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Scholarship Application Please return the following items in a 9 x 12 envelope (please do not staple or put in a folder) with your name printed on the outside to the Johnson County Livestock Agricultural & Association office located at the Johnson County Sheriff s Posse grounds on Thursday, November 10, 2016. A mandatory instructional meeting for the Contestants and their parents or advisors will begin at 6:30 pm. If you have any questions, you may call Nanniece Goodwin at (817) 343-4953 or Megan Gross at (817) 907-3044. 1. Application must be typed only, completed, and signed by applicant and FFA or FCCLA Advisor or 4-H Agent. 2. Photograph recent 5 x 7 portrait picture on photo paper (no selfies). Please write your name and the name of your FFA/FCCLA/4-H Club on a label and then place it on the back of the picture because it will be used for printing in the local newspapers. Please do not write on the picture. 3. Resume maximum of two typed pages in Times New Roman. 4. Official Transcript in a sealed envelope and must show completion of Junior Year. ALL ENTRIES MUST BE DELIVERED ON THURSDAY, NOVEMBER 10, 2016 at 6:30 PM LATE APPLICATIONS WILL NOT BE ACCEPTED

Scholarships Contestant Name: APPLICATION Age: DOB: Gender: Male Female (as of 1/7/2017) Home Address: City: Contestant Phone #: Email: Parent s Name: Parent s Address: Parent s Phone #: Parent s Email: FFA Chapter, 4-H Club, or FCCLA: What college, university, vocational school, or technical school, do you plan to attend and what will be your major? Major: I certify that I am eligible for the Johnson County Livestock & Agricultural Association Queen & Ambassador Scholarship. Signature of Applicant I certify that this Applicant is eligible for the Johnson County Livestock & Agricultural Association Queen & Ambassador Scholarship. Signature of FFA/FCLAA Advisor or 4-H Extension Agent

How many years total have you participated in the Johnson County Junior Livestock Show & Youth Fair? In order to be eligible, a contestant must have participated in at least 3 of the last 4 years of the Johnson County Junior Livestock Show & Youth Fair. Please list & described your participation during the following years: YEAR 2017 DESCRIPTION OF PARTICIPATION 2016 2015 2014

Scholarships Write a minimum of a 500 word typed essay, double-spaced in Times New Roman font size 12 point, describing your level of participation and some of your most memorable moments or learning experiences associated with the Johnson County Junior Livestock Show & Youth Fair. You should conclude your essay with an explanation as to why you deserve to be the 2017 Queen or Ambassador. (Please submit essay on separate sheet a paper.)

Scholarships All JCLAA seniors who are in good standing with their 4-H, FFA or FCCLA chapters and who meet the following criteria are eligible to enter the Queen & Ambassador Contest. Selection Process: 1. Candidates must have been participants of Johnson County Junior Livestock Show & Youth Fair at least three out of the past four years to be eligible. 2. Candidates must complete the current year s application which also includes a resume and typed essay. (This will account for 50% of the Contestants total score and will be judged by an independent panel of judges prior to the competition.) 3. Candidates will be interviewed individually by a qualified panel of judges on a randomly drawn appointment schedule on the day of the contest. (Saturday, December 10, 2016) (This will account for 25% of the Contestant s total score.) 4. An on-stage presentation of the Contestant s essay revealing their most memorable moments and learning experiences associated with the Johnson County Junior Livestock Show & Youth Fair will be presented by each Contestant on Saturday, January 7, 2017. (This will account for 25% of the Contestant s total score.) 5. One female will be chosen as Queen and will receive a $10,000.00 scholarship and one male will be chosen as an Ambassador and will receive a $10,000.00 scholarship. One Queen Runner-up will be named and will receive a $5,000.00 scholarship and one Ambassador Runner-up will be named and will receive a $5,000.00 scholarship. 6. A Contestant who is chosen as the Queen or the Ambassador or as the Runner-up Queen or Ambassador will not be eligible for any other JCLAA Scholarships awarded in the same year. Recipient Responsibilities: The selected Queen, Ambassador, and both Runner-ups will be required to promote the JCLAA County Show prior to the event, and perform various duties during the show, including but not limited to the following: 1. Help with setting up and taking down equipment during the week of the County Show; 2. Serve as announcer during each event of the JCLAA County Show; 3. Help the superintendent of each show as directed; 4. Help set up, serve buyers, clean up, and any other required tasks as directed on Sale Day; 5. Be present at the annual JCLAA Membership Banquet on Tuesday, March 21, 2017. 6. Be present at the 2018 Queen & Ambassador Contest. Furthermore, the scholarship guidelines of the Marti Foundation and the Johnson County Farm Bureau must be followed. This includes grade reporting, and delivery each semester of your college, university, or vocational/technical school s billing invoice and enrollment.