MONTANA SUFFOLK SHEEP BREEDERS ASSOCIATION

2012 EWE GRANT APPLICATION

NAME: ______________________________________________________________________

ADDRESS: ___________________________________________________________________

CITY, STATE, ZIP: ____________________________________________________________

PHONE: _____________________________________________________________________

COUNTY: ____________________________________________________________________

GENDER: ____________________________________________________________________

DATE OF BIRTH: _____________________________________________________________

GRADE IN SCHOOL: _________________________________________________________

PARENT / GUARDIANS NAME: _______________________________________________

1. Please describe your current status in the sheep industry:
2. Please describe current facilities and sheep handling equipment available to you:
3. List one person you would seek advice from regards to raising/caring for your sheep and why:
4. Reason for applying for grant and intended plans for Suffolk project:

Please enclose three reference letters from someone not related to you (i.e. teacher, extension agent, 4-H leader).

MONTANA SUFFOLK SHEEP ASSOCIATION WAIVER: I understand the rules set forth in the scholarship program and hereby agree to abide by each rule. I also understand that the Association is not purchasing the animal and is not a co-owner of the animal. I agree that raising an animal poses certain economics risks and I assume all risks, economic or otherwise, and hereby waive release and agree to hold harmless the Association and its member from all the claims, liability, injury, loss or damage from participation in this scholarship program.

Applicant’s Signature __________________________________ Date_________________

Parent/Guardian Signature _____________________________ Date _________________