Application for the Cleveland County Cattlemen's Association Dallas Ward Memorial Scholarship Deadline: April 15 of each year

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1 This schlarship was established by Cleveland Cunty Cattlemen's Assciatin, Inc. (CCCA) in Initial funding was prvided by members f CCCA and the lcal business cmmunity. At the present time, schlarships are awarded in $500 increments depending upn number f qualifying applicants and availability f funds. Eligibility The schlarship is named in memry f Dallas Ward. Dallas was an exceptinally ptimistic, talented, and caring yung man. He cmpeted in a variety f sprts frm age six thrugh cllege, played the saxphne and be, and excelled as a student. Dallas was active in church and civic activities and demnstrated heart-felt cmpassin fr all living things. His gal in life was t becme a veterinarian. Dallas was actively pursuing at the time f his death. While a junir majring in animal science at NC State University, Dallas was killed in a tragic autmbile accident. Dallas was the sn f Grady & Barbara Ward, wh raise cattle in upper Cleveland Cunty. Grady served as Assciatin president during Graduating senirs frm any f the high schls in Cleveland Cunty pursuing a baccalaureate r assciate degree wh have demnstrated a strng interest in beef cattle prductin. Pririty will be given t applicants wh are assciate members f CCCA r whse parents r grandparents are active CCCA members. Pririty will be given t applicants wh are pursuing a degree in agriculture with an emphasis in beef prductin. Previus winners may reapply and will be cnsidered n the basis f academic merit and financial need. Selectin Criteria Leadership and extracurricular activities Persnal mtivatin and initiative Demnstrated interest in the beef industry Career gals Academic standing Financial need Administratin The schlarship will be administered by a Schlarship Cmmittee cmpsed f the Assciatin president r his/her designee, the Assciatin treasurer, an appinted Schlarship Cmmittee chairpersn, and the cunty extensin directr.

2 Instructins fr cmpleting an Applicatin: 1. This applicatin prvides infrmatin which will be used by the CCCA Schlarship Cmmittee in making the award. T assure that yu will be cnsidered fr this schlarship, please cmplete (type r neatly print) this frm and submit it t: CCCA Schlarship Cmmittee Attentin: Cunty Extensin Directr 130 S. Pst Rad, Suite 1 Shelby, NC Telephne: Fr timely cnsideratin, applicatins and all supprting dcumentatin must be received by April Attach the fllwing t the applicatin: A 1- t 2-page essay which includes a bigraphical statement including family situatin, special interests and activities, and any ther pertinent infrmatin abut yurself. This essay shuld als describe yur cllege gals and future career plans. Yu may als include any backgrund infrmatin (including an ptinal statement f financial need) that wuld assist the Selectin Cmmittee in evaluating yur applicatin. First-time applicants shuld include an fficial high schl transcript with standardized test scres included. Three (3) letters f recmmendatin frm teachers, civic, and/r faith cmmunity leaders(ne letter must be written by a member f the Cleveland Cunty Cattlemen's Assciatin). Nte: Cllege students reapplying fr the award d nt have t cmplete the applicatin frm. Instead, write a brief letter f interest that prvides the Schlarship Cmmittee with an update n yur educatinal gals and career plans and enclsed an fficial cllege transcript.

3 PERSONAL INFORMATION Applicant's Name: Age: Hme Address: City, State, Zip: Telephne number: High Schl, Cllege r University Currently Attending: Father's Name: Father's Occupatin: Father's Emplyer: Mther's Name: Mther's Occupatin: Mther's Emplyer: Number f: Brthers Ages Sisters Ages ACADEMIC INFORMATION GPA/Scale: SAT Scres: Verbal Math Rank/Class, Size: Have yu applied fr admissin t an accredited cllege r university? Yes N If yu have applied, then fr which schl and curriculum f study? Have yu been accepted fr admissin? Yes N Have yu applied fr financial aid by submitting a Free Applicatin fr Federal Student Aid (FAFSA)? Yes N

4 Estimated annual expenses: Applicatin fr the Cleveland Cunty Cattlemen's Assciatin Tuitin & fees: $ Rm & bard: $ Bks & supplies: $ Other: $ 4. If yu are receiving ther schlarship awards fr the upcming academic year, please indicate the name and amunt: 5. Extra-Curricular Activities: 6. Awards & Hnrs: COMMUNITY & CIVIC AFFAIRS INFORMATION 7. Civic Activities: Organizatin Member/Officer/Respnsibility 9. Are yu an assciate member f CCCA? Yes N 10. Are yur parents/grandparents active member f CCCA? Yes N Wrk Activities 11. Emplyment (It is imprtant that yu list all wrk activities as these may be given cnsideratin in evaluating yur participatin in extra-curricular and ther activities): Dates Emplyer Respnsibilities

5 12. If yu r yur family derives incme frm farming, please indicate: Percent f ttal net incme derived frm farming: % Nature f farming activity (crps & animals prduced): The nature and degree f yur invlvement in this farming peratin: Please list beef-related prjects r activities: References: Please attach tw letters f recmmendatin (ne shuld be frm a member f the Cleveland Cunty Cattlemen's Assciatin). Affirmatin Statement All infrmatin cntained in this applicatin is, t the best f my knwledge, accurate and truthful. It is my understanding that in rder t receive schlarships, I must be in gd standing with my schl. In accrdance with the Family Educatinal Rights and Privacy Act, I authrize the CCCA Schlarship Cmmittee t access my academic and disciplinary recrds fr use in the schlarship decisin-making prcess. Signed: Date: Applicatin Check List: Essay attached: Yes N References attached: Yes N Signed and dated the Affirmatin Statement: Yes N Dated the cver sheet and remved it fr yur recrds: Yes N

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