Wade Busby Memorial
Scholarship Application Requirements
2017
The Wade Busby Memorial was formed in 2005 in memory of Wade Busby, an avid supporter of the 4-H and FFA programs. In honor of his memory, the Wade Busby Memorial continues to support youth involved in agricultural activities through their participation in either FFA or 4-H. We will issue up to 10 - $1,000 scholarships to graduates of qualifying area high schools.
ELIGIBILITY REQUIREMENTS
1. The applicant must be currently enrolled in FFA or 4H.
2. The applicant must have participated in the Guadalupe County Youth Show, LaVernia Junior Livestock Show or Comal County Junior Livestock Show for a minimum of 2 years.
3. The applicant must have an overall ‘B’ average.
4. The applicant must graduate from high school prior to June 30, 2017.
5. The applicant must continue his/her education beyond high school and provide a copy of his/her registration with the higher education institution to the Wade Busby Memorial.
SELECTION CRITERIA
1. The applicant must submit a completed Wade Busby Memorial Scholarship Application form.
2. The applicant must complete a Personal Statement essay that is typed and a minimum of 400 words. The Personal Statement must detail how the applicant’s participation in 4-H or FFA made a difference in his/her life and also state why he/she should be considered for this scholarship.
3. The applicant must provide the Wade Busby Memorial Scholarship Recommendation / Evaluation Form to his/her FFA or 4-H Advisor. The Advisor must complete and submit this form to the school’s Counselor’s Office.
DEADLINE
Application, Personal Statement, and Advisor’s Recommendation must be received by the school’s Counselor’s Office no later than the end of the school day on February 28, 2017. Failure to meet any selection criteria will result in the disqualification of the applicant from the selection process.
Contact: Laurie Leach Telephone: (830) 305-1252
P.O. Box 736 Marion, TX 78124 Email:
Wade Busby Memorial (please print or type all information)
Scholarship Application - 2017 High School ______
______
NAME DATE OF BIRTH PHONE NUMBER
______STREET ADDRESS CITY ZIP CODE
______
FATHER’S NAME OCCUPATION
______
MOTHER’S NAME OCCUPATION
Number of people living in your home ______
Number of family members who will be in college in Fall of 2017 ______
You live with: ____Both parents _____Mother only _____ Father only _____ Other, explain ____
______
What other resources will you use to pay for your college education? (Check all that apply)
____Parental Support ______Work ______Scholarships _____Student loans
Academic Information
GPA ______Class rank ______out of ______seniors
College/University/Technical schools to which you have applied: Have you been accepted?
______YES NO
______YES NO
______YES NO
List the Major Field of Study you will pursue ______
Activities/Experiences during high school (Use additional pages, if necessary)
Number of Years in FFA ______4-H ______
Name(s) & Dates of Qualifying Livestock Show Participation
______
School & Community Activities ______
______
______
Community Service ______
______
Positions of responsibility & leadership ______
______
Honors & Awards ______
______
Work experience – Employers Duties Dates of employment
______
______
CONFIDENTIAL
RECOMMENDATION / EVALUATION
2017 WADE BUSBY MEMORIAL SCHOLARSHIP
Student Name: ______
Rate Characteristics 1 through 5
(1=Exceptional; 2=Highly Successful; 3=Successful; 4=Marginal; 5=Poor)
LEADERSHIP ______
RESPONSIBILITY ______
INTEGRITY ______
COOPERATION ______
MOTIVATION ______
COMMON SENSE ______
COMPETENCE ______
Additional Comments: ______
______
Signature Date Title
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TO BE COMPLETED BY THE FFA OR 4-H ADVISOR
ADVISOR – Please return your recommendation to the Counselor’s office no later than February 28, 2017 or mail (postmark by February 28, 2017) to: WADE BUSBY MEMORIAL, P.O. BOX 736 MARION, TX 78124
Contact: Laurie Leach Telephone: (830) 305-1252 Email:
***** DO NOT RETURN THIS FORM TO THE STUDENT. ****