MITCHELL COUNTY 4-H & FFA LIVESTOCK SHOW
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1 MITCHELL COUNTY 4-H & FFA LIVESTOCK SHOW Raymond Fuller Memorial Scholarship APPLICATION FORM Raymond Fuller Memorial will provide a $ college scholarship for on exhibitor in the Mitchell County 4-H & FFA Livestock Show. The scholarship winner will be chosen by a Board of Mitchell County farmers and ranchers. ELIGIBILITY AND REQUIREMENTS To be eligible to apply for the Raymond Fuller Memorial Scholarship, applicants must meet the following requirements. 1. Be an active member of the Texas FFA Association and/or the Texas 4-H Association and be listed on his or her clubs respective roster. 2. Upon graduation, have completed at least three active membership years in the Texas FFA Association and/or Texas 4-H Association. 3. Be a current senior student in high school. 4. Be an exhibitor in the Mitchell County 4-H & FFA Livestock Show in his or her senior year. 5. Submit a current years Raymond Fuller Memorial Scholarship application form. The Raymond Fuller Memorial Scholarship application form must: 1. Have all application form pages complete. 2. Be typewritten, except for essay and signature. 3. Contain all requested signatures. 4. Contain a wallet size photograph of the applicant suitable for print. The application form includes the following pages: 1 cover page 3 information pages 1 personal essay page (handwritten) 1 academic page (to be completed by school principal or counselor) These six pages, along with the personal essay, must be turned in to Ty Wood s office on Friday January 8 th, 2016 by 5:00PM. Applicants should be prepared to go for an interview in front of an interview committee on Monday January 11 th, Interviews will be conducted at 6:00 p.m. at Ty Wood s office. Memo
2 To: Lindsey Sykes, AST Loraine Robin Senter, AST Colorado City Jennifer Morris, AST Colorado City David Bray, AST Westbrook Robert Ferguson, CEA Mitchell County From: Jim Cogburn Topic: Mitchell County 4-H & FFA Livestock Show Raymond Fuller Memorial Scholarship Application Forms Each advisor has been provided with one copy of the scholarship form. If you need additional copies, feel free to make your own or contact me. Applications should be turned in on Friday January 8 th, 2016 by 5:00PM to Ty Wood s office Be sure and tell all applicants to be at Ty Wood s office at 6:00 p.m. on Monday January 11 th, 2016 for interviews. Contact me at (cell) if you have any questions. Jim Cogburn
3 (This page to be completed by High School Principal or Counselor) I. Scholarship Or Academic Achievement A. Name of Applicant: B. Name Of High School: COLORADO HIGH SCHOOL C. Date Applicant is to be Graduated: MAY 27, 2016 D. Number of Students in Graduating Class: E. Applicant s numerical rank in graduating class for the first three and one-half (3.5) years of high school: F. Applicant s percentile rank in graduating class for the first three and one-half (3.5)years of high school: G. Applicant s unweighted* numerical high school grade average on a 100-point scale (0-100) for the first three and one-half (3.5) years of high school: * Note: The practice of calculating averages by giving greater weights to honors courses is not regulated by a common procedure throughout the state. Therefore, for the purpose of fair comparison and competition for this scholarship program, all averages should be calculated without the use of honor course weights or bonuses. However, in recognition of the value of participation in honor course, the applicant will score bonus points for honor courses taken. (See Evaluation sheet). H. Applicant s total number of credits completed for the first three and one-half (3.5) years of high school: I. Total number of A s, B s, C s and D s: A s B s C s D s J. Number of TEA approved honors courses taken by applicant: K. Please identify the TEA approved honor courses taken by applicant: II. College Entrance Exam Scores A. SAT Test Scores: Date of SAT Test: Verbal Math Total B. ACT Composite Score: Date of ACT Test: Signed: Date:
4 Raymond Fuller Memorial Scholarship Information Form General Information First name MI Last Name Social Security number Age Phone number Home Address (Street, box, or route) (City, state and zip code) Name of club or clubs: Name of High School: Parents or Guardians Name: Parents or Guardians Address: (Street, box, or route) (City, state and zip code) Have you been accepted for admission or made application for admission to a college, university or trade school? Yes No If yes, which college, university or trade school. What major course of study do you intend to pursue? My planned career is
5 Achievements and Activities in FFA and 4-H Include such items as: offices held, honors won, special recognition and awards, leadership activities, conventions or roundups attended, FFA degrees and other related club honors. Example Star Greenhand in chapter School Year Activity Summary of Agriculture Projects Include all agriculture projects you have participated in. Example Breeding Sows 4 head School Year Project Size and Scope
6 Raymond Fuller Memorial Scholarship Information Form Achievements and Activities Outside of FFA and 4-H Include other school activities such as: class officer, sport teams, band, choir, yearbook, National Honor Society etc. Also non-school activities such as: church, community service and citizenship activities. Example Captain of football team School Year Activity
7 Raymond Fuller Memorial Scholarship Personal Essay Each applicant must submit a one page personal essay explaining how you began your Show project career, how your show program has developed and how your project related to your future goals. This essay must be in applicants own handwriting.
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