TCCW Scholarship Application 2017

Scholarship Application Form

Scholarship Application
Read and follow the instructions carefully prior to submitting your application.

Scholarship for Ag Majors. Please read criteria (Link to instructions here).

Scholarship for Non Ag Majors. Please read criteria (Link to instructions here)

All applications must be submitted by May 11, 2018.
Read and Understand the instructions. *

Yes, I have
Type of Scholarship Applying For:

Student with Ag Major Student with Non-Ag Major
I. Personal Data:

Tell us about yourself
Full Name *

Prefix First Name Middle Name Last Name Suffix

Mailing Address : *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Mobile No. : *

- Area Code Phone Number
E-mail : *
Where the confirmation will be send to
II. Transcript Information:
How Many units of college credit have you completed
Cumulative GPA:
How Many Units have you registered for this spring
List previously attended high schools:
List previously attended college(s):
III. Student Information:
Birthdate: *

Month Day Year
Age:
Year of Residence in this Area:
Marital Status

Single Married
Total Number of Persons in Household (Including Yourself)
Number of family Members Attending College on at Least a half-time basis

Please give the name, ages and relationship of all household family members

	Name	Age	Relationship
1
2
3
4
5
6
7
8

Have you applied for, or received, a CattleWomen's Scholarship in the past?

Yes No
IV. Major and Goal Information:
What is your major?:
For what profession are you preparing:
Where are you currently attending college:
What college do you plan to attend in 2018/2019?
When will you be transferring? (If applicable)?
Final degree objective?
Completion dates
While attending college next year, will you be:

Living in parent's home Living off Campus Living on Campus Other option
V. Work Experience:

Please list you most recent work experience:

	Employer	Position	Dates of Employment
1
2
3
4
5
6
7
8

VI. Additional Information :

Extracurricular, honors, hobbies
Extracurricular Activities (4-H, FFA, Athletic Clubs, Volunteer Work, Etc.)
School Honors or Other Awards
Hobbies
VII. Dependent / Independent Determination
Do you live with either or both of your parents?
Will your parents claim you as an income tax dependent for 2018?

Yes No
Are you married?

Yes No
Do you have children or other legal dependents?

Yes No
VIII. Student Financial Statement:

	2017 Income	Estimate 2018 Summer Income June, July, August	Estimated School Year Income 2018/19
Employment Income
State/Federal Financial Aid (Pell, Cal, SEGOG, Etc.)
Educational Loans
Scholarships
Untaxed Income (AFDC, Social Security, Child Support, Disability, VA, Unemployment, Etc.)
Total Financial Resources (Add Columns)

Student Assets

	Value	Mortgage
Business
Other Real Estate
Cash, Savings, Checking
Other Investments

The financial Information given above is a full disclosure of my income. If required, I will provide income documentation to verify the financial statement I've provided above.
E-Signature: *
IX. Student Autobiography:
Complete this section with a short autobiography. You should include your short and long term educational plans; reasons for attending the college you are currently enrolled in, or reasons for transferring colleges. Also, indicate the importance of meeting your goals and how you are going to attain them; special problems in your financial plans; special needs due to unusual circumstances; qualities of good character and leadership abilities; elaborate as to why you are the best candidate. (Please limit your autobiography to two pages.) - You can also upload or email your autobiogrphy with other documents to Mandi Owens at mnswebdesigns@yahoo.com. Indicate in the space below by typing emailing document.
Autobiography:

0/500
VIII. Applicant's E-Signature
E-Signature: *
Please submit this application with your 3 letters of recommendation, transcript, your autobiography and a current digital photo of yourself to:

Option 1: Upload files using the buttons below and hit submit.

Option 2: Print this document and send to:
Tehama County CattleWomen
Attn: Anne Owens
PO Box 555
Red Bluff, CA 96080

Option 3: Drop Off Location:

275 Sale Lane Suite #2

Red Bluff, CA 96080

All Information Must Be Received by May 11, 2018
Digital Photo
Letter of Recommendation - 1
Letter of Recommendation - 2
Letter of Recommendation - 3
Transcript
Should be Empty:

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Scholarship Application Form

I. Personal Data:

II. Transcript Information:

III. Student Information:

IV. Major and Goal Information:

V. Work Experience:

VI. Additional Information :

VII. Dependent / Independent Determination

VIII. Student Financial Statement:

IX. Student Autobiography:

VIII. Applicant's E-Signature