2017 TEXAS 4-H OPPORTUNITY SCHOLARSHIP …agrilifecdn.tamu.edu/d84h/files/2010/11/4hscholarship_application... · o SAT/ACT scores (if not included on ... SECTION 1: PERSONAL INFORMATION

2017 TEXAS 4-H OPPORTUNITY SCHOLARSHIP APPLICATION Application must be typed using no smaller than a 10 point Times New Roman font and printed on regular weight white paper. All information must be complete for consideration.

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The information in the attached packet is a list of notes, ideas, and suggestions from various sources. These notes are not the “all-knowing” of scholarships, but hopefully some tips and tricks to help you. http://texas4-h.tamu.edu/scholarships/

− Minimum 10 point font.

− Use Times New Roman, Arial, Calibri, or something very easy to read. Be consistent throughout.

− Be sure to double check the line spacing and fonts. Be consistent throughout.

− Do not add additional pages.

− Do not staple. Use a binder clip.

− Must be typed or computer generated. Cannot be handwritten.

− Check for spelling, grammar, punctuation, etc.

− Have someone else proofread your application. SEVERAL TIMES!

− Make sure you have all the attachments:

o Official Transcript

o SAT/ACT scores (if not included on official transcript)

o Copy of Free Application for Federal Student Aid (FAFSA) Student Aid Report (SAR)

o Degree Plan from College Catalog

− SAVE YOUR WORK OFTEN! Computer and printer problems are a part of life!

− START EARLY!

− PROOFREAD!

Work on your FAFSA immediately! Do this NOW!!!

Even if your school counselor tells you not to do it yet, DO IT.

http://texas4-h.tamu.edu/scholarships/


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SECTION 1: PERSONAL INFORMATION Application submission category

(Baccalaureate, Technical, or Courageous Heart – only select one!)

County in which you are a member of 4-H: Extension District Number (1 – 12):

Last Name: First Name:

Middle Name (no initials): Nickname/Preferred Name (if applicable):

Phonetic Spelling of Full Name: Gender:

Mailing Address: City:

State: TX Zip:

Home Phone Number: Cell Phone Number:

Applicant’s E-mail Address: Date of Birth:

Age (as of June 1, 2017): Are you a citizen of the United States? (Yes/No):

Are you a Texas Resident? (Yes/No): How many years have you been an enrolled 4-H member?:

Are you applying for a FCCLA or FFA scholarship?: FFA FCCLA SECTION 2: COLLEGE/UNIVERSITY INFORMATION

List in priority order up to three college/universities that you have submitted applications to, status, major/course of study, and college/department in which the major is offered. Any applicant planning for a baccalaureate degree must provide at least one four year college/university.

College/University/Technical School Name Accepted Yes/No Major/Course of Study Department in which major is offered

1st 2nd 3rd

Preferred career choice (expound in career narrative): SECTION 3: LIVESTOCK SHOW PARTICIPATION

Have you exhibited, judged, or in other ways participated in the following (required for certain stock show scholarships)

LIVESTOCK SHOW PARTICIPATED (Yes or No)

IF YES, LIST THE YEAR(S) YOU PARTICIPATED (ex: 2012, 2013, 2014, etc).

Houston Livestock Show and Rodeo Rio Grande Valley Livestock Show San Antonio Livestock Exposition

Southwestern Exposition and Livestock Show Rodeo Austin

State Fair of Texas SECTION 4: SAN ANTONIO LIVESTOCK EXPOSITION – SCHOOL TOUR GUIDE

Are you planning to volunteer as a San Antonio Livestock Exposition School Tour Guide in 2017?

Only select one: • Baccalaureate • Technical • Courgeous Heart

• Everyone needs to complete the phonetic spelling; even if your name is somple.

• No dictionary symbols. • Think simplistically.

