ALQHA SCHOLARSHIP APPLICATION
ALABAMA AMATEUR QUARTER HORSE ASSOCIATION
SCHOLARSHIP APPLICATION
DEADLINE: DECEMBER 31, 2022
APPLICATION INSTRUCTIONS:
• Please type or print in blue or black ink.
• Complete the application in the spaces provided, additional attachments will not be accepted.
• Include two letters of reference
• Include a copy of your transcript
• Essay on how horses have influenced your life
AQHA/AQHYA ID #: __________________________________________
Applicant’s Name: _________________________________________________ Sex: Male Female
Address: _________________________________________________________ Date of Birth: ________________
City, State, Zip Code: _________________________________________________________ Age: _____________
Phone: ____________________________ E-mail: ___________________________________________________
Parent (s) or Legal Guardian (s): _____________________________________Parent(s) AQHA ID#: ___________
Occupation (s): ________________________________________________________________________________
Home Phone: _______________________________________ Work Phone: _______________________________
ALQHA or ALQHYA ACTIVITIES
List any activities in which you have participated:
________________________________________________________________________________________
________________________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
EQUINE / AGRICULTURE RELATED ACTIVITIES
In the space below, list any equine related clubs or activities in which you have participated:
____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________________________________________________
SCHOOL RELATED ACTIVITIES:
List any clubs or activities in which you have participated:
____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________
List any awards or honors you have received:
____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________________________________________________
REFERENCES:
Name: ___________________________________________________________________
Name: ___________________________________________________________________
ACADEMIC INFORMATION
I am currently attending? High School, class rank ______ of ______. College
Please list classification: ________________________________________________
Example: Freshman, Sophomore, etc.
Numerical Average or cumulative GPA: _______________________
Intended Career Path: _________________________________________________________
College / Higher Education Institution you will be attending? ________________________________________
Proposed College Major: _______________________________________________________________________
List name(s) of Educational Institution(s) in which you have attended, beginning with the most recent:
_____________________________________________________________________________________________
Name Location Year(s) Attended
_____________________________________________________________________________________________
Name Location Year(s) Attended
_____________________________________________________________________________________________
Name Location Year(s) Attended
VERIFICATION BY APPLICANT
I hereby certify the statements recorded in this application are true and accurate. I meet all requirements set forth by the Alabama Amateur Quarter Horse Association. I understand if any statement presented in this application is untrue, I may be disqualified.
My signature of acceptance: ____________________________________________________ ______________
Signature of Applicant Date
If applicant is 18 years of age or younger: _________________________________________ ______________
Signature of Parent or Guardian Date
COMPLETE AND RETURN APPLICATION AND SUPPORT MATERIALS TO:
Alabama Amateur Quarter Horse Association
c/o Kelly Jones
1885 Pinedale Road
Ashville, AL 35953
................
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