Cody Horton Scholarship
Scholarship Application
DUE MAY 15th
*Must be (or have been) a member of FFA or 4-H (or both) for at least 3 years.
*Must have actively participated. (Ex: Livestock showing, livestock judging, welding project, etc.)
Full Name ________________________________________________
Address __________________________________________________
City, State, Zip _____________________________________________
Telephone # ___________________________ Birth Date___/___/___
Father’s Name___________________ Occupation ________________
Mother’s Name__________________ Occupation ________________
Number of Children Living at Home _____________________________
Number of Family Currently Attending College ____________________
High School Attended ___________________ Graduation Date_______
Class Rank ___________ # in Graduating Class ________ GPA ________
SAT Scores ____________________ ACT Score (Composite)__________
College you plan to attend ____________________________________
Have you applied?______________ Have you been accepted?________
Do you plan to be a full-time student? ___________________________
Do you plan to work? _________ Where?________________________
Are you presently working?_______ Where?______________________
Proposed college major _______________________________________
List Athletic, Academic, and Student Activities in High School:
(List years of involvement, achievements, and offices held)
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Please write about your plans for the future, including educational, career objectives, and future goals.
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Signature _________________________________ Date ____________
RETURN APPLICATION TO:
CODY HORTON SCHOLARSIP
1060 CR 2917
Dodd City, TX 75438