Yes or No

New 2 years

ago

List the actual year, not just

“2 years” Yes or

No

Yes or No

Don’t forget to list your career choice


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SECTION 5: INDIVIDUAL SCHOLASTIC RECORD This record is to be completed by the applicant’s high school principal or counselor. The completed record and related materials must be returned to the applicant to become part of and attached to the Texas 4-H Youth Development Opportunity Scholarship application.

Applicant’s Last Name Applicant’s First Name and Middle Name County

Name of High School Funding Classification of High School

(Public, Private, Home School, etc) NOTE TO COUNSELOR/PRINCIPAL

THE DONORS OF THE TEXAS 4-H YOUTH DEVELOPMENT OPPORTUNITY SCHOLARSHIP PROGRAM REQUIRE THAT APPLICANTS PROVIDE QUARTILE RANKING. THIS PERTAINS TO ALL FUNDING CLASSIFICATIONS OF SCHOOL (PUBLIC, PRIVATE, AND HOME-SCHOOL). THE COMMITTEE REALIZES THAT SOME SCHOOLS PREFER NOT TO RANK STUDENTS; HOWEVER, FAILURE TO PROVIDE A QUARTILE RANKING WILL RESULT IN A DISQUALIFICATION OF THE APPLICATION!

Expected date of graduation (MM/DD/YY):

Quartile ranking in graduating class (circle one): 1st 2nd 3rd 4th

High school grade point average (GPA) through the latest semester completed. MUST BE PROVIDED ONLY ON THE BASIS OF A 100 POINT UNWEIGHTED SYSTEM WITH A MAXIMUM OF 100 POINTS. (i.e. 85 or 90, NOT 3.5 or 4.0) (Extra points given for honors and AP classes should be excluded.)

MUST BE ON AN UNWEIGHTED 100 POINT SCALE. OTHER SCALES OR GPA’S OVER 100 WILL RESULT IN

DISQUALIFICATION.

OLD SAT (Jan 16 or Before)

Applicant’s highest SAT score(s). Scores must be from a single test date – combining of scores is not allowed. If the applicant has not taken the SAT, leave blank

Critical Reading Math Writing TOTAL

NEW SAT (Mar 16 or After)

Applicant’s highest SAT score(s). Scores must be from a single test date – combining of scores is not allowed. If the applicant has not taken the SAT, leave blank.

Evidence-Based Reading & Writing Math TOTAL

Applicant’s highest ACT score(s). Scores must be from a single test date – combining of scores is not allowed. If the applicant has not taken the ACT, leave blank.

Has the applicant passed all required standardized test(s) in order to graduate and attend a Texas college/university? (check one)

YES NO

A statement of personal knowledge about this applicant is not required; however, if you desire to make a statement, the selection committee will welcome any additional information you may wish to provide. Please use only the space provided on the front side of this page.

Signature certifying validity of scholastic record is required. A copy of the applicant’s official high school transcript (including Fall 2016 grades) and the SAT and/or ACT score(s) must be attached even though the information from these documents is included above.

Signature Official Title Date

School Telephone Number

Address, City, State, Zip Code

E-mail Address

• Must be completed by school principal or counselor.

• Allow plenty of time! • Accurate as of completion of fall

semester. • This form may be handwritten. • If completed electronically, be

sure it is still just one page.

• Must be on a 100 –pt scale!

• Unweighted!

Single test date

Official documentation


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SECTION 6: FINANCIAL INFORMATION Each applicant is required to complete a Free Application for Federal Student Aid (FAFSA) and submit the FAFSA Student Aid Report (SAR). Summary pages and/or submission confirmation is not acceptable. Please note that it takes approximately three to four weeks after submitting the application for you to receive the report.

Are you applying for other scholarships, grants, loans to pay for college (Yes/No): If “YES” to the above question, you are required to complete the next portion of the form (everyone must complete the narrative portion). You will need to list ALL scholarships, grants, loans, financial aid, and monetary awards that you have applied for, received, or are being considered for at the time of submission (do not list declined). You will need to provide dollar figures (estimate amount of scholarships that may be “variable” based on past amounts awarded). DO NOT LIST “VARIES”, “UNDETERMINED”, OR “UKNOWN”, UNDER THE TOTAL VALUE. YOU WILL NEED TO DETERMINE WHAT AMOUNTS HAVE BEEN AWARDED IN THE PAST OR ESTIMATE.

