Name:
Address:
Address 2:
City, State, Zip:
,
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 current member of the KHC to be considered for this scholarship!
Name and address of the college you are planning to
attend:
College Name :
Address :
Address 2 :
City, State, Zip:
,
Provide a description of (feel free to use back side of paper):
Involvement in the Horse Industry:
Academic Accomplishments:
Extra-curricular Activities:
Please provide the amount of time and length of
service in your various areas of 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?
How did you hear about the Kansas Horse Council
Foundation Scholarship?
Please read and sign:
I understand that this application must include:
- An official copy of my high school transcript or college transcript if currently enrolled,
- Proof of enrollment or acceptance into a trade or other accredited scholastic institution will be
required if I am selected as a scholarship recipient,
- 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 must be received BEFORE 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.
Please read, then
click the Submit button below: "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: ___________________________________________
