2015 Purina Mills Scholarship Form

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PURINA MILLS YOUNG CATTLEMEN’S LEADERSHIP
SCHOLARSHIP FORM 2015
The Young Cattlemen’s Leadership Committee and Purina Mills will be awarding a $1,000.00 scholarship to a
New Mexico student in December 2015 at the Joint Stockmen’s Convention at the Marriott Pyramid North.
Also the Young Cattlemen’s Leadership Committee and the Allied Industries Committee will be presenting two
$500.00 scholarships, one will be awarded to a high school senior and one to a continuing college student.
Scholarship Requirements:
1.
Must be a member of the New Mexico Cattle Grower’s Association Junior Cattle Growers or a child
of an Association member.
2.
Must be a high school senior or college Freshman, Sophomore or Junior in good academic
standing.
3.
The scholarship shall be awarded only once a year.
4.
The Scholarship shall be applied to any College or University.
5.
The Scholarship will be payable directly to the college or university or individual for expenses: i.e.
tuition, books, fees, room and board.
6.
You may apply more than once, but you are eligible to receive the scholarship only twice.
Preference will not be given to previous winners.
7.
All applications will be numbered and names withheld until after a recipient has been
selected.
8.
All applications must be typed no hand written applications will be accepted.
9.
All applications will be judged on a 100 point scale. The scale is as follows:
GPA – 5 pts
Academic Honors – 10 pts
School Activities and Clubs – 5 pts
Community Activities and Organizations – 5 pts
Essay # 1 – 30 pts
Essay # 2 – 25 pts
Financial need – 20 pts
DEADLINE FOR APPLICATION IS NOVEMBER 10, 2015
For more information, please call 505/247-0584. Mail to: NMCGA,
PO Box 7517
Albuquerque, NM 87194
Application # ________
Purina Mills – Young Cattlemen’s Scholarship Application Form
Name: _______________________________________ Male:___ Female: ____
Address: ___________________________ City _______________ Zip:_______
Father’s Name: ________________________ Mother’s Name: _____________________________
Phone Number: ___________________
For Office use only
Date Received: _____________
Application # __________
Judges Total Score: _______________
Application # _________
Parents Phone Number ________________
Father’s
Mother’s
Occupation: ___________________________ Occupation: ________________________________
Where Employed: ______________________ Where Employed: __________________________
Length of Service: ________________________ Length of Service: __________________________
Number of dependent children (including applicant) in family: ________________________________
Are any other members of the family in college: _________________ If so how many? ________
College Student:
What College are you now attending?
___________________________________________________
What is your major: _____________________________Minor: ____________________
High School Student:
Have you applied for entrance to any college? ____________
Have you been accepted? ___________ Rejected: _____________
What field do you plan to major in? ________________________________
_______________________________________________________________________________
Have you already received any scholarships? __________
Scholarship amount? _________________
High School attended? __________________________ From: _________ to ____________
College _______________________________________From: _________ to ____________
Both High School & College Students
Academic Honors (10 pts):
___________________________________________________________________
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School connected clubs and activities (5 pts):
____________________________________________________________________
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Application # ________
Community Clubs, etc (5 pts):
_____________________________________________________________________
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In you own words answer the following, “How has agriculture influenced your life?”
Please limit your response to approximately 150 words or less. Please type, you may use a separate
attachment if needed. (Essay # 1 - 30 pts)
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In your own words, discuss one topic that is currently affecting the agricultural industry and its
implications on the future of agriculture. Please limit your response to approximately 100 words or
less. Please type, you may use a separate attachment if needed. (Essay # 2 – 25 pts.)
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
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Application # _______
Applicant Biography
________________________________________________________________________________
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Application # _______
In applying for this scholarship, I am aware that I must maintain an above average GPA (at least 2.5
on a 4.0 scale) while demonstrating acceptable standards of citizenship and character to continue
qualifying in succeeding years when the stipend covers more than one year.
Signature: _________________________________________________
Date:______________
An official transcript of the applicant’s school record will be provided by the high school/college and must accompany application.
I hereby agree to permit review of this application and my school records by anyone representing the donors for this scholarship.
I, also state that I am a member of the New Mexico Cattle Growers’ Association or the child of an member.
_________________________________
Signature of Applicant
__________________________________
Signature of Parent or Guardian
(if under 18 years of age.)
Deadline: November 10, 2015
Please return completed application and transcripts to New Mexico Cattle Growers’ Association, P.O. Box 7517, Albuquerque, NM 87194
Application # ___________
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