UCWHA Scholarship Application

UCWHA Scholarships are to be awarded on the basis of academic ability, leadership and extra curricular activities, involvement on equine and UCWHA activities and financial need. Scholarship recipients are eligible to use the award for undergraduate or graduate educational expenses at the college, junior college, university or trade school of their choice.

Name: _________________________________________________________________

Address: _______________________________________________________________

_______________________________________________________________

Social Security Number; ___________________________________________________

Career Goal (explain):

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Junior college, university or trade school currently attending or plan to attend:

________________________________________________________________________

EDUCATIONAL BACKGROUND

(List schools attended – most recent first)

Name of school Location Date(s) Attended

________________ __________________ ______________

College Grade Point Average (numeric) _________ out of ___________________

High School Grade Point Average _____________ out of _____________________

Class Ranking ______________ out of ____________________________________

OFFICIAL TRANSCRIPT TO BE ATTACHED

College entrance exam scores:

ACT: ______________ SAT: ________________ Other: ___________

(Entrance exam score report form to be attached)

EXTRA CURRICULAR ACTIVITIES

List school and civic clubs and associations in which you have been involved (4-H, student government, etc.)

List offices and leadership roles held in school, community and civic clubs and associations:

List personal achievements, honors and awards received:

________________________________________________________________________________________________________________________________________________

Describe your involvement and accomplishments in equine and UCWHA’s activities:

________________________________________________________________________________________________________________________________________________

Year joined UCWHA: _______________________

FINANCIAL INFORMATION

Please comment on your financial need and the financial support you will receive from parents, guardians or others. NOTE that your financial needs will be considered, but shall NOT be a determining factor in choosing scholarship award recipients. Tax forms are not required.

________________________________________________________________________________________________________________________________________________

Please provide:

$ _______________ Estimated annual cost of education

$ _______________ Financial support provided by applicant

$ _______________ Financial support provided by parents or guardians

$ _______________ Student loans

$ _______________ Other financial support

$ _______________ Other scholarships received (Please list)

_____________________________________

Parents/Guardian’s Name: ____________________________________

Address: ____________________________________

____________________________________

Occupation:

Number of Siblings: ____________

Number of Siblings attending college: _____________

LOCAL PRESS RELEASE

A recent 3 X 5 head and shoulders photograph of the applicant must accompany all applications.

Name of applicant’s local newspaper: _________________________________

_________________________________

Phone number: ___________________________

Scholarships will be awarded at the General Membership Meeting

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

REFERENCES

At least two (2) letters of recommendations on behalf of the applicant must also be submitted with the application. Required letters include:

One from UCWHA member, 4-H, FFA, civic or community leader
One from applicant’s high school principal, counselor, college advisor or faculty member

List those requested to write letters of recommendation:

Name: ______________________________

Title: ________________________________

Address: _____________________________

_____________________________

Name: ______________________________

Title: ________________________________

Address: _____________________________

_____________________________

Name: ______________________________

Title: ________________________________

Address: _____________________________

_____________________________

REFERENCE LETTERS SHOULD BE SENT DIRECTLY TO THE SCHOLARSHIP CHAIR PERSON:

The information in this application is true and accurate to the best of my knowledge.

____________________ _________

Signature of Applicant Date