CINCH SCHOLARSHIP. Application. Full Legal Name: First: Last: Middle Initial: Academic Information (If home schooled please check line below)

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CINCH SCHOLARSHIP Application Mail completed application, completed essay and school transcript* to: Miller International Attn: Natalie Roberts, 8500 Zuni St., Denver, CO 80260 All must be post-marked by 12/31/17. Personal Information Date of Birth: Gender - Male: Female: State: Country: ` Cell Number: Work Number: Email Address: Citizenship: Are you a U.S. Citizen? Yes Are you a U.S. Resident? Yes No No Academic Information (If home schooled please check line below) Home Schooled? Yes NO Grade (Circle one): JR HIGH FRESHMAN SOPHMORE JUNIOR SENIOR High School: High School Name: Address: State: Other High School: If applicable High School Name: Address: State:

College: Which college do you plan on attending? College Name: Address: State: Activities and Leadership Activities: List your top four community service activities and positions of leadership held: 1. Activity: 2. Activity: 3. Activity: 4. Activity: Academic Honors: List your top four academic honors below: 1. Academic Honor: 2. Academic Honor: 3. Academic Honor: 4. Academic Honor: Memberships/Associations: List your top four associations of which you are an active member: 1. Membership: 2. Membership: 3. Membership: 4. Membership: Special Interests: List your top four special interests (i.e.: roping, barrel racing, travel, music, etc): 1. Special Interest: 2. Special Interest: 3. Special Interest: 4. Special Interest:

Employment Employment History: List your current and most recent employers 1. Employer: Hours per week: Employed From: (mm/dd/yyyy) To: (mm/dd/yyyy) State: 2. Employer: Hours per week: Employed From: (mm/dd/yyyy) State: To: (mm/dd/yyyy) Family Information Father/Legal Guardian: Date of Birth: State: Country: Cell Number: Work Number: Occupation: Employer: Mother/Legal Guardian: Date of Birth: State: Country: Cell Number: Work Number: Occupation: Employer:

ISCHOLARSHIP Essay Questions Choose ONE of the following essay topics to write between 250 and 500 words on the topic About You: 1. Complete a one-page personal statement. Give us a picture of you as an individual, with words. 2. Who is the most influential person in your life and how has this person positively affected you? 3. Why do you compete in rodeo? And what makes you proud to be a member of the NHSRA? About Academics: 1. Discuss the reasons for pursuing a college education. What are your career goals and plans in regards to finishing college? 2. If accepted to college, what would you choose to study? Why? How would you apply your learning to benefit your chosen field? About Creativity: 1. Describe a significant event in your life. What was the significance of this experience and how did it affect you? 2. What is the best advice you have either given or received? 3. If you had the opportunity to interview any prominent person who would it be? Why? 4. What advice would you give to someone beginning their high school career? 5. You have won a prize for an invention. What did you invent and why did you invent it?

Cinch Scholarship Rules & Regulations Rules, Regulations and Specifics $2,000 Academic Scholarships awarded for Cinch (Male Only) Junior High Division $2,000 Academic Scholarships awarded for Cinch (Female Only) Junior High Division $2,000 Academic Scholarships awarded for Cinch (Male Only) High School Division $2,000 Academic Scholarships awarded for Cinch (Female Only) High School Division Any applicant can be in any level of High School or Junior High Competition Applicant must be a member of the NHSRA Winner must use the scholarship funds toward their first semester at an accredited college. Open to any NHSRA or NHSRA JH Member (does not need to be a member of Cinch Rodeo Team or Cinch Shooting Team to qualify) Application Process Complete entry application Complete essay based on one of the topics from the list on the previous page. Essay must be longer than 250 words but no more than 500 words Send an official school transcript with list of completed classes, grades and GPA included The official school transcript should show that you are also currently enrolled in classes. Must be an active student at an accredited high school *Home school students are not required to provide official school transcripts Specifics Winner to be chosen based on criteria set by Cinch marketing team. Valid entries include completed application, official school transcript with proof of GPA and class enrollment (*exception for home school students) and one completed essay question (250 to 500 words) from the list provided. Applications/essay questions will be available on NHSRA and Cinch websites by October 1, 2015. All application materials mentioned above must be mailed in or emailed to Miller International ATTN: Natalie Roberts, 8500 Zuni St., Denver, CO 80260 and postmarked by 12/31/16. Email to nroberts@miller-international.com Scholarship winners will be announced on 2/1/17. Scholarship funds will be dispersed directly to the recipient s university. Student must use the scholarship for their first semester s tuition at an accredited college or university. Student must provide an official school transcript for proof of first semester enrollment before scholarship funds are dispersed. The following items will be required from the winner: Full legal name, mailing address and phone number, permanent addresses, email address, copy of driver s license, accredited college or university s name and complete contact information, class schedule or legal transcript proving enrollment, parent/guardian complete contact information and signatures, and recipient s signature on release form.