Guy Shull Memorial Scholarship Sponsored by the Comanche County Saddle & Sirloin Club

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1 How to complete this form electronically: NOTE:You may wish to make duplicate (backup)copies of this file before you begin the completion process. 1. Select the hand tool. 2. Position the pointer inside the Name form field,and click. The I-beam pointer allows you to type text. 3. After entering text, press Tab to proceed to the next field. 4. You cannot save data typed into this form. 5. Print the form and submit 3 printed copies to the scholarship chairman. The following score sheet is provided so that you can see the criteria that the selection committee is asked to base their selection upon. This document can be downloaded from the internet at under "useful links" or <shari@edje.com> and request an application be ed to you. Please be sure to submit three (3) copies of your scholarship application. Deadline: February 15

2 Judge s Evaluation Form applicant APPLICATION POINTS ALLOWED POINTS SCORED Involvement and contribution in agricultural organizations (4-H, FFA, breed assns.) particularly livestock projects Assessment of applicant s future goals (i.e. lifetime goals and potential use for scholarship money) Academic Achievements (High School GPA, ACT, SAT scores) Involvement and contribution in other school, civic and church organizations Assessment of applicant s communication skills (i.e. neatness, grammatical skills) 5 5 Subtotal 50 INTERVIEW Assessment of applicant s industry leadership potential and goals Experience and knowledge of the livestock industry Poise and appearance Subtotal 50 TOTAL SCORE Application + Interview = Comments

3 Applicant s name Mailing address City State Zip Telephone number ( ) - address HIgh School that I attend Ag Teacher or 4-H Leader I, graduated this spring and plan to contin ue my education in college starting with the Fall of If I am chosen as the recipient of this scholarship, I understand that in order to accept this award I must attend a 2 or 4 y ear accredited college. I also understand to be eligible for this scholarship, I must exhibit an animal at the Comanche County Spring Livestock Show. Applicant s Signature Date Deadline: February 15, 2011 SUBMIT THREE (3) COPIES OF APPLICATION Return to: Shari Holloway State Hwy 5 Chattanooga, OK If questions, call (580) or <shari@edje.com> The applications received from the applicants will be judged by a committee. The top 10 applicants will then be asked to be interviewed on Monday, Feb. 28, 2011, beginning at 4 p.m. in the Great Plains Coliseum Annex. The top 10 applicants will be contacted with further information concerning interview times. The scholarship will be presented at the beginning of the 2011 Comanche County Bonus Sale.

4 Application for scholarship Name _ How long have you been a member of 4-H or FFA Have you been offered other scholarships for next year? Yes No If yes, specify List school, civic and community organizations and activities in which you have participated in since Ninth grade and indicate any offices held: (attachments permitted) List any school awards or honors received in grades 9-12: (attachments permitted) Briefly describe your livestock project: College Choice College Major High School Cumulative GPA on a 4.00 scale (7 semesters) Highest ACT Composite Score Number of persons in your family living at home, including yourself How many of the above family members will be attending college next year?

5 List three references: Name Occupation Address In the space below, briefly state your future goals and how this scholarship money would be used:

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