The Lois Trump Youth Scholarship Application

 Type or print in black ink all information requested. This original form must be submitted to the Scholarship Committee Chair. Additional sheets should be used to answer the questions.

 I hereby apply for a scholarship.

 

Check one:  Level 1 _____________ or Level 2 ________________Scholarship

  

NAME_____________________________________________________________________________

             Last                                                                        First                                                                Middle

 ADDRESS________________________________________________________________________

                       Street Address

 ________________________________________________________________________________

City                                                                                 State                                                                                    Zip

Phone # _______________________ E-mail ____________________________________________

BIRTHDATE________________________________

                         Month                     Day                            Year

DATE OF HIGH SCHOOL GRADUATION ________________________________________________

 

REQUIRED FOR LEVEL 2 APPLICANTS ONLY:  Institution of higher education currently attending: 

 

_______________________________________________________________________________

  

I have held continuous membership in the American Fuzzy Lop Rabbit Club since _________________

                                                                                                                                                                         Month/Year

 

  1. What breeds of rabbits/cavies have you raised, other than AFL?  Are you currently actively raising/showing rabbits?

 

  1. How many rabbits have you maintained on average?

 

  1. Do you now attend Rabbit/Cavy shows?  How many shows per year?  If not, why are you currently inactive?

 

  1. What awards have you received related to your rabbits that you consider the greatest honor?

 

  1. What have you done to promote rabbits/cavies other than attend shows?

 

  1. What are the main organizations other than AFLRC in which you are active?  This includes your current activities as well as past participation as a youth member.  Please provide names of organizations, years of membership and any leadership roles served by you.

 

  1. What benefits have you acquired as a result of your AFLRC membership?

 

  1. What are your current career goals?  In what ways are your experiences in the rabbit fancy related to your career selection?

 

  1. Has anyone mentored you in the rabbit/cavy industry/hobby? If so, what impact did this experience have on you.  Please list the name and contact information for your mentor (phone number or email address).

 

  1. Is there other information you would like to supply to support of your application?

 

  

Applicant attestation

 

I hereby apply for a scholarship under the requirements listed and submit that the preceding information is accurate to the best of my ability.

 

 

 

 

_____________________________________________                          __________________________

Applicant signature                                                                                Date

 Submit completed application to:

 Amy Arata

AFLRC Scholarship Chair

607 Bald Hill Road

New Gloucester, ME 04260

 

amy_arata@yahoo.com

 

Link to Microsoft Word application copy.