Scholarship Application

JACKSON HOLE RODEO SCHOLARSHIP

7785 COWBOY WAY

JACKSON, WY 83001

Name of Student*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Home Telephone*
Date of Birth*
High School Information:
School Name*
Graduation Date*
Cumulative GPA*
Decile Rank from top of class
Highest ACT or SAT ACT Composite*
Date Exam Taken*
SAT Crit. Reading
Math
Writing
Date Exam Taken
Upload Student's High School Transcript*
Accepted file types: jpg, gif, tif, png, pdf.
Please scan and upload your high school transcript. The image should be a pdf or a jpg.
Parent/Guardian/Family Information:
Parents/Guardians*
Name Employer Home Phone
Siblings
Name Age College (if Appicable)
Estimated Annual Family Income*
- Under $29,000
- $29,001-$49,000
- $49,001-$69,000
- $69,001-$89,000
- $89,001-$100,000
- $100,001-$150,000
- Over $150,000
University Information
Names of colleges/universities applied to and annual tuition costs (excluding room/board)*
College Name Annual Tuition
Intended Major*
Amount to be contributed by family*
Amount saved by student*
Additional Information
Brief employment history of student. Start with the most recent employment:
Employer Telephone Dates Employed Position Held
Have you applied for and/or received any other financial aid or scholarships? If YES, please explain:*
Extra-curricular activities: List clubs, organizations, church groups, community service, athletics, band, orchestra, etc. Include leadership positions, honors and awards and dates of participation.
In 100 words or less, answer the following question: What are your education and career plans and how would this scholarship advance the sport of rodeo or our western heritage?*
Is there any additional information you would like the scholarship committee to be aware of?
List three people (not in your family) who can act as references:*
Name Address Telephone
Student Signature*
IT IS THE STUDENTS RESPONSIBILITY TO BE AWARE OF APPLICATION DEADLINES AND TO MAIL THIS APPLICATION ON TIME!!!!!

Scholarship Application

High School Information:

Parent/Guardian/Family Information:

University Information

Additional Information