xi alpha omicron rodeo scholarship
See Below for Application and Guidelines
2005 Rodeo Scholarship Recipients
RODEO SCHOLARSHIP
APPLICATION COVER SHEET (please print)
Full name____________________________________ Age_______
Mailing Address__________________________________________
City, State, Zip Code_______________________________________
Social Security #___________________ Date of Birth____________
(mm/dd/yyyy)
Home Phone_________________Alt. Phone____________________
Email Address____________________________________________
Name of school I plan to attend_______________________________
City_____________State_______Planned enrollment date__________
(Check one)___Public or private college or university___Trade school
___Specialized training-Explain:______________________________
_________________________________________________________
What high school will you graduate from?_______________________
List all honors you have received during high school_______________
_________________________________________________________
_________________________________________________________
List extra-curricular activities(sports, band, choir, etc..) and outside
Activities (4-H, Church, etc..) you participated in during high school
_________________________________________________________
_________________________________________________________
_________________________________________________________
List other scholarships you expect to receive and the amount of each
_________________________________________________________
_________________________________________________________
_________________________________________________________
Name of parent or legal guardian_______________________________
Mailing Address____________________________________________
City________________State____Zip_______Phone #______________
Check all that apply: Did you participate in any of the following this year?
___Nac. County Steer Show _____Nac. Pro Rodeo ___Pineywoods Fair
Have you participated in any of the above while you were in High School?
___Yes ___No If yes, explain how many years and which events______
_____________________________________________________________
_____________________________________________________________
In your own words, write an essay of 300 words or less telling us why you want/need this scholarship. The essay
should include answers to the following questions?
1) Why do you need this scholarship?
2) What are your goals upon completing your education?
Complete and sign this application form. Attach your essay and a non-returnable picture of yourself to the application
and submit by 4 p.m. CDT on the due date. Please use a clean sheet of 8-1/2 by 11 inch paper for your essay. All
applications and attachments become the property of the Scholarship Committee. All applications will be scored on a
point system devised and approved by the Xi Alpha Omicron Sorority. The Scholarship Committee will rely solely on
the information provided by the applicant on this form and in his/her essay. If you have any questions, contact your
AG teacher, school counselor or call the Expo Office at (936) 564-0849. One scholarship will be awarded to a qualified
applicant from each public high school in Nacogdoches County this year. The amount of the scholarships will be set
by the Xi Alpha Omicron Sorority, and all scholarships in any one year will be of the same amount. Determination of
amount depends on sponsorship monies received for program that year.
The undersigned hereby certifies that the information contained in this application for scholarship is true and
correct to the best of my knowledge.
Applicant’s Signature_______________________________Date__________________
FOR EXPO USE ONLY
Received on:________________________ ________________
(Date) (Time)
Date given to Xi Alpha Omicron Sorority _________________________
THE RODEO SCHOLARSHIP PROGRAM GUIDELINES
In conjunction with Xi Alpha Omicron Sorority
qualifications. It is the intention of the Xi Alpha Omicron Sorority to provide a minimum of one (1) scholarship to a graduating
of the eight (8) senior at each high schools in Nacogdoches County.
or specialized training school (such as a fire or police academy).
* (To ensure privacy and to deter any possibility of tampering with or influencing the Scholarship Committee , the names of those chosen to the
committee shall remain private, and shall not be considered public information.
* The Scholarship Committee shall oversee the selection of all scholarship applicants.
or specialized training school (such as a fire or police academy) will be required before the student’s check will be distributed.
These items of prove should be mailed to Attn: Rodeo Scholarship Committee 3805 NW Stallings Drive , Nacogdoches , Texas 75964 .
decision on the appeal within 10 days of their receipt. The decision of the Xi Alpha Omicron Sorority will be final.
NOTE: KNOWINGLY FURNISHING FALSE INFORMATION TO OBTAIN THIS SCHOLARSHIP WILL RESULT IN IMMEDIATE DISQUALIFICATION.