Definitions of financial aid you should be listing: Award(s): Honors such as Gold Star, SALE Rural Youth Award, etc.

Loan(s): Money that you have applied for or have been given with the intent to pay back. This money could be from sources such as a commercial lender, family member, or some other person/business.

Scholarship(s): Any application that you have submitted to be considered for money to be used for college expenses (i.e. tuition, housing, meals, books, etc). Scholarships for champion animals or high point honors at SALE should be listed here.

Financial Aid: Federal, state, institutional, and private fund(s) used to assist eligible students in funding their education. Financial aid can be a combination of scholarships, grants, loans, waivers, and student employment.

NAME OF AWARD TYPE (Award, Loan, Scholarship, Fin Aid)

TOTAL VALUE OF AWARD OVER ALL YEARS

STATUS (Awarded or

Pending)

Total Pending Financial Aid

Total Awarded Financial Aid

PARENT/GUARDIAN’S OCCUPATION(S)

What is your Father’s/Male Guardian’s Occupation?:

What is your Mother’s/Female Guardian’s Occupation?:

Yes or No

Do not list “depends”,

“varies”, etc. List an actual

amount.

List everthing! Be completely

honest!! See example

list.

List either “Awarded” or

“Pending” Keep documentation of all

financial aid being received. You will be

required to provde proof if selected for an interview.


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SECTION 6: FINANCIAL INFORMATION CONTINUED Provide a narrative (one page) of why you believe you need, or should receive, financial assistance, such as a Texas 4-H Youth Development Opportunity Scholarship to attend the college/university of your choice. This narrative should include details about family situations such as: care of family members, medical, and family financial burdens. HINT: Do not start your narrative with “I deserve”….

“Our family could use the financial assistance because….”

− family financial situation − parents work situation − financial hardships (medical, caring for additional family members, etc.) − additional siblings in college at the same time you are in college (before or after) − applicant's job/work − additional scholarships − savings − loans − grants − parents’ estimated contribution to you − living situation in college (with family, on own, in dorm, etc) − Will you have a job in college? − Do you plan to do an internship? Will it pay you? Or is cost out-of-pocket? − Do plan to participate in extra-curricular activities that may cost out-of-pocket?

Describe what costs you will be incurring:

- Tuition, fees - Books - Housing - Meals

Information pertaining to cost of college can be received from University’s financial aid department, university catalog, or Texas Higher Education Board website: http://www.collegeforalltexans.com Write creatively! It helps the judges remember your application better! In your narratives:

− Important information at TOP − Consider underlining/bolding key words/phrases − Bullet lists

Submit FAFSA Student Aid Report (SAR) with the application (at the back).

− It provides an Expected Family Contribution (EFC) amount that a student can plan to receive from parents/guardians

− Takes approximately 3-4 weeks for processing − Also helps applicant know of other forms of financial aid/grants/loans. Forms and process is accepted at all

colleges and university. https://fafsa.ed.gov/

COMPLETE YOUR FAFSA

NOW!!!

A few hints…

http://www.collegeforalltexans.com/

https://fafsa.ed.gov/


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SECTION 7: PROJECT EXPERIENCE 4-H PROJECT: List up to four (4) of your most significant 4-H projects throughout your entire 4-H career. Describe years involved, knowledge and skills gained, scope and activity related to projects, demonstrations, talks, exhibits, workshops, tours, interviews, etc. Describe why these projects were important and significant and what impact your involvement provided you to have on other people. Put emphasis on the quality of your experience, rather than quantity. Please reference the level of participation/involvement as L=local, C=county, D=district, R=regional, S=state, N=national, and I=international. DO NOT ADD ADDITIONAL PAGES BY EXCEEDING THE AMOUNT OF ROOM PROVIDED. Pages 5-7 are all about your 4-H experiences. Page 8 is about your non-4-H experiences.

