ab f ab about you family about you family

TEXAS
CHRISTIAN
UNIVERSITY
RANCHMANAGEMENT
MANAGEMENTPROGRAM
PROGRAM
TEXASCHRISTIAN
CHRISTIANUNIVERSITY
UNIVERSITYRANCH
RANCH
MANAGEMENT
PROGRAM
TEXAS
CERTIFICATE
PROGRAM
APPLICATION
CERTIFICATE
PROGRAM
APPLICATION
CERTIFICATE
PROGRAM
APPLICATION
TEXAS
CHRISTIAN
UNIVERSITY
RANCH
MANAGEMENTPROGRAM
PROGRAM
TEXASCHRISTIAN
CHRISTIAN
UNIVERSITY
RANCH
MANAGEMENT
PROGRAM
TEXAS
UNIVERSITY
RANCH
MANAGEMENT
CERTIFICATE
PROGRAM
APPLICATION
CERTIFICATE
CERTIFICATEPROGRAM
PROGRAMAPPLICATION
APPLICATION
ABOUT
ABOUTYOU
YOU
YOU
ABOUT
ABOUT
ABOUTYOU
YOU
YOU
ABOUT
Full Legal Name _______________________________________________________________________________
Last
First
Last
First
Middle
Maiden
Jr., II, III
Middle
Maiden
Jr., II, III
Full Legal Name _______________________________________________________________________________
Preferred Name ______________________
Email address _____________________@__________
Preferred Name ______________________
Email address _____________________@__________
Permanent Address_____________________________________________________________________________
Street (Ave., St., Dr., etc.)
City / State / Zip
Permanent Address_____________________________________________________________________________
Street (Ave.,
St., Dr., etc.)
Home Telephone (________) ________
- ________
City / State-/ ________
Zip
Cell Phone (________) ________
Home Telephone (________) ________ - ________
Cell Phone (________) ________ - ________
Mailing Address________________________________________________________________________________
Street (Ave., St., Dr., etc.)
City / State / Zip
Street (Ave., St., Dr., etc.)
City / State / Zip
Mailing Address________________________________________________________________________________
(IF DIFFERENT FROM ABOVE)
(IF
DIFFERENT
FROM
ABOVE)
Street (Ave.,
Dr., etc.)/______
Effective
From
______
/______ /______
ToSt.,______
Effective From ______ /______ /______ To ______ /______ /______
City / State / Zip
Effective From ______ /______ /______ To ______ /______ /______
Current Telephone (________) ________ - ________
Date of Birth ________ / ________ / ________
(IF DIFFERENT FROM ABOVE)
(IF DIFFERENT FROM ABOVE)
Current
Telephone (________) ________ - ________
(IF DIFFERENT FROM ABOVE)
Place of Birth_____________________________________
(City / State)
Place of Birth_____________________________________
Date of Birth ________ / ________ / ________
Native Language _________________________
Native Language _________________________
(City / State)
FAMILY
FAMILY
FAMILY
FAMILY
This section
is required for applicants under the age of 21 and optional for applicants 21 and older.
This section is required for applicants under the age of 21 and optional for applicants 21 and older.
This section is required for applicants under the age of 21 and optional for applicants 21 and older.
This section is required for applicants under the age of 21 and optional for applicants 21 and older.
