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. ****