SCHOLARSHIP APPLICATION

PREDATOR MASTER FORUM

 

 

Deadline: April 25, 2010

 

Personal Information (Please Type)

 

1. Name ____________________________________________

                Last                           First                             Middle

 

2. Home Address _____________________________________

                                                    Number & Street

City ____________________________

 

State __________   Zip_____________

 

3.  Phone____________________________________________

 

4.  E-Mail Address ____________________________________

 

5.  Are you/family member a Predator Master Member?

Yes ___ No___ First Logon date _____ Screen Name__________

 

6.  I plan to major in: Forestry______ Wildlife Conservation _____

Animal Science______ Pre-Vet ____ Other _______________

Please list

 

EDUCATION BACKGROUND

 

HIGH SCHOOL

 

1.  Address__________________________________________________

 

2.  Graduation Date __________ Rank in Class ________ out of _________

 

3.  Composite ACT Score ________ or SAT Score ________________

 

4.  Current Grade Point Average ____ (Please attach an unofficial copy

of your transcript)

 

5.   Include a copy of your attendance record for your Senior year.


 

ACTIVITIES INFORMATION

 

1.  List organizations that you belong to or have belonged to and any offices you have held. (Include such groups as church, 4-H, FFA, scouts, clubs, etc.)

 

a.

 

b.

 

c.

 

d.

 

e.

 

f.

 

 

2. List activities in which you have been participated in during high school

such as athletics, play, public speaking, contests, music, etc. and any

honors you may have received.

 

a.

 

b.

 

c.

 

d.

 

e.

 

f.


 

What are your Personal Goals? (In your own words)

 


 

ACKNOWLEDGMENTS

 

____ By checking the box at the left, I hereby state that the information

submitted herewith is true and correct to the best of my knowledge.

 

____ By checking the box at left, I agree to notify the donor of my acceptance

and appreciation, if selected for a scholarship.

 

Signature __________________________________________

 

Date ______________

 

Mail To:

 

Predator Master Inc.

C/o Barry Stewart

222 Hamilton Ridge Dr
Alamogordo, NM 88310