− Minimum 10 point font. − Use Times New Roman, Arial, Calibri, or something very easy to read. Be consistent throughout. − Be sure to double check the line spacing and fonts. Be consistent throughout. − Check for spelling, grammar, punctuation, etc.

USE YOUR 4-H RECORDBOOK AS A GUIDE You can list up to 4 projects. You can cover your entire 4-H career. (That is different from a 4-H Recordbook.) Example packet: pages 1-2 Be sure to reference your level of participation (L, C, D, R, S, N, I) Questions to get you thinking:

− What knowledge and skills did you learn? − Where did you learn it: (Activities you participated in) meetings, workshops, tours, camps, seminars, etc. − # of exhibits prepared (i.e. meals prepared, garments/items made, animals purchased, raised, etc.) − Hours worked in project area − Number of competitions attended

(livestock shows, food shows, etc) − Presentations made − What is the significance of what you

learned? How will it help you? Highly recommended:

− Do not write in paragraph form in this section.

− Use a list or chart and then can add complete sentences when discussing significance.

− Bold key words.

MAKE THIS EASY TO READ AND

UNDERSTAND!

Example


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SECTION 8: LEADERSHIP EXPERIENCE 4-H LEADERSHIP ROLES: List up to twenty-five (25) major 4-H leadership roles throughout your 4-H career. Include volunteer, promotion, and elected/appointed leadership. List roles and responsibilities, years, and levels of involvement as L=local, C=county, D=district, R=regional, S=state, N=national, and I=international. Put emphasis on the quality of your experience, rather than quantity. DO NOT ADD ADDITIONAL PAGES BY EXCEEDING THE AMOUNT OF ROOM PROVIDED. DO NOT ALLOW INFORMATION TO EXTEND TO THE NEXT PAGE.

YEAR LEADERSHIP ROLE LEVEL OF

INVOLVEMENT ROLE, RESPONSIBILITIES, DUTIES, AND/OR ACCOMPLISHMENTS

(BRIEF STATEMENTS)

You can list maximum of 25 major leadership roles. The chart will expand to allow you to type more than one line. However, do not go over this one page. Example packet: pages 2-3 Ideas to get you thinking:

− What activities/offices were you elected/appointed to? (Elected/Appointed) o Offices held o Committees

− What did you volunteer to do as a part of 4-H? (Volunteer)

o Organized workshop o Workshops presented/taught/assisted o Committees led

− What did you do to tell someone else about 4-H? (Promotional)

o Build and ride in a float for parade o Recorded Radio program o Write news article

At what level did you to do this (Local, County, District, State, National, International)?

Quality of experience!

Answer the question:

“SO WHAT??”

A few hints…

Example


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SECTION 9: CITIZENSHIP/COMMUNITY SERVICE EXPERIENCE & HONORS 4-H CITIZENSHIP AND 4-H COMMUNITY SERVICE: List up to fifteen (15) of your citizenship and community service activities. List activity, year, and your role in the activity (use Y=performed yourself, M=member of a group, P=provided primary leadership to the group). Describe why your citizenship and community service was important in these activities and what impact your involvement provided you to have on other people. Put emphasis on the quality of your experience, rather than quantity. DO NOT ALLOW INFORMATION CHARTS TO EXTEND TO THE NEXT PAGE.

YEAR ACTIVITY ROLE IN

ACTIVITY WHY IT WAS IMPORTANT AND/OR IMPACT OF INVOLVEMENT

You can list maximum of 15 citizenship/community service activities. The chart will expand to allow you to type more than one line. However, do not go over this one page. Example packet: page 3-4 As a member of 4-H, what did you do to help to help someone else outside of 4-H? Some examples may include:

− Habitat for Humanity − Toys for Tots − Canned Food Drive − Clothing Drive − Prepared meals − Trash pick-up

The more “hands-on” your community service activities are the better.

