CATTLEMEN’S DAYS, INC./ CSI

 4-H/FFA SCHOLARSHIPS

APPLICATION

Name: ______________________________ Age: ______DOB:__________

Address: ______________________________________________________

City: _________________________ State: ______ Zip Code: ___________

Parents’ Names:________________________________________________

Phone #: ________________________

GPA(cumulative through 7^th semester):__________Years in 4-H/FFA:_____

Years Exhibited at Cattlemen’s Days: _____________

1.       List 4-H/ FFA activities, awards, exhibition results, and offices held

           (list chronologically by year; subject to verification by County

            Extension Agent and/or FFA Advisor):

2.       List other organizations/activities outside of 4-H/ FFA and awards:

3.       Describe any special talents or qualifications that may qualify you for

          this scholarship:

4.       Write a short essay on your reasons for applying for this scholarship

          and how you would use it:

5.       State your career goals and steps you plan to take to achieve these

          goals:

I certify that I have been accepted for admission to a post-secondary institution of learning. I have attached my high school transcript, which verifies GPA given. I have attached two letters of reference from non-related persons describing character, leadership, responsibility, citizenship, and community involvement. I understand award eligibility is subject to verification of requirements and selection of the scholarship committee.

_____________________________________________         ____________

                         Applicant Signature                                                Date