VERMONT HORSE COUNCIL "Creating a unified equine voice" Vermont Horse Council |
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This scholarship application can be used for any equine activities for youth or 4-Hers in Vermont or beyond. The amount, as appropriated by the scholarship Committee, could be up to 1/2 of the total amount of the event. Applications will be accepted at any time. Please provide information on the following. (You may use extra pages if needed.) (This form should be about two pages printed.)
EVENT SCHOLARSHIP WILL BE APPLIED TOWARD:______________________________________________________________
TOTAL FEE OF EVENT:_________________________
DATE OF EVENT:_____________________________
NAME:___________________________________________
BIRTH DATE:____________________ AGE:_______________________
PHONE:___________________________________________
ADDRESS:__________________________________________
CITY:__________________________________ ZIP:__________
YEARS INVOLVED WITH HORSES____________________________________
YEARS IN 4-H:_______NAME OF CLUB:________________________________
LIST YOUR EXPERIENCE WITH HORSES OR IN 4-H:
WHY DO YOU WANT TO ATTEND THIS EVENT?
HOW WILL YOU SHARE THE INFORMATION AND SKILLS YOU LEARNED?
__________________________________________________
SIGNATURE OF 4-H MEMBER
__________________________________________________
SIGNATURE OF PARENT/GUARDIAN
RETURN TO: Lynn Beebe-Dow
Vermont Horse Council Scholarship Chair
6495 Rte 12A, West Braintree, VT 05669