<p> Margie Holt Memorial Scholarship Application 1110 Hawkins Drive Elizabethtown, KY 42701 Phone (270) 737-5665 Fax: (270) 769-9079 E-mail [email protected]</p><p>Qualifications</p><p>SCHOLARSHIP APPLICANTS MUST MEET THE FOLLOWING CRITERIA:</p><p>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.</p><p>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.</p><p>Scholarship deadline is March 1, 2017</p><p>This scholarship may be awarded to the same person three times.</p><p>A letter of recommendation from two sources must accompany this application. (School Principal, Minister, a part-time employer, etc)</p><p>APPLICATIONS SHOULD BE SENT TO:</p><p>KENTUCKY PORK PRODUCERS ASSOCIATION 1110 HAWKINS DRIVE ELIZABETHTOWN, KY 42701</p><p>Please include a picture of yourself.</p><p>All information except Letters of Recommendations must be typed.</p><p>There will be no discriminations based on Sex, Age, Race, National Origin, Religion, or Handicap. All information given will be strictly confidential. BIOGRAPHICAL INFORMATION</p><p>Name: ______</p><p>BirthDate______Age______Sex______</p><p>Social Security Number: ______</p><p>Address:______</p><p>City:______Zip Code:______</p><p>County ______</p><p>Telephone Number:______County:______</p><p>Father’s Name & Occupation:______</p><p>Mother’s Name & Occupation:______</p><p>Name & Address of the School you currently attending: ______</p><p>Overall GPA (Grade Point Average): High School______or College:______</p><p>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: ______</p><p>Name: Age: Grade: School:</p><p>______</p><p>Signature of Local Pork Producer President, Executive Director or any KPPA Board Member Attach additional sheets if necessary to answer questions</p><p>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.)</p><p>In 100 words or less your family’s financial status explaining why you need this scholarship.</p><p>Yes No</p><p>Have you exhibited animals in a swine show in the past 3 years? ______</p><p>Have you or your parents done volunteer work for your local or state pork producers group? ______</p><p>Have you or your family attended a state convention? ______</p><p>Have you participated in a 4-H or FFA Swine Speaking Contest? ______</p><p>Do you have specific responsibilities in your family swine operation? ______</p><p>SCHOOL OFFICIAL SECTION</p><p>Number in Graduation Class______Rank in Class______(H.S. only) Grade Point Average: ______(College include copy of grades)</p><p>ACT Test Scores Science English Math Reading Reasoning Comp</p><p>______</p><p>I swear the information contained in this application is correct to the best of my knowledge.</p><p>______Signature of Applicant</p><p>______Parents Signature</p><p>This student is in good standing in this Educational Institution.</p><p>______Signature of School Principal</p><p>Counselor’s Comments:</p><p>______Signature of Guidance Counselor Judges Information</p><p>Grading Scale</p><p>40 Total Points</p><p>Need 15</p><p>Academics 10</p><p>School Activities 5</p><p>Recommendation 5</p><p>Pork Related Activities 5</p><p>**In case of a tie, the judges make the final decision. Please select an alternate.</p><p>$500.00 Scholarships</p>