Kentucky Pork Producers Association

Margie Holt Memorial Scholarship Application 1110 Hawkins Drive Elizabethtown, KY 42701 Phone (270) 737-5665 Fax: (270) 769-9079 E-mail [email protected]

Qualifications

SCHOLARSHIP APPLICANTS MUST MEET THE FOLLOWING CRITERIA:

The applicant must be actively involved in production or promotion of pork in the state of Kentucky. The applicant’s family must be a paid member of the Kentucky Pork Producers Association.

The applicant must have a GPA of 3.0 for High School, or GPA of 2.0 for all College work or Technical School. Attach transcript of grades.

Scholarship deadline is March 1, 2017

This scholarship may be awarded to the same person three times.

A letter of recommendation from two sources must accompany this application. (School Principal, Minister, a part-time employer, etc)

APPLICATIONS SHOULD BE SENT TO:

KENTUCKY PORK PRODUCERS ASSOCIATION 1110 HAWKINS DRIVE ELIZABETHTOWN, KY 42701

Please include a picture of yourself.

All information except Letters of Recommendations must be typed.

There will be no discriminations based on Sex, Age, Race, National Origin, Religion, or Handicap. All information given will be strictly confidential. BIOGRAPHICAL INFORMATION

Name: ______

BirthDate______Age______Sex______

Social Security Number: ______

Address:______

City:______Zip Code:______

County ______

Telephone Number:______County:______

Father’s Name & Occupation:______

Mother’s Name & Occupation:______

Name & Address of the School you currently attending: ______

Overall GPA (Grade Point Average): High School______or College:______

What College or University do you plan to attend next year? Name______Address______Field of Study or Major: ______What degree do you plan to earn? ______Have you applied for this scholarship before? ______When______Have you been awarded this scholarship before? ______When______Number of Family Members living at home, excluding parents: ______

Name: Age: Grade: School:

______

Signature of Local Pork Producer President, Executive Director or any KPPA Board Member Attach additional sheets if necessary to answer questions

What school activities have you been involved in this year? List any special awards> (Or give an overall view of your four high school years.)

In 100 words or less your family’s financial status explaining why you need this scholarship.

Yes No

Have you exhibited animals in a swine show in the past 3 years? ______

Have you or your parents done volunteer work for your local or state pork producers group? ______

Have you or your family attended a state convention? ______

Have you participated in a 4-H or FFA Swine Speaking Contest? ______

Do you have specific responsibilities in your family swine operation? ______

SCHOOL OFFICIAL SECTION

Number in Graduation Class______Rank in Class______(H.S. only) Grade Point Average: ______(College include copy of grades)

ACT Test Scores Science English Math Reading Reasoning Comp

______

I swear the information contained in this application is correct to the best of my knowledge.

______Signature of Applicant

______Parents Signature

This student is in good standing in this Educational Institution.

______Signature of School Principal

Counselor’s Comments:

______Signature of Guidance Counselor Judges Information

Grading Scale

40 Total Points

Need 15

Academics 10

School Activities 5

Recommendation 5

Pork Related Activities 5

**In case of a tie, the judges make the final decision. Please select an alternate.

$500.00 Scholarships