Texas Farm Bureau District Scholarship Program
SCHOLARSHIP SPECIFICS Each TFB District, in which applications are received, will award 4-$1,000 scholarships
Scholarship will be awarded $500 per semester for two semesters
ELIGIBILITY REQUIREMENTS Must be a graduating High School Senior 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. Must include a copy of the applicant’s Official High School Transcript as well as SAT and/or ACT test scores 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. o Must have completed a project that promotes Farm Bureau, or have completed a community service project which promotes agriculture. Listed below are 10 examples of projects for the District Scholarship. The project should demonstrate that the student has “given back” to agriculture or the community. The project may have been completed as part of student’s involvement in 4-H, FFA and other youth programs. Worked with county Farm Bureau as a facilitator or group leader at an Agriculture in the Classroom County Ag Fair. Worked with local wildlife biologists to develop habitat. Worked with an equine therapeutic riding program. Worked on County Fair cleanup/preparation. Helped with Texas Farm Bureau - Planet Agriculture. Helped with county Food Check Out Day project Helped present programs from the “Mobile Learning Barn” at an event in the county. Recruited students to attend the Texas Farm Bureau Youth Leadership Conference Spoke at a community event or civic organization to promote agriculture. Spoke on the radio or other public venue to promote agriculture. DISTRICT SCHOLARSHIP APPLICATION PAGE 2
DEADLINE FOR APPLICATION:
Application must be postmarked no later than March 19, 2012 NO FAXED OR EMAILED APPLICATIONS WILL BE ACCEPTED
Scholarship recipients will be announced no later than May 1, 2012 APPLICATIONS CAN BE MAILED TO: Texas Farm Bureau Attn: Coleburn Davis, Youth Scholarship Coordinator PO Box 2689 Waco, TX 76702
QUESTIONS? Contact Coleburn Davis at 254-399-5037 or [email protected]
To fill out this application online, please visit www.txfb.org (Completed applications and other requested documentation must be mailed to the above address) FAXED OR EMAILED APPLICATIONS WILL NOT BE ACCEPTED TEXAS FARM BUREAU 2012 DISTRICT SCHOLARSHIP APPLICATION
(Please provide all information requested. Do not add pages to the application other than the narrative detailing the project. Applications not conforming to these guidelines will be disqualified. ) To fill out this application online, please visit www.txfb.org
(COMPLETED APPLICATIONS AND OTHER REQUESTED DOCUMENTATION MUST BE MAILED TO THE ABOVE ADDRESS) FAXED OR EMAILED APPLICATIONS WILL NOT BE ACCEPTED
Name First Middle Last
Address Street City State Zip
Phone ( ) ( ) Home Other (Cell / Business)
E-Mail Social Security # - -
Farm Bureau Information County Membership Number Family Information:
Father Employer Occupation
Mother Employer Occupation Parents Address (If different than Above) Street City State Zip
Other Dependent Children
Names Ages Grade
Will any siblings attend college during the same period as this applicant?
High School Attended Address City/Zip
Phone GPA Graduation Date
Applicant’s rank in Graduating Class Out of High School Grade Point Average through last completed semester (GPA based on 100 points unweighted) GPA (Based on 100 points) Applicant’s highest SAT and/or ACT score(s) SAT ACT INCLUDE A COPY OF THE APPLICANT’S OFFICIAL HIGH SCHOOL TRANSCRIPT, SAT AND/OR ACT TEST SCORES 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 Amount 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.
Please attach a narrative (no more than 2 pages) detailing your project. This project can be a Farm Bureau promotional activity or a community service project promoting agriculture. Please discuss how you planned, coordinated and carried out the project (one 8 ½’ x 11” page of pictures or other supporting documentation may be included with the application).
Signed Date Applicant
Date Parent/Guardian Applications must be postmarked no later than to: Texas Farm Bureau March 19, 2012 Attn: Coleburn Davis, Youth Scholarship Coordinator PO Box 2689, Waco, Texas 76702-2689
(COMPLETED APPLICATIONS AND OTHER REQUESTED DOCUMENTATION MUST BE MAILED TO THE ABOVE ADDRESS) FAXED OR EMAILED APPLICATIONS WILL NOT BE ACCEPTED 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.