Mid-Dakota Rural Water System, Inc.

Scholarship Application

Successful applicant will receive a $750 scholarship.  Applicant must be a child of a member of Mid-Dakota Rural Water System or a resident in one of Mid-Dakota’s participating communities.  The applicant must attend a South Dakota Post-Secondary educational facility and have a grade point average of 2.8 or higher (please provide a copy of transcript).  This form must be completely filled out and a 250-500 word essay on what rural water has meant to the applicant or his/her community must be attached.  A current photo is also required to be used for publicity purposes.  Mid-Dakota reserves the right to print any and all essays that have been submitted. 

Please fill out completely:

Name: _______________________________________       Phone:  _______________

Address: _____________________________________

City:  ________________________  State:  _________         Zip:  _________________

Parent’s Name:  __________________________   Mid-Dakota Acct. #:  ___________

If no Account number please state what participating community you are a member of: City of or Town of ____________________________.

Grade point average: ________________ (Remember to attach a copy of transcript)

College Applicant will be attending: ________________________________________ (must be a South Dakota post-secondary education facility)

Career Applicant is pursuing: _____________________________________________

School Activities: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Community Involvement: ________________________________________________________________________________________________________________________________________________________________________________________________________________________

Please compose and attach a 250-500 word essay about the benefits of rural water or what Mid-Dakota has done for you or your community (title is of your choosing).  Deadline for the applications to be in the Mid-Dakota office is 5:00 p.m. April 27, 2007.  Send completed application, transcript, current photo and essay to:

Mid-Dakota Rural Water System, Inc.

Attn: Scholarship Committee

P.O. Box 318

Miller, SD 57362-0318