Madison County 4-H Horse Project Scholarship

Application

This scholarship program is open to High School Seniors that are actively involved in the Madison County 4-H Horse Project who wish to continue their education in a two-year college, four-year college or trade school.

The number and amount of scholarships given will depend on the amount of funds available each year.

The Madison County 4-H Horse Project will arrange direct payment upon Registrar’s official notification of student’s enrollment.

Application deadline is: April 15^th 2009

The application is also available online at madisoncountyhorseproject.org and can be emailed back to Gerene Farrell at gerene_a@yahoo.com

Applications can also be mailed to:    Gerene Farrell

                                                                  St. Charles, IA 50240

Please print or type neatly.

Name:

                 (First)                            (Middle)                                        (Last)

Address

Phone

Date of Birth

Parent’s Names

Academic Information

High School

Expected graduation date ____/_____/______  

Academic involvements and achievements (quiz bowl, honor roll, NHS, etc.)

Extracurricular Activities (sports, speech, drama, FFA, band, choir, others)

What college, university, or trade school do you plan to attend?

What is your anticipated area of interest or study?

Community involvement:

List your involvement with clubs, organizations, church, etc.

4-H involvement:

Name of 4-H club                                                                        Years in 4-H

Offices and committees held

List project areas (ex. Beef, clothing, photograph, communications)

County Activity involvement (youth council, other)

Horse Project Involvement:

Number of years in horse project                  

Areas of 4-H participation: County Fair  _______State Fair _______    

Aksarben   _________ Junior Leaders _______ Hippology _________

Quiz Bowl _________   Grooming Team _______ Judging Team _______ Presentations __________ Posters________

other (please list______________________________________)

Check the variety of classes you have shown in.

¨ Bareback                              ¨ English Pleasure          ¨ Showmanship     ¨ 2&3 yr. snaffle

¨ Barrels                                  ¨ Halter                          ¨ Western Equitation

¨ Breakaway/Ranch Roping       ¨ Poles                           ¨ Western Pleasure

¨ English Equitation                  ¨ Pony Pleasure              ¨ Western Riding                  

¨ English Hunter Hack              ¨ Reining                        ¨ Trail

Horse Project Awards received (Stanley Bell, High point, Hippology, Judging team, other awards)

Other equine activities and memberships (i.e. Saddle Clubs, Ranch Horse, IHSR etc.)

Questions- Please answer the following questions in 100 words or less.

What is your greatest achievement in the 4-H horse project and how will that help you in your future endeavors?

How do you plan to continue with horses in your future?