DBC DEDWYLDER/McBRIDE EHD SCHOLARSHIP APPLICATION June 2013 The Deer Breeders Corporation will be awarding scholarships to students that have demonstrated a strong desire to work with White-tailed deer (WTD) and who are currently enrolled in the Texas A&M University DVM program. The support for this scholarship is provided by the Epizootic Hemorrhagic Disease (EHD) Vaccine program, its lead veterinarians Dr. Dedwylder and Dr. McBride, and the DBC members. The DBC recognizes white-tailed deer as one of the states’ greatest resources and an integral part the growing deer industry in Texas. The DBC is a member based organization that provides its members resources and services to assist their deer breeding programs. There is growing demand for veterinarians with awareness for safely treating and handling white-tailed deer. In order to be considered for a scholarship in 2013, students must meet the minimum requirements listed below, and submit a completed application no later than June 15, 2013. This scholarship is open to all students currently enrolled in their 2nd or 3rd year of the Texas A&M University DVM program. Students may be judged on the following categories: Academic excellence Prior work, research, or veterinary experience with cervids Cervid Medicine Elective Potential contributions to the Deer Industry Minimum Student Requirements Students must be in enrolled and in good standing with the Texas A&M University DVM Program Students must be in their second or third year (entering third and fourth year in the Fall) Students awarded a Dedwylder/McBride EHD scholarship will be required to complete a rotation with Dr. Dedwylder or Dr. McBride. Deer Breeders Corporation · 210 West Davis, Suite 106 · Mesquite, TX 78149 · (866) 972-5001 · Fax (972) 289-3103 DBC DEDWYLDER/McBRIDE EHD SCHOLARSHIP APPLICATION June 2013 Students currently enrolled in the Texas A&M University DVM program must complete the following application and submit it to the DBC by June 15, 2013 to be eligible for this scholarship. Students awarded this scholarship will be required to complete a rotation with either Dr. Dedwylder or Dr. McBride. Section I: Personal Information Last Name First Name Middle Initial Address City Home Phone Cell Phone . Date of Birth Social Security Number . State Zip Email Address \ . . Section II: Education Information Sec Undergraduate Information University Attended . Degree(s) GPA . Current DVM Program University . Expected Graduation Date Current GPA . Section III: College Activities and Organizations Dates Activity/Organization Office or Honor Deer Breeders Corporation · 210 West Davis, Suite 106 · Mesquite, TX 78149 · (866) 972-5001 · Fax (972) 289-3103 DBC DEDWYLDER/McBRIDE EHD SCHOLARSHIP APPLICATION June 2013 Section IV: Employment History Job Date of Employment Hours/week Section V: Financial Information Are you applying for other scholarships, grants, or loans? □ Yes □ No If you answered “yes” to the question above, please list the scholarships, grants, or loans you have applied for or received. Name of Award Date Applied Type Total Value (scholarship, grant, loan) Status (confirmed, pending) Section VI: Other Information Have you ever been convicted of a felony? □ Yes □ No Have you ever been convicted of, or pled Nolo Contendre’ for a game violation in Texas or any other State? □ Yes □ No Have you ever been convicted of a “Class A” Misdemeanor? □ Yes □ No Deer Breeders Corporation · 210 West Davis, Suite 106 · Mesquite, TX 78149 · (866) 972-5001 · Fax (972) 289-3103 DBC DEDWYLDER/McBRIDE EHD SCHOLARSHIP APPLICATION June 2013 Section VII: Deer Industry Experience Have you completed the Cervid Medicine Elective offered by Texas A&M? □ Yes Does your family have/or work for a licensed deer breeding operation? □ No □ Yes □ No If you answered “yes” to the question above, please complete the following: Name Title (owner, manager, biologist, etc) Relation Ranch Name TX # (if located in Texas) Please list any additional experiences with deer: Deer Breeders Corporation · 210 West Davis, Suite 106 · Mesquite, TX 78149 · (866) 972-5001 · Fax (972) 289-3103 DBC DEDWYLDER/McBRIDE EHD SCHOLARSHIP APPLICATION June 2013 All scholarship applications must be received no later than June 15, 2013. All of the required information should be sent to the following address: Deer Breeders Corporation c/o Scholarship Committee 210 W. Davis, Suite 106 Mesquite, TX 75149 Phone (866) 972-5001 Fax (972) 289-3103 Complete Scholarship Application Checklist: □ Complete Application □ Two letters of reference One from a past or present professor One from a past or present employer □ Official College transcript Winners will be announced no later than July 9, 2013 and will have until September 1, 2013 to show proof of enrollment in order to receive funds. Recipients will be expected to attend the Fifth Annual DBC Convention scholarship ceremony July 26-27, 2013. The convention will be held at The Westin La Cantera in San Antonio, TX. If selected to receive a Deer Breeders Corporation Scholarship, I understand that I am expected to attend the scholarship ceremony, provide proof of enrollment, and complete a rotation with Dr. Dedwylder or Dr. McBride. This signed application grants permission for the applicant to be photographed or interviewed in connection with the potential award of a DBC scholarship. The applicant understands that any such photograph or interview may be used by the Deer Breeders Corporation in film, visual, graphic, electronic, printed or other media. I affirm that the above information and statements in the application are true, accurate and complete. I understand that any false statement may result in dismissal of the application and revocation of any awarded scholarship. Applicant Signature Date Deer Breeders Corporation · 210 West Davis, Suite 106 · Mesquite, TX 78149 · (866) 972-5001 · Fax (972) 289-3103 .