My parents are □ Married □ Separated □ Divorced □ Other
MyFather
parents are □
□ Divorced □ Other□ Mother
□ Married
Stepfather□ Separated
□ Guardian
□
□ Stepfather
□ Guardian
□ Father
□ Mother
_______________________________________
□ Stepmother
□ Stepmother
□ Guardian
□ Guardian
_______________________________________
Name
_______________________________________
Name
Work Phone (________) ________ - _________
_______________________________________
Name
_______________________________________
Work Phone (________) ________ - _________
Home Phone (________) ________ - _________
Work Phone (________) ________ - _________
Home Phone (________) ________ - _________
NamePhone (________) ________ - _________
Work
Home Phone (________) ________ - _________
Home Phone (________) ________ - _________
_________________________@_____________
_________________________@_____________
E-Mail Address
E-Mail Address
_________________________@_____________
_________________________@_____________
E-Mail Address
E-Mail Address
________________________________________
________________________________________
Level of Education/College Attended
Level
of Education/College Attended
________________________________________
________________________________________
Level
of Education/College
of Education/College Attended
My sibling(s)
are (indicateAttended
year in school or college(s) attended): Level
_______________________________________
My sibling(s) are (indicate year in school or college(s) attended): _______________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
TCU Box 297420
Fort Worth, TX 76129 ■ 817-257-7145 ■ FAX 817-257-7144
■ www.ranch.tcu.edu
[email protected]
■ 817-257-7145 ■ FAX 817-257-7144
TCU Box 297420 ■ Fort Worth, TX 76129
■
[email protected] www.ranch.tcu.edu
■
1
1
OPTIONAL
OPTIONAL
OPTIONAL
OPTIONAL
Informationrequested
requestedhere
hereis
is voluntary
Information
voluntary and will be
beused
usedininaanondiscriminating
nondiscriminatingmanner,
manner,consistent
consistentwith
withapplicable
applicablecivil
civilrights
OPTIONAL
laws.
rights
laws.
___________________________________________________________________________________________
How did you first learn about TCU Ranch Management Program?_______________________________________
How did you first learn about TCU Ranch Management Program?_______________________________________
Why
did you choose to apply to the Ranch Management Program?______________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
□
Indian/Native American or Alaskan Native
□ American
American Indian/Native American or Alaskan Native
□
Asian or Pacific Islander (including Indian sub continent)
□
Asian or Pacific Islander (including Indian sub continent)
□
American Indian/Native American or Alaskan Native
Black/African American (non-Hispanic)
□
□
Black / African American (non-Hispanic)
□
Asian or Pacific Islander (including Indian sub continent)
□
Hispanic (or Spanish surname)
□
Hispanic (or Spanish surname)
□
Black / African American (non-Hispanic)
□
White, Anglo, Caucasian (non-Hispanic)
□
White, Anglo, Caucasian (non-Hispanic)
□
Hispanic (or Spanish surname)
Other (Specify) _______________________________
□
□
(Specify) _____________________
□ Other
White, Anglo, Caucasian (non-Hispanic)
___________ - _________ - __________
□
Other (Specify) _____________________
__________________
- _________ - __________________
Social Security
Security Number
you plan
plan to
to apply
apply for
for financial
financial aid
aid you
you are
are strongly
Social
Number ((IfIf you
encouraged
to provide
Social
Security
number.)
__________________
- _________
- __________________
strongly
encouraged
to your
provide
your
Social
Security Number.)
Social Security Number (If you plan to apply for financial aid you are
□
attachedto aprovide
recent
photo
this page
(optional)
strongly
encouraged
your
Socialto
Number.)
□ II have
have
attached a recent
photo
toSecurity
this page
(optional)
____________________________________
_____________________________________
Religious
Affiliation
Religious Affiliation
_____________________________________
Religious Affiliation
□ACADEMIC
I have attached a recent photo to this page (optional)
BACKGROUND
ACADEMIC
ACADEMIC
BACKGROUND
ACADEMICBACKGROUND
BACKGROUND
ACADEMIC BACKGROUND
Beginning
recent, list
list every
every high
highschool,
school,
college and
or university
have
with the most recent,
college,
universityyou
you
haveattended.
attended.
