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): ___________________________________________________________________ ___________________________________________________________________ ____________________________________________________________________ School connected clubs and activities (5 pts): ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ Application # ________ Community Clubs, etc (5 pts): _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ 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) ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ _______________________________________________________________________________ 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.) ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ Application # _______ Applicant Biography ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ 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 # ___________