Scholarship
Lake Country Antique Tractor & Engine Association

Rules/Requirements/Application

1. Applicant must include copy grades from most recent grading period and copy of official transcript.
2. No financial data will be required of applicants.
3. Applicant may major in any field of study in college or tech school.
4. Scholarship money will be divided in two parts and awarded after proof of registration of first semester then the second semester.
5. The number of scholarships and amount awarded will be determined by the Lake Country Antique Tractor & Engine Association
6. The scholarship will be presented to the recipient at their school’s graduation ceremony or awards day event.
7. All scholarship applications must be submitted by April 1st prior to graduation to: LCATA, P.O. Box 360, Quitman, TX 75783
    Applicants must go through an interview. TBA
8. Official name of Scholarship is to be “Lake Country Antique Tractor and Engine Association Scholarship”

(PLEASE PRINT)

Applicant name ___________________________________________________ 
Home Address ____________________________________________________
City, State, Zip ____________________________________________________ 
Home telephone number ___________________Cell______________________ 
Name of High School _______________________________________________ 
Address of High School _____________________________________________ 
City, State, Zip ____________________________________________________ 
School phone number  ______________________________________________
Anticipated Graduation Date ________________________________________ 
List all sports, clubs, school activities, awards and achievements of High School:
Year Activity                               Your Role                          Level Achieved
 ______________________________________________________
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 (You may add a page to complete this list)

List leadership roles, activities, honors or awards outside of High School
Year   Activity                             Your Role                      Level Achieved 
 _______________________________________________________
________________________________________________________
________________________________________________________
You may add another page to complete this list) 
 
College or Tech school you plan to attend ______________________________ 
Will you live : at home ____   dorm ____ or Apartment ____ 
Planned college major ____________________________________ 
Have you been formally accepted by this school? ________________________ 
What is your current preferred career choice? __________________________
Will you have any brothers or sisters attending college at the same time as you? 
Yes _____   no _____   how many ? _____ 
 
 Attach and write a one page narrative about yourself. Include important facts and character traits the committee should know. This should help the committee get to know you. 
 
 
                                                    Certification
 
I hereby certify that the information submitted in this application is true and correct.
 
Signature of applicant______________________________Date_______________ 
 
 
                                                Scholastic Record

                          (To be completed by High School Principal) 

Applicant __________________________________________________________ 
Date to be graduated _________________________________________________ 
Number in graduating class __________________ 
Applicant rank in graduating class - Ranked_______ in class of ___________
Numerical High School Grade average _________ 
Exam scores SAT _________   ACT ______ 
Was applicant in accelerated classes ?  _______ 
Brief statement by High School Principal regarding applicant: 
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
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 Signature of Principal ___________________________________ date ____________