Applicant's Name

Address

City, State, Zip

Phone #

Birthdate

Thank you for your interest in a scholarship from the Lake Travis FFA Alumni. You are eligible to apply for a scholarship if you are a graduating Lake Travis High School senior who is a current member in good standing of the Lake Travis FFA.

All applications must be postmarked by April 25, 2013. Late submissions will not be considered. If any part of the application is incomplete, it will be rejected.

Please mail applications to: Lake Travis FFA Alumni P.O. Box 342614 Austin, TX 78734

Page 1 of 7 Applicant’ Name

Parent/Guardian’s Name

School/College/University you plan to attend Note: A copy of your letter of acceptance must accompany this application.

Future College and Career Goals

ACT/SAT scores Weighted High School GPA

Note: An official transcript, which is signed by a school records official and certified with a school seal, must accompany this application.

AG COURSES List the total number of high school Ag courses you have completed. Courses

YEARS IN FFA List the total number of school years you have been an FFA member in good standing (include participation as a junior member prior to high school) Years

FFA OFFICES HELD C D A h i s a r t p e r i t School Year FFA Office a c e t r

EXAMPLE 2007-2008 Treasurer x

Page 2 of 7 Supervised Agricultural Experience During your years as an FFA member, list each animal you have raised and the level(s) at which you showed the animal. C J C M a h o c a a u k p j n p o School Year SAE Project t t o e r y r t

EXAMPLE 2007-2008 Hampshire Barrow x x x

Youth Fair Projects During your years as an FFA member, list projects entered for competition in the Travis County Youth Fair and the level at which the project placed. R e C C s R h h e C i a a r b v m m l b a School Year Youth Fair Project e p p s o

C s i i n o o l

n n a s s

EXAMPLE 2007-2008 Built a solid-oak coffee table. x

Page 3 of 7 Individual FFA Honors/Outstanding Achievements List individual CDEs and LDEs (not team honors), FFA degrees (Greenhand, Chapter, Lone Star), special awards, delegate to conventions, public speaking, showmanship awards, etc. Indicate level of achievement where applicable. N D L S a A i t o s t i r a t c o e r t a i n a School Year FFA Achievement e c l a t l

EXAMPLE 2007-2008 Star Greenhand x

FFA Team Participation List team activities such as team CDEs, LDEs, agriscience fairs, talent teams, etc. Indicate level of participation where applicable. N D L S a A i t o s t i r a t c o e r t a i n a School Year FFA Achievement e c l a t l

EXAMPLE 2007-2008 Livestock Evaluation x x x

Page 4 of 7 Other FFA Sponsored Activities List committee service, FFA camps, leadership schools, FFA-related volunteer service including Alumni events, radio and television activities, chapter exhibit preparation, etc. Some examples of volunteer service include working at the Pet Shot Clinic, building the Homecoming float, participating in an FFA service project, volunteer FFA teams such as Race for the Cure, etc. Do not duplicate activities listed in preceding sections. N D L S a A i t o s t i r a t c o e r t a i n a School Year Other Activities e c l a t l

EXAMPLE Volunteered at alumni fall Pet Shot 2007-2008 Clinic. x

Page 5 of 7 Non-FFA Activities/Achievements/Employment List your school activities, awards, memberships, offices, or other extracurricular activities. (Student Council, Drama, National Honor Society, etc.) Also list any employment held during high school.

School Year School activities, awards ,offices

EXAMPLE 2007-2008 Student Council Secretary

Page 6 of 7 Lake Travis FFA Alumni Scholarship 2013

I HEREBY AGREE TO THE FOLLOWING LISTED TERMS. IF I DO NOT FULFILL THIS AGREEMENT, I WILL JEOPARDIZE THIS SCHOLARSHIP.

 I understand that ALL scholarship recipients must show proof of enrollment prior to money being received. Payments will be made directly to the school for the Fall Semester.  I understand that if any portion of this application is found to be erroneous, the applicant may be disqualified from consideration and selection for the Lake Travis FFA Alumni Scholarship.  I am currently a member in good standing of the Lake Travis FFA.

Applicant’s Signature

Parent/Guardian’s Signature

Advisor’s Signature

Page 7 of 7