Youth Scholarship ApplicationPlease enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. - Step 1 of 3Applications Must be submitted by SEPTEMBER 1stThe link [ https://nyrcba.com/youth/reference/ ] MUST be sent to your Designated High School Official with a request that they submit the Reference Form online prior to August 31st. *I have already sent this link to my Designated High School OfficialI will send this link to my Designated High School Official within 24 hours of submitting my ApplicationApplicant InformationI hereby apply for a scholarship under the NYR&CBA Youth Scholarship Program and submit the following information:Name *FirstMiddleLastEmail *PhoneAddress *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDate of Birth *Month/Day/Year [ 01/01/2005 ]I have been a Member of the following NYR&CBA Affiliated Club Since: *Name of Club & Date joined [Month/Year]Please describe in your own words, your work activities during your High School years, either for your family at home, or for outside employers: *Specify what part you played in organized in-school activities or out-of-school activies, such as class or other school offices held, band, orchestra, athletics, drama, oratory, school publications, honor society, Boy/Girl Scouts, FFA, 4-H, church organizations, etc. Did you receive any special recognition? *List Activity - Position - Hours spent per week - Awards. You may also upload additional information or documents (see below).NextStudent's High School Data FormApplicant should answer the following questions completely.Have you held an office or been on a committee in a Rabbit/Cavy organization in the past four years? *YesNoIf Yes, please list:What benefits and knowledge have you acquired as a result of your NYR&CBA affiliated club membership(s)? *What have you done to encourage others to join an NYR&CBA affiliated club? *How have you been promoting the Rabbit/Cavy industry (helped teach others new skills or increased their knowledge of rabbits/cavies) in the past year? *Write a paragraph on "Why I want to continue my education". Include educational objectives, field of endeavor, and the reason(s) you have decided on these choices. *Upload any addition files or information that you would like to provide to the Scholarship Committee. Drag & Drop Files, Choose Files to Upload You can upload up to 4 files. Attach any additional information here. Allowed File Extensions: .docx or .pdf ONLYNextUpdating preview…This is a preview of your submission. It has not been submitted yet! Please take a moment to verify your information. You can also go back to make changes.Certification: *I agreeBy checking this box, I am certifying that: 1.) I must electronically send the "Referral High School Data Form" link to my High School Principal or designated official. 2.) To the best of my knowledge, all statements contained in this application are true and correct. 3.) I have read the guidelines and rules issued by the NYR&CBA and I believe myself eligible for a scholarship under the guidelines and rules contained herein.Date *PreviousSubmit