4-H HONORS: List up to four (4) of your most important honors received through 4-H. List the honor, year received, level of award (e.g. L=local, C=county, D=district, R=regional, S=state, N=national, and I=international), and why you consider the honors listed to be the most important (i.e. how did they contribute to and provide significance toward your personal development?). Put emphasis on the quality of your experience, rather than quantity.

YEAR AWARD LEVEL OF AWARD

WHY IS THIS AWARD IMPORTANT?

You can list maximum of 4 awards. But this should also be the minimum! The chart will expand to allow you to type more than one line. However, do not go over this one page. Example packet: page 4-5

Quality of experience! Answer the

question: “SO WHAT??”

Example

A few hints…

A few hints…

Example


“SO WHAT??”


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SECTION 10: OUTSIDE 4-H EXPERIENCE OUTSIDE OF 4-H LEADERSHIP ACTIVITIES, HONORS, WORK EXPERIENCE, AND VOLUNTEER/COMMUNITY SERVICE: Describe how you spent time outside of your 4-H activities, why you devoted time to a particular activity, the impact the activity had on your personal development, and how it benefitted other people. List leadership roles outside of 4-H (include school, church, other youth groups, etc). DO NOT ADD ADDITIONAL PAGES BY EXCEEDING THE AMOUNT OF ROOM PROVIDED. DO NOT ALLOW INFORMATION TO EXTEND ONTO THE NEXT PAGE. This is the section to share non-4-H activities. This includes anything and everything you do outside of your 4-H experience. Recommendation:

− Do not write in paragraph form in this section. − You can use a list or chart and then add complete sentences when discussing significance.

Example packet: pages 5-6 The examples are good formats. Be sure to list the year or number of years involved. You can format this section in many different ways. It may help to categorize your activities:

− School − Church − Work − Band − Athletics − Junior Breed associations − Other groups/associations/clubs

Or you can organize them by:

− Honors

Example

A few hints…


“SO WHAT??”


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SECTION 11: PERSONAL NARRATIVE Write or type a personal narrative about yourself, highlighting any important facts and information you believe the selection committee should know when considering your application. This would include such things as your history in 4-H, any personal obstacles you have overcome, the greatest thing you will take from 4-H, and how 4-H will help you in the future. Do not repeat any information already contained in the application. DO NOT ADD ADDITIONAL PAGES BY EXCEEDING THE AMOUNT OF ROOM PROVIDED. DO NOT ALLOW INFORMATION TO EXTEND ON TO THE NEXT PAGE. This section needs to be essay/paragraph form.

− Minimum 10 point font. − Use Times New Roman, Arial, Calibri, or something very easy to read. − Do not add additional pages. − Must be typed or computer generated. Cannot be handwritten. − Check for spelling, grammar, punctuation, etc. − Have someone else proofread your application. SEVERAL TIMES! − To make this a great narrative: You need to write it and edit it several times!!! − Recommended to complete the rest of the applications prior to writing this narrative, so as not to repeat yourself.

This is where you share some personal information about yourself. What would the committee like to hear about you? Try not to repeat information already included in application.

− What has 4-H meant to you? − How has it influenced you? − What life skills have you’ve learned that you can take with you into the future? − How long have you been in 4-H? − Do you have any personal obstacles that the committee should be aware of? − Interesting 4-H experiences? − How can you make your story stand out from everyone else’s stories?

Write creatively or share a personal story! It helps the judges remember your application better.

A few hints…


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SECTION 12: CAREER NARRATIVE Describe how you have prepared yourself to have an awareness of and an understanding about career(s) applicable to the degree or technical certificate you wish to pursue. Type of information you may provide include:

• Visits to college/universities and conversations with personnel at those institutions. • Investigations of job/career opportunities and availability • Persons/experiences that have influenced you to pursue the degree/certification you have indicated. • How you decided to pursue a technical certification versus baccalaureate or vice-versa.

