Slarding & Perkios

207 Farm 1st St E, Prairie Mutual City, SD 57649 O The Who InsurerCaees

(605)8664844

February 12, 2019

Attention: High School Guidance Counselors

RE: Scholarship Application

Harding & Perkins Farrn Mutual Insurance Company is pleased to be a co-sponsor of the enclosed scholarships. Four students will be selected for a $500. Scholarship at the South Dakota Association of Mutual Insurance Companies Annual Convention in June of 2019.

Please distribute the criteria sheet and scholarship application to your high school seniors. We would like to have all students that qualify apply for these scholarships.

Thank you for your assistance,

HARDING & PERKINS FARM MUTUAL INSURANCE COMPANY

Lois Eggebo, Secretary

Enclosures: Criteria Letter

List of Insurance Companies

Scholarship Application

S.D.A.M.I.C. Scholarship Requirements

v" You must be a SD High School graduating senior and have been accepted to a SD institution of higher education

 You must be a SD Resident

 Your parents must be insured by a Farm Mutual Insurance Company of South Dakota

 You must be beginning your higher education (college or vocational school) for the first time within 18 months of your high school graduation

 You must have an accumulative 3.0 grade point average for your first seven semesters of high school

 You must provide a certified copy of your high school transcript

 Please complete the application in its entirety

 Completed Application must be submitted to your Farm Mutual Company, your agent or SDAMIC; 48042 186th Street; Brandt, SD 57218

 June ISt Deadline

S.D.A.M.I.C. offers four $500 educational scholarships to SD high school graduating seniors whose parents are insured with a domiciled mutual insurance company. The recipient is selected by random draw from all qualified applicants at the SD Association of Mutual Insurance Companies convention. No more than one scholarship recipient from a singles mutual insurance company is awarded. The scholarship will be awarded jointly to the institution and the recipient prior to fall semester.

soUTH DAKOTA ASSOCIATION OF MUTUAL INSURANCE COMPANIES

MEMBER COMPANIES

Bohemian Farmers Mutual Ins.

Desmet Farm Mutual

Farm Mutual Co of Clay County

Dakota Farm Mutual


Farm Mutual of Lincoln County

The Farm Mutual Group of SD (German Farm Mutual)

Hansen Farm Mutual

Harding & Perkins Farm Mutual Ins. Co.

Humboldt Farm Mutual

Scandinavian Farm Mutual

Union Farm Mutual Ins. Co.

S.D.A.M.I.C,

South Dakota Association of Mutual Insurance Companies

Scholarship Application

(This form may be reproduced)

Name:

Street Address:

City/State/Zip:

Telephone:                                              Date of Birth:

Parents Name:

Parents Address:

City, State, Zip Code:


Parents Property Mutual Insurance Company:

Have you enclosed a certified copy of your high school transcript? Yes No

What South Dakota Institute of higher learning are you attending:

Have you been accepted for admission to this school? Yes No   If not, explain below:

What is your anticipated field of study?

What are your career goals?

Would you like to make any other optional comments?

Please read carefully before signing: I am applying for the S.D.A.M.I.C. Educational Scholarship. I have read and understand the application criteria. I hereby certify that all of the information provided by me on this application is true and accurate to the best of my knowledge. understand that information provided by me may be verified by S.D.A.M.I.C. officials.

Applicants Signature  Date Parent(s) Signature        Date

Additional Comments: