Texas Farm Bureau Young Farmer & Rancher Scholarship Program

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Texas Farm Bureau Young Farmer & Rancher Scholarship Program Specific. 0 Each TFB istrict in which entries are received, will award one-$l,000 scholarship. 0 Scholarship will be awarded $500 per semester for two semesters. Eligibility requirements 0 Must be a graduating High School Senior 0 Must intend to pursue a career in agriculture. 0 Must be a member of a Farm Bureau family. (In accordance with Texas Farm Bureau membership guidelines). Membership must remain in good standing for the duration of the scholarship. 0 Must include a copy of the applicant's Official High School Transcript as well as SAT and/or ACT test scores, unweighted GPA on a 100 point scale and class rank and size. 0 Must submit one letter of recommendation. 0 Please include a wallet sized portrait of yourself with this application. Please print your name and County name on the back of the picture. This picture is for publication purposes and will not be used in the judging process. eadline for application Application must be postmarked no later than March 18, 2013 NO FAXE OR EMAILE APPLICATIONS WILL BE ACCEPTE Scholarship recipients will be announced no later than May 1, 2013 Appl i cat ions must be mailed to Texas Farm Bureau Attn: Coleburn avis, Youth Scholarship Coordinator PO Box 2689 Waco, TX 76702 Quest I***? Contact Coleburn avis at 254-399-5037 or cdavis@txfb.org 4 To fill out this application online, please visit www.texasfarmbureau.org * (Completed applications and other requested documentation must be mailed to the above address) FAXE OR EMAILE APPLICATIONS WIL NOT EE ACCEPTE

TEXAS FARM BUREAU YOUNG FARMER & RANCHER 2013 SCHOLARSHIP APPLICATION (Please provide all information requested and do not add pages to the application. Applications not conforming to these guidelines will be disqualified. One letter of recommendation is required.) + To fill out this application online, please visit www.texasfarmbureau.org + (COMPLETE APPLICATIONS AN OTHER REQUESTE OCUMENTATION MUST BE MAILE TO THE ABOVE ARESS) FAXE OR EMAILE APPLICATIONS WILI NOT BE ACCEPTE Name Address Phone ( ) E-Mail First Street Home Middle Last City State Zip ( ) Other (Cell / Business) Social Security # - - Farm Bureau Information Family Information: County Membership Number Father Employer Occupation Parents Address (If different than Above) Mother Street Employer City State Occupation Zip Other ependent Children Names Will any siblings attend college during the same period as this applicant? High School Attended Address Ages City/Zip Grade Phone Applicant's rank in Graduating Class Out of High School Grade Point Average through last completed semester Applicant's highest SAT and/or ACT score(s) GPA GPA (Based on 100 points) SAT ACT Graduation ate (GPA based on 100 points-unweighted) INCLUE A COPY OF THE APPLICANT'S OFFICIAL HIGH SCHOOL TRANSCRIPT, SAT AN/OR ACT TEST SCORES Yl-'&R Scholarship- Page 2

Residence Information: I live at home with my parents. I live in a single household with my Other, Please explain if you live with a guardian, grandparent or have another situation: Collegiate Information: Name of University you plan to attend: Major chosen for your Baccalaureate degree: What is your preferred career choice? Why have you chosen this career? Please list other scholarships received or pending: Name of Scholarship Received or Pending

Leadership Information: Please use this space to list major activities you have participated in and honors you have earned: A. Agriculture Leadership Activities: B. Other Leadership Activities: Please use this space to tell us why you need financial assistance to attend college. Signed Applicant ate Parent/Guardian ate Applications must be postmarked no later than March 18. 2O13 to: Texas Farm Bureau Attn: Coleburn avis, Youth Scholarship Coordinator PO Box 2689, Waco, Texas 76702-2689 (COMPLETE APPLICATIONS AN OTHER REQUESTE OCUMENTATION MUST BE MAILE TO THE ABOVE ARESS) FAXE OR EMAILE APPLICATIONS WILL NOT BE ACCEPTE Please include a wallet sized portrait of yourself with this application. Please print your name and County name on the back of the picture. This picture is for publication purposes and will not be used in the judging process. YV&.R SLholaiship- Page 5