Online Scholarship Application

This form is new for 2025. Although we have done our best to make it easy to use and understand, you should contact our office with any questions or difficulties you may have. Call 701-425-0808 or send email to jeff.eslinger@ndaco.org for assistance.

Student Contact Information

First Name^*

Middle name

Last Name^*

Preferred name

(Mike vs Michael, etc.)

Address^*

City^*

State^*

ZIP^*

Phone^*

Email^*

Educational Information

North Dakota Institution You Plan to Attend in 2025-2026^*

Year in College for 2025-2026^*

Freshman

Sophomore

Junior

Senior

Work Experience

Academic Goals and Expectations

List off-campus or volunteer activities

List university or student organizations

Honors or Prizes

Other Information

Certification Relationship of County Official or Employee^*

Parent

Grandparent

Parent/Grandparent First Name

Parent/Grandparent Last Name

County

Job Title

How has your parent's/grandparent's experience in county government helped shape who you are?

Submittal

1. Letter of Recommendation^*

(Dated within the past 12 months.)

2. Letter of Recommendation^*

(Dated within the past 12 months)

3. Copy of your Unofficial Transcripts^*

Signature

In submitting this application, I certify that the information provided is complete and accurate to the best of my knowledge. Falsification of information may result in termination of any scholarship granted.

Initials^*

Date^*

North Dakota Association of Counties - Online Scholarship Application

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Online Scholarship Application