Applicant ID # Number (To be completed by Scholarship Committee) The Rusk County Youth Project Show scholarships will be presented to a Rusk County graduating senior that has participated in the Rusk County Youth Project Show for two or more years. This scholarship will be presented at the Rusk County Youth Project Show Sale on March 26, 2011. Enclosed is an application form for any students in your school who are interested in this scholarship. The selection process will be by committee review and possibly by personal interviews. Selection will also be based on financial need, scholarship, and leadership. The 3/1/2014 completed application should be returned to the address below not later than March 4, 2011. This application is available on disk in Word or Word Perfect format if needed. Sincerely, Rusk County Youth Project Show Scholarship Committee RETURN TO: Rusk County Youth Project Show Scholarship Committee P.O. Box 2392 Henderson, TX 75653 The Rusk County Agriculture and Youth Exposition Center scholarships, Rusk County Agriculture and Youth Exposition Center Technical Studies scholarship and the Rusk County Youth Project Show scholarships will be selected from this application. is an entrant for the Scholarship Program. The applicant will graduate this spring and plans to continue his / her education in college. STUDENT’S HOME ADDRESS: City: State: Phone: Zip Code: Social Security Number: Student’s Signature: Date: Parent’s Signature: Date: March 4,2012 College, university, or other educational student plans to attend: (indicate name of school AND address) First Choice: Address: Second Choice: Address: NOTE: PLEASE RETURN BY March3/1/2014 4, 2011. Applicant ID # Number (To be completed by Scholarship Committee) OBJECTIVE CRITERIA LIST Parts I, II, and III of this form are to be completed by applicant’s counselor. Parts IV, V, and VI are to be completed by the applicant. 2 I. College entrance examination score (Please circle the type of examination taken): ACT composite score or SAT combined score II Student’s cumulative high school grade point average (GPA) excluding spring semester of senior year: III. Please list students’ classes for terms indicated: Junior Year Grade Senior Year (Fall Semester) Grade Counselor: Date: 2014 NOTE: PLEASE RETURN BY March March 4,1, 2011. Applicant ID # Number (To be completed by Scholarship Committee) IV. Financial Need - in the space provided, please indicate the figure that best describes your family’s adjusted gross income. under $15,000 $15,000 to $20,000 $20,000 to $25,000 $25,000 to $30,000 3 $30,000 to $40,000 over $40,000 Total number of family members living at home: Number of dependents in your parent’s family, including yourself: Children V. Ages Attending College (Circle One) Yes No Yes No Yes No Yes No Extracurricular Activities - Organization and Clubs (if held office, please indicate): Honors and Awards: Community and Other Activities: VI. Work Activities - Are you now employed? What Type of Work? Describe other work activities (Such as family farm): 4 Yes No In the space provided below, please describe, (in 75 words or less) in your OWN words and handwriting (1) why you want to be the recipient of the RCAYEC Scholarship, (2) the course of study or major field of interest you plan to follow in Technical School, (3) your proposed occupation or profession, and (4) any other abilities you have that were not previously mentioned in this form. 5