Delmarva Paint Horse Club Scholarship Application

Name _______________________________________________

Date and Place of Birth ________________________________________
Home Address ______________________________________________
__________________________________________________________
Phone ____________________________________
Name of Parent or Legal Guardian (indicate which)____________________________
Address and Phone Number: ____________________________________________
Name and address of high school you will be/or are a graduate (with current transcript) ___________________________________________________________________ ___________________________________________________________________
Name and address of college you will be/or are attending (with current transcript)
___________________________________________________________________ ___________________________________________________________________
Name of Paint Horse Club(s) of which you are a member
____________________________________________
____________________________________________
Achievements related to Paint Horses. (ie. clubs activities, trail rides, offices held) _____________________________________________
_____________________________________________

References: (enclosed)

1. Teacher _______________________________________________
2. Community (non-relative) __________________________________________
3. Officer of a Paint Horse Club where you are a member ______________________

Describe the most memorable experiences you've had with Paint Horses: 
_____________________________________________________________ _____________________________________________________________
_____________________________________________________________ _____________________________________________________________
_____________________________________________________________ _____________________________________________________________
_____________________________________________________________ _____________________________________________________________
_____________________________________________________________ _____________________________________________________________