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 ranching@tcu.edu ■ 817-257-7145 ■ FAX 817-257-7144 TCU Box 297420 ■ Fort Worth, TX 76129 ■ ranching@tcu.edu 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: ranching@tcu.edu. 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 ranching@tcu.edu Box 297420, Fort Worth, TX 76129 or emailed to ranching@tcu.edu 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
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