CINCH SCHOLARSHIP. Application. Full Legal Name: First: Last: Middle Initial:

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1 CINCH SCHOLARSHIP Application Mail completed application, completed essay and school transcript* to: Miller International Attn: Natalie Robert 8500 Zuni Street Denver, CO All must be post-marked by 6/1/16. Personal Information Date of Birth: Gender - Male: Female: State: Country: ` Cell Number: Work Number: Address: Citizenship: Are you a U.S. Citizen? Yes No Are you a U.S. Resident? Yes No Academic Information (If home schooled please check line below) Home Schooled? Yes No Anticipated Graduation Date : High School: High School Name: Address: State: Other High School: If applicable High School Name: Address: State:

2 College: Which college do you plan on attending? College Name: Address: State: Activities and Leadership Activities: List your top four community service activities and positions of leadership held: 1. Activity: 2. Activity: 3. Activity: 4. Activity: Academic Honors: List your top four academic honors below: 1. Academic Honor: 2. Academic Honor: 3. Academic Honor: 4. Academic Honor: Memberships/Associations: List your top four associations of which you are an active member: 1. Membership: 2. Membership: 3. Membership: 4. Membership: Special Interests: List your top four special interests (i.e.: roping, barrel racing, travel, music, etc): 1. Special Interest: 2. Special Interest: 3. Special Interest: 4. Special Interest:

3 Employment Employment History: List your current and most recent employers 1. Employer: Hours per week: Employed From: (mm/dd/yyyy) To: (mm/dd/yyyy) State: 2. Employer: Hours per week: Employed From: (mm/dd/yyyy) State: To: (mm/dd/yyyy) Family Information Father/Legal Guardian: Date of Birth: State: Country: Cell Number: Work Number: Occupation: Employer: Mother/Legal Guardian: Date of Birth: State: Country: Cell Number: Work Number: Occupation: Employer:

4 ISCHOLARSHIP Essay Questions Choose one of the following essay topics to write between 250 and 500 words on the topic Answer ONE of the following questions: 1. Describe your most meaningful achievements and how they relate to your field of study and your future goals. 2. Name a time in your life you have taken a risk. Explain the situation, apply the risk and tell us how this has changed or molded the person you are today. 3. What do you think the western industry will be like in 10 years?

5 Cruel Girl and Cinch Scholarship Rules & Regulations Rules, Regulations and Specifics One $2,500 Academic Scholarships awarded for Cinch (Male Only) One $2,500 Academic Scholarships awarded for Cruel Girl (Female Only) Applicant must be Senior High School student or Senior level of home schooling Applicant must be a contestant in the 2016 IFYR Winner must use the scholarship funds toward their first semester at an accredited college. Application Process Complete entry application Complete essay based on one of the topics from the list on the previous page. Essay must be longer than 250 words but no more than 500 words Send an official school transcript with list of completed classes, grades and GPA included The official school transcript should show that you are also currently enrolled in classes. Must be an active student at an accredited high school *Home school students are not required to provide official school transcripts Specifics Winner to be chosen based on criteria set by Cinch - Cruel Girl marketing team. Valid entries include completed application, official school transcript with proof of GPA and class enrollment (*exception for home school students) and one completed essay question (250 to 500 words) from the list provided. Alll application materials mentioned above must be mailed in or ed to Miller International ATTN: Natalie Roberts, 8500 Zuni St., Denver, CO and postmarked by 6/1/16. to nroberts@miller-international.com Scholarship winners will be announced on 7/15/16 Scholarship funds will be dispersed directly to the recipient s university. Student must use the scholarship for their first semester s tuition at an accredited college or university. Student must provide an official school transcript for proof of first semester enrollment before scholarship funds are dispersed. The following items will be required from the winner: Full legal name, mailing address and phone number, permanent addresses, address, copy of driver s license, accredited college or university s name and complete contact information, class schedule or legal transcript proving enrollment, parent/guardian complete contact information and signatures, and recipient s signature on winner release form.