New Mexico Landmen S Association

Scholarship Application Form

New Mexico Landmen’s Association P.O. Box 718 Roswell, NM 88202-0718

Application for Fall Semester 2016 Name: ______Email: ______Address: ______DOB: ______Sex: _____ Name of Parent or Guardian: ______Address: ______College: ______Major: ______Address: ______Are you a fulltime student (Enrolled in a minimum of 12 credit hours)? ______Total College Credit Hours: ______Last Semester GPA: ______Overall GPA: ______List other forms of aid (grants, scholarships, etc.) you are currently receiving: Amount ______List other scholarships you have applied for: Amount ______

High School Students Only Why do you feel you deserve this scholarship? ______Leadership positions held (Club President, Committee Chairman, etc.) ______Activities: ______Honors and Awards Received: ______Goals: ______Education: (List all High Schools and Colleges Attended) Name of School Address Dates Attended Graduation Date ______References (Not Relatives): Name Address ______

Counselors Must Complete the Following Section for all High School Students Student Name: ______High School Name: ______Graduation Date: ______High School GPA: ______Counselor Signature: ______Date: ______

I hereby apply for scholarship aid to assist in the payment of my educational expenditures and consent to the release of information concerning my academic and or financial information to scholarship donors and scholarship selection committees. Signature: ______Date: ______ Please attach the following documentation with your application:  Two Letters of Recommendation  Official High School or College Transcript (if applicable)  Financial Aid Award Letter (if applicable)  DEADLINES Mail to: NMLA P.O. Box 718 Roswell, NM 88202  High School seniors and first time College Applicants must apply by May 30, 2016 preceding the Fall term for which the scholarship is requested.  College Students must reapply by May 30, 2016, preceding the Fall term for which the scholarship is requested.

Mail to: NMLA P.O. Box 718 Roswell, NM 88202