DO NOT ADD ADDITIONAL PAGES BY EXCEEDING THE AMOUNT OF ROOM PROVIDED. DO NOT ALLOW INFORMATION TO EXTEND ON TO THE NEXT PAGE. This section needs to be essay/paragraph form.

− Minimum 10 point font. − Use Times New Roman, Arial, Calibri, or something very easy to read. − Do not add additional pages. − Must be typed or computer generated. Cannot be handwritten. − Check for spelling, grammar, punctuation, etc. − Have someone else proofread your application. SEVERAL TIMES! − To make this a great narrative: You need to write it and edit it several times!!!

This is where you tell the committee about what you want to do in the future.

− Why did you choose baccalaureate or technical? − What will your degree be? − Where are you wanting/planning to go to college? − Why that school? − What do you want your career to be? − What/Who influenced your career choice? − Has 4-H influenced your interest/career choice? − Have you investigated that career choice? What did you find out? − Have you visited any colleges/universities? − Other interesting information?

Write creatively or share a personal story! It helps the judges remember your application better.

A few hints…


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SECTION 13: COURAGEOUS HEART NARRATIVE (To be completed ONLY by those applying for Courageous Heart Scholarship)

Please provide a detailed narrative of the obstacles that you have, or are in the process of, overcoming. Please include how long you have been dealing with the obstacle, person(s) who has helped you through your situation, how has 4-H played a positive role in overcoming your obstacle, etc. This narrative should include details about family situations such as: care of family members, medical (personal or family), learning disabilities, family financial burdens, etc. The more complete the essay, the better the judges can evaluate your need. PAGES 11 AND 12 ARE FOR COURAGEOUS HEART APPLICANTS ONLY. This narrative should tell what your obstacle has been and how you have overcome that obstacle while remaining active in the 4-H program. Has 4-H been a part of you being able to overcome that obstacle? What did you do in 4-H despite this obstacle? Tell us your story! If you apply for Courageous Heart, you may not apply for the Baccalaureate or Technical Scholarship. If you are applying for the baccalaureate or technical scholarship, you can pull these two pages out of your application. Also attach three letters of recommendation from non-relatives. Only Courageous Heart applicants need to attach the letters of recommendation. Make sure the letters of recommendation address the obstacle and how the 4-H member has overcome or succeeded despite these obstacles.

THIS SECTION IS FOR COURAGEOUS HEART

APPLICANTS ONLY!

A few hints…


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SECTION 13: COURAGEOUS HEART APPLICATIONSONLY LETTERS OF RECOMMENDATIONS

Please provide the name, address, phone number, and email of three references for this applicant. These references should also provide a letter of recommendation in support of this application.

Recommendation letters should provide detailed information on the obstacle, how the applicant has overcome the described obstacle and continued to be successful in their 4-H career and education, along with specific reasons the applicant should be

considered for the Courageous Heart Scholarship. Letters of recommendation should be a maximum of one page in length. Letters MUST BE INCLUDED with the application but addressed to: Texas 4-H Youth Development Foundation Scholarship Selection Committee 1470 William D. Fitch, Ste 157 College Station, TX 77845

First & Last Name Address City, State, Zip

Phone Number(s), Email, and Relation to Applicant (example: Teacher, County Agent,

Family Friend, etc)

Home Phone Number: Work Phone Number: Cellular Phone Number: Email Address: Relation to Applicant:



LETTERS OF RECOMMENDATION

ARE FOR COURAGEOUS HEART

APPLICANTS ONLY!


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SECTION 14: ACKNOWLEGEMENT OF INTEGRITY, PARTICIPATION, AND CERTIFICATION I, the undersigned, certify that the information contained herein is complete, correct and truthfully reflects my personal, 4-H, and academic background and records. I agree that, if any information contained herein is found to be falsified in any way, my application will automatically become null and void and any awarded scholarship(s) revoked.

