Riley Round Up for MS Scholarship Application

The Riley Round Up for MS is a recognized 501(c)(3) nonprofit organization who's emphasis is on raising awareness for Multiple Sclerosis and raising funds for the National MS Society while

promoting youth in the livestock industry.

Program Guidelines & Priorities: * Applicants must plan to attend a two (2)-year Community College, four (4)-year College or University or other accredited Institution of Higher Learning. * Scholarship funds will be paid during the month of August or September 2019, depending on the institution, directly to the institution, not the student. The scholarship funds will be issued to the college or university upon receiving a certificate of enrollment for the fall semester, which includes the Student ID number and Financial Aid Office address. * Applications must be received by the Riley Round Up for MS no later than Monday, April 1, 2019. Late applications will not be accepted.

Mail one copy of a completed application package to: Riley Round Up for MS (This includes application and all attachments, essay, and Scholarship Applications Program letters of recommendation) 4429 Lartan Trail Richardson, TX 75082 The applications will be reviewed and recipients selected by the Riley Round Up for MS Scholarship Committee. Scholarship winners will be notified by not later than Friday, May 3, 2019. We hope to award the scholarships at Senior Awards Banquets, FFA Banquets, or other school functions depending on the individual high school, location and opportunities available to us.

Applications will be made available for download from the Riley Round Up for MS website at: http://roundup4ms.weebly.com or by contacting the Riley Round Up for MS.

Please submit any questions to: Riley Round Up for MS 4429 Lartan Trail Richardson, TX 75082 roundup4ms@gmx.com 214-557-8436

Riley Round Up for MS Scholarship Application

Please complete the following. Use a additional piece of paper as necessary.

1. Last Name: First Name, Middle Initial:

2. Mailing Address Street: City: State: Zip:

3. Daytime telephone number: ( )

Email address:

4. Date of birth: Month Day Year

5. Cumulative Grade Point Average (GPA): __________ (On a 4.0 scale) through the fall semester.

6. Name and location of high school:

7. A. Leadership and participation in school and community activities including the Riley Round Up for MS (if applicable).

B. List your hobbies, outside interests, extracurricular activities and school related volunteer activities:

8.A. If you have decided on the Institution of higher learning that you will attend, please list the school name:

B. If not, list your top three (3) choices:

9. Anticipated field of study:

And a statement of your educational as well as career aspirations and goals:

STATEMENT OF ACCURACY FOR STUDENTS

I hereby affirm that all the above stated information provided by me is true and correct to the best of my knowledge. I also consent, that if chosen as a scholarship winner, my picture may be taken and used to promote the Riley Round Up for MS Scholarship Program. (Winner may waive photo due to unusual or compelling circumstances.)

2019, a certificate of enrollment for the fall semester, which includes the Student ID number and Financial Aid Office address.

I hereby understand I will not submit this application without all required attachments and supporting information. Incomplete applications or applications that do not meet eligibility criteria will not be considered for this scholarship.

Signature of scholarship applicant: _______________________________ Date: _______

STATEMENT OF SUPPORT BY GUIDANCE COUNSELOR

I hereby affirm that this application meets the criteria set forth by this scholarship program and support submission of this application to Riley Round Up for MS Scholarship Program.

Name of Guidance Counselor: __________________________________________________

High School: ________________________________________________________________

Contact information (email and phone):_______________________________________

Signature of Guidance Counselor: ________________________________ Date: ______

10.Name & address of parent(s) or legal guardian(s): (Include address if different than your own listed in Question 2.) Name(s): Street: City: State: Zip:

Home phone of parents or legal guardians: Work phone:

Provide an expanded explanation of unusual personal or family circumstances (if applicable).

11. On a separate paper, please write an essay describing the impact MS has had on your life. Include what you have learned about the disease as well as what you have done to help raise awareness and funds towards fighting Multiple Sclerosis.

12. Two (2) letters of recommendation from someone other than your immediate family.

Checklist: ___ Application ___Additional information on separate sheet of paper ___ Essay on separate sheet of paper ___ Guidance Counselor signature ___ Two letters of recommendation

MAIL COMPLETED APPLICATION PACKAGE TO Riley Round Up for MS AT: Riley Round Up for MS

Scholarship Applications Program 4429 Lartan Trail

Richardson, TX 75082 roundup4ms@gmx.com

REMINDER: Applications must be received by the Riley Round Up for MS no later than April 1, 2019

There will be no exceptions!