Kansas Horse Council Foundation Scholarship Application Form

Please enter your information into the fields, then click the 'Submit' button below, or; print this page, fill out your information and send to the address below. In either case, applications must be submitted by April 1st!

Applicant Contact Information:

Name:
Address:
Address 2:
City, State, Zip: , Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Home Phone:
Cell Phone:
E-Mail Address:
It is important that you enter an e-mail address for us to send a copy of this form!
Social Security Number:
Date of Birth of Applicant:
Cumulative GPA:

You must be a cuurent member of the KHC to be considered for this scholarship!

Involvement in the Horse Industry:

Scholastic Accomplishments:

Community Service:

Where do you see yourself ten years from now?:

Are there any extenuating conditions regarding your financial needs or family circumstances that you would like the scholarship awards committee to consider?

Please read and sign:

I understand that this application must include a copy of my high school transcript or college transcript if currently enrolled and two letters of recommendation from persons other than family members. If submitting in electronic format I will forward these items by fax (785) 539-2928 or postal mail ASAP. Until these items are received, I understand that my application cannot be processed.

Applications due by April 1st to:

Kansas Horse Council
c/o Scholarship Committee
8831 Quail Lane Suite 201
Manhattan, KS 66502

Recipients of KHCF Scholarships will be selected by May 1 and informed by May 15. Payment will then be made to the individual winners.

By submitting this form, I acknowledge the information provided is true to the best of my ability and knowledge and that false or mis-representations are grounds for rejection of this application.Submission of the form in electronic format shall be considered evidence of signature.

Signature: ___________________________________________