I hereby authorize any person, firm or entity to release to the Texas 4-H Youth Development Foundation, or their authorized representatives, information concerning the subject matter of the statements I have made in this application, including, but not limited to, information concerning my academic record, activities, honors and awards, citizenship or residency, and financial situation. A copy of this authorization is agreed by the undersigned to have the same effect and force as an original. Any person, firm or entity releasing matters pursuant to this authorization is hereby absolved from any liability. Furthermore, as an applicant for a Texas 4-H Opportunity Scholarship, I agree that I will fully participate in all activities and functions related to being considered for, honored, and/or recognized as a Texas 4-H Scholar. This includes my full participation in the interviews, scholarship assembly, and scholarship banquets. I acknowledge that failure to participate, from any, or all, scholarship activities will result in no further consideration, awarding, or payment if chosen as a 4-H Scholar. If you believe there are exceptional or extenuating circumstances which preclude you from attending these events, you may submit a written appeal with the State Leader for 4-H Youth Development by May 15. All exceptions must be approved by the Texas 4-H Youth Development Program and the Texas 4-H Youth Development Foundation. Please acknowledge each of the statements below by initialling with a writing pen (no type) and then sign at bottom of page. APPLICANT PARENT/

GUARDIAN STATEMENT

Information presented in this application truthfully reflects the applicant’s personal, 4-H, financial, and academic background and records.

Applicant has reviewed and acknowledges all information included in the application as a true representation of themselves.

Applicant agrees to participate in scholarship interviews. (May 5-7, 2017 – College Station, TX)

Applicant agrees to register for Texas 4-H Roundup as a Full-Time Participant.

Applicant acknowledges that based on scholarship awarded they will be required to attend at least one night of scholarship presentations on either June 6th, 7th, or 8th. If you believe there are exceptional or extenuating circumstances which preclude you from attending these events, you may submit a written appeal via email with the State Leader for 4-H Youth Development by May 15. All exceptions must be approved by the Texas 4-H Youth Development Program and the Texas 4-H Youth Development Foundation.

Included with this application are the following attachments that have been reviewed by applicant and parent/guardian and are correct.

FAFSA Report Enclosed*

Official High School Transcript*

Official SAT/ACT scores either printed on transcript or included with the Scholastic Record.

Curriculum Degree Plan from college catalog included and matches what is listed in Section 2. (Attachment should be between one and three pages – the complete catalog is not needed.)

Signature of Applicant Date

Signature of Parent/Guardian Date

*It is the responsibility of the applicant and parent/guardian(s) to review the FAFSA Student Aid Report (SAR) and High School Transcript before submiting with your application. If you would prefer privacy of your FAFSA SAR and transcript, you may enclose the documents into a sealed envelope.

ORIGINAL initials and/or

signatures in INK required

on this page

DON’T FORGET THESE

ATTACHMENTS!!


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SECTION 15: COUNTY EXTENSION AGENT CERTIFICATION I certify that: this applicant has been enrolled in the Texas 4-H Program for the 2016-2017 4-H year and at least two of the three previous years,

they meet the minimum requirements and criteria of the Texas 4-H Opportunity Scholarship (i.e. GPA on a 100 point scale, class

ranking, SAT/ACT scores),

the application is complete and all necessary attachments are included in the packet.

I recommend the applicant and his/her application be considered for a Texas 4-H Opportunity Scholarship.

Please complete these questions before certifying this application. Total number of youth involved in county 4-H youth development program:

Total number of 4-H members in this applicants 4-H club:

Total number of years this 4-H member has been enrolled in 4-H:

Signature of County Extension Agent Date

Address City/State/Zip

E-mail Address Office Phone

County/District Fax Number

DISTRICT OFFICE REVIEW

Signature of 4-H Faculty Member or District Extension Administrator Date

The County Extension Agent

will complete this section after you

turn it in.


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SECTION 16: APPLICATION CHECKLIST AND CERTIFICATION This checklist must be completed at all levels as indicated below. Each line should be initialled by the person making the review. DO NOT USE CHECKMARKS OR “X’s”. A box should only be initialled if it is completed, or included, and meets the minimum requirements and criteria. This checklist should be completed after the application is complete and all necessary documentation is attached.