School Name
City
/ State
From
To
Graduation
School Name
City / State
From
To
Month/Year
Month/Year Graduation
Month/Year
School Name
City / State
From
Month/Year
To
Month/Year
Month/Year
Month/Year
Month/Year
Month/Year
Graduation
_____________________________________/_____________________________/___________ - __________/___________
_____________________________________/_____________________________/___________ - __________/___________
_____________________________________/_____________________________/___________ - __________/___________
_____________________________________/_____________________________/___________ - __________/___________
_____________________________________/_____________________________/___________ - __________/___________
_____________________________________/_____________________________/___________ - __________/___________
_____________________________________/_____________________________/___________ - __________/___________
_____________________________________/_____________________________/___________ - __________/___________
_____________________________________/_____________________________/___________ - __________/___________
_____________________________________/_____________________________/___________ - __________/___________
_____________________________________/_____________________________/___________ - __________/___________
_____________________________________/_____________________________/___________ - __________/___________
__________________________________________________________________________________________
For
Applicants
Applicants Currently
Currently Attending
Attending High
High School
School or
or Recently
Recently Graduated
Graduated from
from High
High School:
School:
__________________________________________________________________________________________
High School Name
High School Name
Mailing Address
Mailing Address
____________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
High
School Name
Mailing Address
Counselor Name
Counselor Name
Counselor Telephone
Counselor Telephone
Counselor Telephone
Are you
currently enrolled
in a college
or university
□
For
Applicants
with College
or University
Hours:
Are you
currently enrolled
in a college
or university
□ Yes
Yes
___________________________________________________________________________________________
Why did you choose to apply to the Ranch Management Program?______________________________________
Why did you choose to apply to the Ranch Management Program?______________________________________
Relatives and friends who are Ranch Management Program alumni (indicate relationship): ___________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Relatives
and friends who are Ranch Management Program alumni (indicate relationship) _______________________
Relatives and friends who are Ranch Management Program alumni (indicate relationship) _______________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Recommendation Letters
Three letters of recommendation are required for admission
to the Ranch Management Program. You should
References
References
obtain letters
a minimum
of one recommendation
letterfor
from
each of the
following
academic,
professional,
Three
of recommendation
are required
admission
to the
Ranchcategories:
Management
Program.
You should
Three
letters
ofApplications
recommendation
required
forfrom
admission
the
Ranch
Management
Program. professional
You should
and personal.
withoutare
letters
ofletter
recommendation
will
not
be considered.
The academic,
recommendation
obtain
a minimum
of one recommendation
each ofto
the
following
categories:
obtain
a
minimum
of
one
recommendation
letter
from
each
of
the
following
categories:
academic,
professional
letters
should
be
sent
to
the
attention
of
the
Director
of
Ranch
Management
and
mailed
to:
TCU
Box
297420,
and personal. Applications without letters of recommendation will not be considered. The recommendation
and
personal.
Applications
letters
recommendation
willManagement
not be considered.
Fort Worth,
TXbe
76129
to: [email protected].
letters
should
sent or
to emailed
the without
attention
of theofDirector
of the Ranch
ProgramThe
andrecommendation
mailed to: TCU
letters
should
be
sent
to
the
attention
of
the
Director
of
the
Ranch
Management
Program
and mailed to: TCU
Box 297420, Fort Worth, TX 76129 or emailed to [email protected]
Box 297420, Fort Worth, TX 76129 or emailed to [email protected]
Required
RequiredSignature
Signature
Have you ever been convicted of a felony or misdemeanor? □ Yes
□ No
No
Have
you
ever
been
convicted
ofofaafelony
orormisdemeanor?
□
YesYes
□ institution?
Have
you
ever
been
convicted
felony
misdemeanor?
No
suspendedofora expelled
high school or□any
□ Yes □ No
Have you ever been convicted
felony or from
misdemeanor?
Yesother□academic
No
Have you ever been suspended or expelled from high school or any other academic institution? □ Yes □ No
Have
Have you
you ever
ever been
been suspended
suspended or
or expelled
expelled from
from high
high school
school or
or any
any other
other academic
academicinstitution?
institution? □ Yes
Yes □ No
No
{Please attach an explanation if answering “yes” to either or both questions. Answering “yes” to either or both
(Please
attach
an
explanation
if
answering
"yes"
to
either
or
both
questions.
Answering
"yes"
to
either
or
both
questions does not automatically disqualify you for admission, but will initiate a review by appropriate
(Please attach
attach an
an explanation
explanation
answeringyou
“yes”
to
eitheror
orboth
both
questions.
Answering
“yes” to
to either
either
or both
both
{Please
ifif answering
“yes”
either
questions.
