Missouri Pet Breeders Association Scholarship Chairman, Brenda Arnett 38669 Antwiler Ave Edwards, Missouri 65326 Dear Counselors or Missouri Pet Breeders Presidents Enclosed you will find the 2008 Missouri Pet Breeders Revised Scholarship copy for your chapter or school/university to hand out for upcoming high school graduates or college students. Please photo copy as many as you need. Please, let the applicants know that the deadline is April1st. Please, keep this copy in your file for next year for future applicants. If you have any questions please call 417998-5001. We are hoping for a big response from applicants. Thank you for handing these out for the Missouri Pet Breeders Association. Sincerely yours, Brenda Arnett, MPBA Scholarship Chairman Missouri Pet Breeders Scholarship Program A TOTAL OF 4- $500 SCHOLARSHIPS WILL BE AWARDED PER YEAR. TWO TO HIGH SCHOOL GRADUATES ABOUT TO ENTER COLLEGE AND TWO TO STUDENTS ALREADY IN COLLEGE. STUDENTS MAY REAPPLY FOR A SCHOLARSHIP EACH YEAR. ALL RECIPENTS MUST BE MISSOURI RESIDENTS. REQUIREMENTS: 1. Grade point average of 3.00 or better must be maintained. 2. Full Time Hours. 3. 3+ hours of Ag related classes per semester (includes science & chemistry). 4. Community services in Ag. related organizations or employment in Ag. related job. 5. Essay of 500 to 1,000 words or more typed. A. How will you contribute to the Ag. Community upon completion of your degree? B. What/who inspired you to seek a career in agriculture? C. What Ag related organizations have you been involved in? What did you learn? Any awards? Special projects? D. How can we promote a positive attitude toward Ag related business? E. How can we promote our industry? F. How can we educate the general public to develop an understanding of some of the current concerns facing agriculture? 6. Must be a member of MPBA yourself, Parents or Grandparents and a photo copy of the current years membership card attached. 7. Students must go to an accredited 2 or 4 year college. Copy of acceptance letter attached. 8. Copy of current grades/transcript attached. 9. Three character reference (letters would be appreciated) 10. Local newspaper address where you would like your photo displayed and 1 4x6 photo Your winning photo will be displayed in our monthly magazine, displayed at our Spring and Fall Seminars 11. Age limit 24 years and under. 12. Additional information or photo's are welcomed to inform us about you. 13. Please fill out the additional pages. Deadline is April 1st Send applications to : MPBA Scholarship Chairman, Brenda Arnett, 38669 Antwiler Ave, Edwards, Mo. 65326 417-998-5001 Page 2 MISSOURI PET BREEDERS ASSOCIATION APPLICATION FOR EDUCA TIONAL SCHOLARSHIP The following information will not be given out only for the Scholarship Committee and the Treasurer of the Missouri Pet Breeders Association. (It will be on file for seven years). Full Name of Applicant: _____________________________________________________________________ Social Security Number ______________________________________ Date of Birth __________________ Street Address: ___________________________________________________________________________ City: ____________________________________ State: ________________ Zip Code: ________________ Telephone Number: _________________________________ Cell Number: ___________________________ Name of Parents/Guardian: __________________________________________________________________ Address: ________________________________________________________________________________ Name of Parent/Grandparent who is member of MPBA: ___________________________________________ Name of High School you last attended: _______________________________________________________ Address: __________________________________ Telephone Number: ____________________________ Year of Graduation __________________________ *GPA on graduation ____________________________ * ACT Score _______________________________ *Class Rank __________________________________ *List of school activities in which you have been involved and awards you have received: Major that you will be pursuing: _____________________________________________________________ Name of College to which you have been accepted: _____________________________________________ Beginning date of term to begin college: _______________________________________________________ Address: ________________________________________________________________________________ Telephone Number: __________________________________ Page 3 Missouri Pet Breeders Scholarship Application The following information will be used solely for the purpose of determining the need for financial assistance from the Missouri Pet Breeders Association. Name of Applicant __________________________________________________________________________ Parent/Guardian/Family Information: (use as many pages as necessary) A. Number of Family members ________________________________________________________________ Includes parents, other children or family members for whom they provide more than half of their support B. Ages of all children who are claimed as dependents _____________________________________________ c. Number of Family members in college at least half-time during the next calendar year (include applicant) _______________________________________________________________________________________ For the year immediately past, what was the family's Adjusted Gross Income? ________________________ (Use adjusted Gross income line from Federal IRS forms. If information for the year immediately past is not available, give the prior year) E. Are there any special circumstances that have influenced your need for financial assistance? F. What is your expected cost for this next year of college? List cost of books, tuition cost, housing cost, etc. I verify that this information is true and accurate. Failure to provide true information and accurate information may result in forfeiture of any scholarship award. Signature of Applicant ______________________________________________ Date ___________________ Signature of Parent/Guardian ________________________________________ Date ___________________ Page 4 *Employment History: Employer Address Phone # Length of Employ Duties _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ List of Three Character References (Do not list relatives) reference letters would be appreciated Name Address Phone# Occupation _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ Local Newspaper Name: _________________________________________________________________ (list as you would like for it to appear in paper and MPBA monthly magazine) Address: ______________________________________________________________________________ City: ______________________________________ State: ______________ Zip Code _______________ Telephone Number ___________________________________ Please see the Scholarship Guidelines and send appropriate information with this application Any additional information you would like to attach or photos would be welcome to inform the committee about yourself. Scholarship Deadline is April 1st The information that I have provided is correct Signature of Applicant __________________________________________ Date ____________________ Signature of Parents/Guardian ____________________________________ Date ____________________ (High School Students) Return To: MPBA Scholarship Committee Chairman: Brenda Arnett 38669 Antwiler Ave Edwards, Missouri 65326