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2006 Texas Youth Rodeo Scholarship
Application Form

DEADLINE JUNE 1st, 2006

TYPING IS MANDATORY.  COMPLETE IN SPACE PROVIDED.  DO NOT ADD ADDITIONAL PAGES BY EXCEEDING THE AMOUNT OF ROOM PROVIDED FOR EACH SECTION OF THE APPLICATION.

General Information:

APPLICANT:  _________________________________________________________

ADDRESS:  _____________________________________TELEPHONE: ___________

SOCIAL SECURITY # ____-___-_____ DATE OF BIRTH:  ___________AGE: ______

NAME OF PARENT(S)/GUARDIAN:  ______________________________________

NUMBER OF YEARS ACTIVE IN TYRA:  ______________

High School Information:

NAME OF HIGH SCHOOL:   ___________________________DATE OF GRADUATION:  _____

NUMERICAL RANK IN GRADUATING CLASS:  ___________NUMBER IN CLASS:  ____________

TEST SCORES (as indicated on attached official scholastic record/transcript):  ________ACT ______SAT

TYRA Information ONLY

List your most significant TYRA Honors  & Achievements.

List any Leadership attributes, TYRA Sportsmanship, Citizenship, and Community Service Activities you feel contributes to your success in TYRA.

Work Experience, Summer Employment, and any horse training you have performed:

List any Non-TYRA Achievements, Leadership, Citizenship, and Community Service Activities that you feel contributes to your success as a person.  (include school, church, other youth organization, and civic organizations)

HONORS:

LEADERSHIP:

CITIZENSHIP AND COMMUNITY SERVICE INVOLVEMENT:

ESSAY QUESTIONS:  (5 points each)

Where do you see yourself in 10 years?

What has TYRA meant to you?

Narrative Section (10 points)

In the space provided below write a narrative about why you feel you should be a recipient of a TYRA Scholarship and/or other information you think we should know to choose you:  (Maximum 300 words)

NARRATIVE continued:

 REQUIRED ATTACHMENTS:

 Please attach the following documents to this scholarship application:

A)          Official High School Transcript with GPA

B)           S.A.T.  and/or A.C.T. Test Scores (if required by the school attending)

C)           One letter of recommendation (example: employer, teacher, school administrator, etc.)

D)           Guidance Counselor/Principal’s Certification of Scholastic Record Form

E)            Photo to be used for publicity purposes (3x5 preferred)

CERTIFICATION OF APPLICANT:

I AM SUBMITTING THE NECESSARY SCHOLARSHIP APPLICATION AND REQUIRED DOCUMENTS FOR CONSIDERATION FOR THE TYRA SCHOLARSHIP.  I CERTIFY THAT THE INFORMATION CONTAINED HEREIN IS CORRECT AND TRUTHFULLY REFLECTS MY PERSONAL TYRA AND ACADEMIC BACKGROUND AND RECORDS. 

DATE:  ________SIGNATURE OF APPLICANT:  _____________________________________

INDIVIDUAL SCHOLASTIC RECORD FOR

TYRA SCHOLARSHIP FUND

This record is to be completed by the applicant’s High School Principal or Counselor.  The completed record and related materials should be returned to the applicant to become part of their scholarship application.

NAME of APPLICANT:  _____________________________________________________

1)  Date to be graduated:                   Month ________________Year___________________

2)  Applicant’s Rank in Graduating class:                     __________out of _______________

     Quartile Rank (Circle appropriate one):                    1^st     2^nd    3^rd    4^th  

3)  High School Grade Point Average through last

      completed semester:  (GPA should be given only

      on the basis of 100 point system NOT 3.5 or 4.0)            ________GPA based on 100 points

4)   Grading systems vary from school to school.  Please

      complete the following so we can give this applicant fair

       consideration with respect to GPA.

        a)  Our school uses (check the one that applies)______Single Grading System

                                                                             ______ Multiple Grading System

                                                                               with  _____levels.

        b)  The GPA shown above for the applicant is:  _______weighted______not weighted

5)   Applicant’s Highest S.A.T (total) and/or

              A.C.T. (composite) score(s):                  ________S.A.T _______A.C.T.

6)  Include a copy of the applicant’s High School Transcript, S.A.T. and/or A.C.T Test scores (if required by school attending).  These complete S.A.T.  and/or A.C.T. scores are needed even though you have given the total and/or composite in item 5.

7)  A statement regarding this applicant is not required.  If you desire to make a statement, the judging committee will welcome any added information you desire to provide.  Please use only the space on the lower portion of this sheet for such a statement.

Date:   ___________________Signed:  _________________________Principal or Counselor

School ______________________Address:  __________________________________