“yes”
or
questions
not
automatically
disqualify
forto
admission,
but will
initiate aAnswering
review by appropriate
University
Universitydoes
officials.}
questions
does
not
automatically
disqualify
you
for
admission,
but
will
initiate
a
review
by
appropriate
University
questions
does
not
automatically
disqualify
you
for
admission,
but
will
initiate
a
review
by
appropriate
officials.)
officials.) officials.}
University
I certify that the information in this application is accurate, complete and my own work. I
I certify
that the
the
information
this
application
is accurate,
complete,
andown
my work.
own
work. with
certify that
information
ininthis
application
is accurate,
complete,
and my
acknowledge
that
any omission
or
inaccurate
information
could
jeopardize
standing
III certify
that the
information
in this
application
isinformation
accurate,
complete
and mymy
own
work. I
acknowledge
that
any
ommission
or
inaccurate
could
jeopardize
my
standing
ITexas
acknowledge
that
any
ommission
or
inaccurate
information
could
jeopardize
my
standing
Christian
University.
acknowledge
that
any
omission
or
inaccurate
information
could
jeopardize
my
standing
with
with
ChristianUniversity.
University.
with Texas
Texas Christian
Texas Christian University.
SIGNATURE
DATE
SIGNATURE
SIGNATURE
DATE DATE
SIGNATURE
DATE
Your
is complete
when all of
the following
items are items
Your TCU
TCU Ranch
Ranch Management
Management application
Program application
is complete
when
all of the following
received
by the
Management
Department:
are received
by Ranch
the Ranch
Management
Program Department:
____________________________________________________________________________________
Counselor Name
AND FINALLY…
FINALLY…
AND
AND
FINALLY…
AND FINALLY…
AND FINALLY…
How did you first learn about TCU Ranch Management Program?_______________________________________
□
□ No
No
Where?____________________________
What is your cumulative GPA?_______________________
Where?
What is□your
Are you____________________________
currently enrolled in a college or university? □ Yes
No cumulative GPA?_______________________
How many college credit hours will you have completed at the time of
application?_____________
Where?___________________________________________
What
is your cumulative GPA? _____________
How many college credit hours will you have completed at the time of
application?_____________
Will
earn
a degree
to the
of enrollment?__________
If so, what degree?__________________
Howyou
many
college
creditprior
hours
will intended
you havetime
completed
at the time of application?_____________
Will
you
earn
a degree
prior
to the
intended
time
of enrollment?__________
If so, what degree?__________________
What
college
youtohave
in progress?____________________________________________________________
Will you
earn courses
a degreedo
prior
the intended
time of enrollment?__________ If so, what degree?__________________
What
college
courses
do
you have
in progress?____________________________________________________________
Are you
eligible
to return
to allhave
former
institutions you have attended?_________________________________________
What
college
courses
do you
in progress?____________________________________________________________
Are you
eligible
to return
to all former
institutions you have attended?_________________________________________
Are you eligible to return to all former institutions you have attended?_________________________________________
22
2
□ Application for admission
□
for admission
□ Application
Three
recommendation
letters
Application
for admission
□
Three recommendation letters
□ $40
nonrefundable
application
Three
recommendation
letters fee, checks payable to “TCU”
□
$40 nonrefundable application fee, checks payable to “TCU”
□ $40
Autobiography
pageapplication
(in your own
nonrefundable
fee,handwriting)
checks payable to “TCU”
□
Autobiography page (in your own handwriting)
□ Official
transcripts
from
the
high
school,
colleges or universities you have attended
Autobiography page (in your own handwriting)
□
Official transcripts from the high school, colleges or universities you have attended
□ Recent
photo of yourself
(optional)
Official transcripts
from the
high school, colleges, and universities you have attended
□ Recent photo of yourself (optional)
□
Recent photo of yourself (optional)
Please mail completed application and application fee to: TCU Ranch Management Program
Please mail completed application and application fee to: TCU
TCU Ranch
Management Program
Box 297420
Please mail completed application and application fee to: TCU
Ranch
Management Program
TCU
297420
Fort Box
Worth,
TX 76129
TCU
297420
Fort Box
Worth,
TX 76129
Fort Worth, TX 76129
If you have any questions about your application, please contact our office at 817-257-7145.
If
questions about
about your
your application,
application, please
please contact
contactour
ouroffice
officeatat817-257-7145.
817-257-7145.
If you
you have
have any
any questions
3
3
3