APPLICANT PARENT COUNTY DISTRICT ITEM BASIC APPLICANT ELIGIBILITY

Applicant is an active member of Texas 4-H for current year, and at least two of the three previous years. Applicant is a United States citizen. Applicant is a Texas resident. Applicant is scheduled to graduate from a Texas High School in 2016-2017 school year. Applicant has made formal application and intends to attend a Texas college or university. Baccalaureate Application has a minimum score of: Old SAT-1350, New SAT-1000, or ACT-19 Ensure completed application/attachments securely fastened with paper/binder clip (NO STAPLES). Application is completed and all information is correct. Application is typewritten except for signatures and initials. Application does not include additional supplemental pages.

COMPLETION OF APPLICATION Section 1: Personal Information

Application submission category completed. Last, first, and middle name listed. Phonetic spelling provided. E-mail address of the applicant Date of birth and age provided.

Section 2: College/University Information Up to three colleges applicant has applied to with acceptance noted, major, and department are noted. Career choice provided.

Section 3: Livestock Show Participation Each livestock show participation question answered with Yes/No and specific years listed (not number of years)

Section 4: San Antonio Livestock Exposition – School Tour Guides School tour participation for 2017 San Antonio Livestock Exposition only.

Section 5: Individual Scholastic Record – Completed by School Official Quartile rank is provided Grade Point Average (GPA) - numerical and based on 100 point system (un-weighted). SAT/ACT scores. SAT score taken from a single testing date and includes all three test parts. Passed standardized tests or are exempt. Signature certifying the validity of scholastic record.

Section 6: Financial Information All scholarships, loans, awards, and financial aid list that applicant has currently applied for or received. Total value of award has monetary figures and not “depends” or “undetermined” listed. Total Awarded/Pending amount of financial aid (scholarships, grants, etc) is provided and calculated correctly. Financial need narrative provided.

Section 7-12: Narrative Pages Projects: up to 4 listed. Projects: focus on size and scope, learning experiences, etc. Projects: designates level of involvement. Leadership: up to 25 most meaningful roles listed. Citizenship: up to 15 citizenship activities listed. Honors: top 4 meaningful 4-H honors (no awards outside of 4-H). Outside 4-H experience provided. Personal narrative written with no typos and correct grammar. Career narrative written with no typos and correct grammar.

Section 13: Courageous Heart Applicant Information (leave blank if application is not a Courageous Heart) Narrative completed detailing obstacle and other information. List of references provided and three (3) letters of recommendations.

Sections 14-15: Certification Pages Acknowledgement of Integrity, Participation, and Certification. County Extension Agent Certification.

Section 16: Application Checklist Checklist completed.

Attachments Included at back of Application FAFSA Student Aid Report (SAR). Official High School Transcript with Numerical Grades (Not Alpha Grades) and has school seal on it. SAT/ACT scores either printed on transcript or included with the Scholastic Record. Curriculum Degree Plan from college catalog (should be one to three pages).

ORIGINAL INITIALS required in

INK on this page (not check

marks or or “x”)

DON’T FORGET THESE

ATTACHMENTS!!


Page 16

After the Checklist & Certification page, attach in the following order:

FAFSA SAR (all the pages)

Transcript

SAT/ACT scores (or they can be officially listed on transcript)

Degree Plan from college catalog (can be printed from college/department website)

Double check:

All blanks are complete

Signatures/Initials were appropriate

Individual Scholastic Record is complete/accurate and signed

o GPA on 100-point scale, unweighted

o Test scores listed on this page match the test scores on attached transcript or documentation

Transcript is yours and is accurate!

No staples. Binder clip only

Single sided

Documents

2017 TEXAS 4-H OPPORTUNITY SCHOLARSHIP …agrilifecdn.tamu.edu/d84h/files/2010/11/4hscholarship_application... · o SAT/ACT scores (if not included on ... SECTION 1: PERSONAL INFORMATION