\"wpforms-86-field_7-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-86-field_7\">County <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-86-field_7\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][7]\" required><\/div><div id=\"wpforms-86-field_8-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-86-field_8\">Phone Number <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-86-field_8\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][8]\" required><\/div><div id=\"wpforms-86-field_9-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-86-field_9\">Email Address <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-86-field_9\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][9]\" required><\/div><div id=\"wpforms-86-field_10-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-86-field_10\">Secondary Email Address (Optional)<\/label><input type=\"text\" id=\"wpforms-86-field_10\" class=\"wpforms-field-large\" name=\"wpforms[fields][10]\" ><\/div><div id=\"wpforms-86-field_12-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-86-field_12\">What school will you be attending\/applying to during the academic year? <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-86-field_12\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][12]\" required><\/div><div id=\"wpforms-86-field_11-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-86-field_11\">Intended Major <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-86-field_11\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][11]\" required><\/div><div id=\"wpforms-86-field_13-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-86-field_13\">Minor (Optional)<\/label><input type=\"text\" id=\"wpforms-86-field_13\" class=\"wpforms-field-medium\" name=\"wpforms[fields][13]\" ><\/div><div id=\"wpforms-86-field_17-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-86-field_17\">Academic level for the coming school year <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-86-field_17\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][17]\" required><\/div><div id=\"wpforms-86-field_14-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-86-field_14\">What is your connection to the dairy industry? <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-86-field_14\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][14]\" required><\/textarea><\/div><div id=\"wpforms-86-field_18-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-86-field_18\">List all high schools and colleges you have attended. Include dates attended and graduation year (or expected graduation year). <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-86-field_18\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][18]\" required><\/textarea><\/div><div id=\"wpforms-86-field_16-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-86-field_16\">Cumulative GPA for most recent school\/college attended <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-86-field_16\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][16]\" required><\/div><div id=\"wpforms-86-field_19-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-86-field_19\">List school activities or achievements, including citizenship and\/or scholastic recognition, awards and honors. <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-86-field_19\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][19]\" required><\/textarea><\/div><div id=\"wpforms-86-field_20-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-86-field_20\">List any involvement in community activities\/organizations. <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-86-field_20\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][20]\" required><\/textarea><\/div><div id=\"wpforms-86-field_21-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-86-field_21\">List any leadership experiences you&#039;ve had. <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-86-field_21\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][21]\" required><\/textarea><\/div><div id=\"wpforms-86-field_22-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-86-field_22\">List any work experience you&#039;ve had. Describe job responsibilities and activities. <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-86-field_22\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][22]\" required><\/textarea><\/div><div id=\"wpforms-86-field_23-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"23\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-86-field_23\">Washington State Dairy Women University\/College Scholarship Essay Question (300-500 words):  How has the dairy industry influenced your education, career goals, or personal values?<\/label><textarea id=\"wpforms-86-field_23\" class=\"wpforms-field-medium wpforms-limit-words-enabled\" data-form-id=\"86\" data-field-id=\"23\" data-text-limit=\"500\" name=\"wpforms[fields][23]\" ><\/textarea><\/div><div id=\"wpforms-86-field_39-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"39\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-86-field_39\">Washington State Dairy Women Vocational\/Technical School Scholarship Essay Question (300-500 words):  What role do you see yourself playing in the future of the dairy industry?<\/label><textarea id=\"wpforms-86-field_39\" class=\"wpforms-field-medium wpforms-limit-words-enabled\" data-form-id=\"86\" data-field-id=\"39\" data-text-limit=\"500\" name=\"wpforms[fields][39]\" ><\/textarea><\/div><div id=\"wpforms-86-field_25-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"25\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-86-field_25\">Simplot Western Stockmen&#039;s Scholarship Essay Question (300-500 words): How is your chosen field related to the dairy industry, and how will your education further benefit the dairy industry?<\/label><textarea id=\"wpforms-86-field_25\" class=\"wpforms-field-medium wpforms-limit-words-enabled\" data-form-id=\"86\" data-field-id=\"25\" data-text-limit=\"500\" name=\"wpforms[fields][25]\" ><\/textarea><\/div><div id=\"wpforms-86-field_26-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"26\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-86-field_26\">AgWest Farm Credit Essay Question (300-500 words): If you were tasked with developing a marketing plan for the dairy industry, what would it be and who would be your target audience?<\/label><textarea id=\"wpforms-86-field_26\" class=\"wpforms-field-medium wpforms-limit-words-enabled\" data-form-id=\"86\" data-field-id=\"26\" data-text-limit=\"500\" name=\"wpforms[fields][26]\" ><\/textarea><\/div><div id=\"wpforms-86-field_37-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"37\"><label class=\"wpforms-field-label\" for=\"wpforms-86-field_37\">Acknowledgement &amp; Signature: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-86-field_37\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][37]\" placeholder=\"Electronic Signature here confirms I agree to terms and submittal accuracy or submittal.\" required><div class=\"wpforms-field-description\">Applicant agrees that if selected to receive a scholarship, they will attend the institution listed in this application and will pursue the indicated major course of study for the duration of the academic year covered by the scholarship.\n\nApplicant understands and agrees that failure to comply with the above may render applicant ineligible for the scholarship granted, and they may be required to return any unused portions of the scholarship award to the appropriate sponsor.  If applicant changes schools or majors, they must contact the Washington State Dairy Women Scholarship Chairperson to determine if they are still eligible for the scholarship.\n\nApplicant understands that submitting this application gives permission to the Washington State Dairy Women, Simplot Western Stockmen&#8217;s and\/or AgWest Farm Credit to use their name and\/or picture for promotional purposes of the Scholarship. <\/div><\/div><div id=\"wpforms-86-field_38-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"38\"><label class=\"wpforms-field-label\" for=\"wpforms-86-field_38\">Date <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-86-field_38\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][38]\" required><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-field wpforms-field-hp\"><label for=\"wpforms-86-field-hp\" class=\"wpforms-field-label\">Comment<\/label><input type=\"text\" name=\"wpforms[hp]\" id=\"wpforms-86-field-hp\" class=\"wpforms-field-medium\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"86\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/wastatedairywomen.org\/index.php?rest_route=\/wp\/v2\/pages\/87\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-86\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><\/div><\/form><\/div>  <!-- .wpforms-container -->","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"full-width.php","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-87","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/wastatedairywomen.org\/index.php?rest_route=\/wp\/v2\/pages\/87","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wastatedairywomen.org\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/wastatedairywomen.org\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/wastatedairywomen.org\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/wastatedairywomen.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=87"}],"version-history":[{"count":2,"href":"https:\/\/wastatedairywomen.org\/index.php?rest_route=\/wp\/v2\/pages\/87\/revisions"}],"predecessor-version":[{"id":431,"href":"https:\/\/wastatedairywomen.org\/index.php?rest_route=\/wp\/v2\/pages\/87\/revisions\/431"}],"wp:attachment":[{"href":"https:\/\/wastatedairywomen.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=87"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}