Scholarship Application

County

Applicant Full Name

First NameMiddle NameLast Name

Preferred Name

Phonetic Spelling of Name

Gender

Address

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Home Telephone Number

Please enter a valid phone number.Format: (000) 000-0000.

Mobile Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email Address

This is the email address we will use for all scholar information.

4-H Age (as of August 31, 2026)

Date of Birth

Date

Name of 4-H Club

County Name

Name of County Extension Agent

First NameLast Name

Name of Parent(s)/Guardian(s)

First NameLast Name

Name of High School

Phone Number of High School

Please enter a valid phone number.Format: (000) 000-0000.

College/University #1

Name of college you have applied to/been accepted to

College/University #2

Name of college you have applied to/been accepted to

College/University #3

Name of college you have applied to/been accepted to

Major/Course of Study chosen for degree/certification

Preferred career choice

Short bio for program

SHORT BIO FOR PROGRAM:Include a 100-125 word paragraph about yourself to include in the program at the BIG Conference. Be sure to include your name, your parents’ names, county, school, future plans, and other interesting information that the luncheon attendees may find interesting. Please do not exceed 125 words.Space is limited.

4-H Project Experiences

4-H PROJECT EXPERIENCES: 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. Reference the level of participation/involvement as L=Local, C=County, D=District, R=Regional, S=State, N=National, and I=International. Put emphasis on quality of your experience. You may use this page plus one additional page. Please do not add more pages.

4-H LEADERSHIP ROLES: List your major 4-H leadership roles throughout your 4-H career. Include volunteer, promotion, and elected/appointed leadership. List roles and responsibilities, years, levels of involvement, as L=Local, C=County, D=District, R=Regional, S=State, N=National, and I=International. Put emphasis on quality of your experience. You may delete rows to allow for more description, but do not add additional pages and do not allow information to extend to the next page.

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4-H CITIZENSHIP AND 4-H COMMUNITY SERVICE: List your major citizenship and community service activities. List activity, year, and your role in the activity (use Y=preformed yourself, M=member of a group, or 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 quality of your experience. You may delete rows to allow for more description, but do not add additional pages and do not allow information to extend to the next page.

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4-H Honors table

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, (use 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 quality of your experience. Do not add additional pages and do not allow information to extend to the next page.

Rows	Year	Award	Level of Award	Why was this award important to you?
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Outside 4-H Experiences: 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 and activities, honors, work experience, and volunteer and community service. This may include school, church, other youth groups, etc. This should not be longer than the equivalent of one page.

0/3500

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 includes:· 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. This should not be longer than the equivalent of 1 page.

0/3000

FINANCIAL NEED NARRATIVE: Describe your need for financial assistance, and the effect that this scholarship would have on your college education. This narrative could include details about family situations such as: care of family members, medical, and/or family financial burdens.

0/3000

Estimated college costs table

Rows	Name of College, University, or Technical School	Tuition/Semester Hour	Books & Fees/Semester	Housing/Semester	Living in Dormitory?	Food/Semester	Travel costs (to and from college)
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Applicant’s Savings and Cash Available to Start College

Total Amount of Debt Owed by Applicant

When/How were these debts occurred?

Anticipated financial assistance per semester from parents, relatives, or other sources

Family gross income range

Family taxable income range

Father’s work occupation

Mother’s work occupation

Number of children in your family (list ages)

Are you applying for other scholarships or for loans to pay for college?

Awards/Scholarships/Loans/Financial Aid table

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Signature of Applicant

Date (Applicant)

Date

Headshot

Transcript

Please upload your transcript as a PDF.

Signature Page: You can download here: https://d84-h.tamu.edu/files/2026/09/Signature-Page.pdf

Please upload the signature page asa. PDF. Signature page found here: https://d84-h.tamu.edu/files/2026/09/Signature-Page.pdf

Scholarship Application

BIG Scholarship

Applicant Information

Narratives and 4-H Experience

Financial Information

Signatures

Uploads

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