Texas Angus Association Scholarship Application Application must be filled out in detail and postmarked by April 1, 2013. When completed mail to: Texas Angus Association Scholarship Chairman 131 East Exchange Ave. Suite 116 Fort Worth, TX 76106 1. Applicant_________________________________________________________ (Last Name) (First Name) (Middle Name) 2. Home Address__________________________________________________________ (Street or Rural Rt. & Box #) (City, State & Zip) 3. Date of Birth____________________________________________________ 4. Where do you live: Farm/Ranch_____________Rural/non-farm ___________ Small Town_____________ City____________ 5. Name and address of High School __________________________________ __________________________________________ 6. Name and address of High School Principal ___________________________ ________________________________ 7. List the various activities and awards you received in high school: (Please use additional paper but be brief) 8. If you are a freshman or sophomore in college, list the activities you are currently involved in. (Please use additional paper but be brief) 1 Family Information 1. Name, address, telephone number and occupation of parents or guardian: (Name) (Address) (City, State & Zip) (Telephone include AC) (Occupation) 2. Number of Brothers _________ List their ages _______________ Number of Sisters _________ List their ages _______________ 3. Will you have any brothers and/or sisters attending college at the same time as you are attending? _______Yes _________ No If yes, number _____________________ 4. Does your family own purebred Angus cattle? _________________________ 5. Does your family use purebred Angus bulls, AI or natural? _______________ 6. Do you own any purebred Angus cattle? _________ If so how many? ______ 7. Are your parents members of Texas Angus Assn. _____________ Years ___ Applicants Signature_______________________________________ Date ___ Parent/ Guardian Signature _________________________________ Date ___ 2 Personal Information 1. Number of years in: 4-H ________________ FFA ________________ 2. Are you a member of the TJAA? ___________ Number Years ________ 3. Are you a member of the NJAA? ___________ Number Years ________ 4. Please write a brief essay about your involvement with Angus cattle. (Please use additional paper but be brief) Academic Information And College Plans 1. Rank in graduating class __________________________________________ 2. Number of students in graduating class ______________________________ 3. Date of High School graduation ____________________________________ 4. S. A. T. / A. C. T. Score __________________________________________ Date and years taken ____________________________________________ 5. Have you applied for admission? _________ Yes _________No 6. Have you been accepted? ____________Yes _________No 7. Have you received any other scholarships? ___________Yes __________No If yes please list _______________________________________________ 8. College or university that you plan to attend and what will be your classification? ____________________________________________________________ 9. Degree course in which you plan to major ____________________________ 10. Where will you live while in college? ________________________________ 3 Personal Reference for Texas Angus Assn. Scholarship Dear Sir/Madam, The Texas Angus Association annually awards 2 scholarships for $1500 each. The person listed below is applying for one of these scholarships. He/she has requested that you be one of the three personal references. Applicants Name: __________________________________________________ To maintain confidentiality, this completed form and a brief letter must be mailed directly to the address below by April 1st of this year. Texas Angus Association Scholarship Chairman 131 East Exchange Ave. Suite 116 Fort Worth, TX 76106 The application includes a section for detailed information on activities and honors, we are mainly interested in your candid appraisal of the applicants attributes and character. Personal rating of the applicant: (circle one in each category) Citizenship Very Good Good Average Communication Skills Very Good Good Average Integrity Very Good Good Average Intelligence Very Good Good Average Leadership Very Good Good Average Personality Very Good Good Average Poor Poor Poor Poor Poor Poor To what degree of confidence do you recommend this applicant for a scholarship? ______Highly _________Good _________Fair ________With some doubt We ask that you include your personal comments in a brief letter. Signature:__________________________________________Date:__________ Name:___________________________________________________________ Address, City, State & Zip:___________________________________________ Phone and E-Mail:_________________________________________________ Affiliation – Please circle the one that describes your relationship with the applicant. 1. School Principal, Superintendent, Counselor or Instructor 2. Minister or Church Youth Advisor 3. County Agent, FFA or 4-H Adult Leader, Beef/Livestock Assn. Advisor 4. Employer 5. Angus Breeder 4