EmailMe Form - Jerry and Diane Newby Endowed Scholarship

PERSONAL INFORMATION

Name *

First Last

County of Permanent Residence *

Permanent Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code

Phone *

### - ### - ####

Email *

Alabama Farmers Federation Membership Number *

EDUCATION INFORMATION

High School Graduated From *

Year Graduated *

Other Colleges Attended *

College Major *

Career Choice *

Classification *

Incoming Freshman

Transfer Student

Continuing Student

Returning Student

Class Standing as of Fall, 2025 *

Freshman

Sophomore

Junior

Senior

When you expect to receive Bachelor's Degree *

Have you filed an application for admission to an Alabama College, University or Community College? *

Yes

No

If no, upload transcripts below.

Transcript Upload

Past Jobs *

Father's Name/Occupation *

Mother's Name/Occupation *

Describe your educational and/or career objectives. *

Please limit response to 400 words.

ACTIVITIES & HONORS

High School *

Church Related *

Civic *

College *

OTHER INFORMATION

Reference Letters *

Upload one letter of reference here. It should include an evaluation of your background, character and other qualities you feel would help the committee evaluate your application.

Checkbox *

I authorize the release of the information provided on this Farmers Federation/Alfa Scholarship application, ACT and SAT scores and high school and/or college grade point averages to Scholarship Committees and Scholarship donors.

Students wishing to be considered for scholarships must submit all materials on, or before, February 3, 2025.