Select the scholarship in which you are applying for. Sagebrush Circuit Lew and Jo Eklund Scholarship. Applicant Name ApHC/AYA Number ApHC Territory

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Select the scholarship in which you are applying for Territory Scholarship Continuing Education Scholarship Sagebrush Circuit Lew and Jo Eklund Scholarship Applicant Name ApHC/AYA Number ApHC Territory Permanent Address City State Zip code Telephone Number E-mail Address Birth Date Name of College/University Enrollment Date Major Area of Study Applicant Checklist Initial each item upon completion Most Recent Semester /Credit Hours completed (if applicable) Application completed on official AYF form. All applications must be received by the ApHC office by March 21. Applications received after this date will not be considered. Proof of Acceptance/Enrollment: Must provide an official letter of acceptance, not a copy. Official sealed copy of your most recent academic transcript. Copy of your official SAT, ACT or similar test result. (Territory Scholarship only) Three (3) letters of recommendation from people other than relatives. Letters should be confidental and must be mailed separate from the application by the reference. 200 to 400 word essay One (1) high quality photo of the application on photo quality paper. Not photocopied or scanned. 1

Appaloosa Youth Foundation Territory Scholarship Application Information The Appaloosa Youth Foundation awards scholarships to outstanding youth members of the Appaloosa Horse Club or Appaloosa Youth Association wishing to pursue higher education. Scholarships are awarded annually, with the entire amount paid to the financial office of the college or university the student will be attending. The entire award is paid at the beginning of the student s first semester; is non-transferable from the recipient; and must be used within one year. Each applicant may only apply for one of the three scholarships available, Territory, Continuing or Sagebrush Circuit. Completed applications must be received in the ApHC office no later than March 21. Territory Scholarship The territory scholarship awards up to $1,000 to one graduating senior in each of the six territories. At-Large scholarships may also be awarded, at random, in the category. Eligibility Each applicant must be a current member of the Appaloosa Horse Club or the Appaloosa Youth Association to be eligible to apply for an Appaloosa Youth Foundation scholarship. Students who are in the immediate family of an employee, representative, or national director of the ApHC or the AYF are not eligible to apply. Criteria Each application is carefully reviewed by a qualified panel of educators selected by the Appaloosa Youth Foundation. Scores based upon scholastic aptitude, leadership potential, the ability to communicate community and civic responsibilities, financial need content, and presentation. Evidence of involvement in the Appaloosa industry, along with general knowledge of and accomplishments in horsemanship are also considered. Scoring is done in the following categories: *Scholastic Achievements *Presentations and following all instructions *Essay *Demonstrated financial need *Extra-curricular and civic activities Because of the degree of completion and difficulty of acquired skills that are represented, it is to each applicant s advantage to submit a neat, readable, timely and informative application adhering the rules and specifications of the application. ***The AYF reserves the right to vary the number of scholarships awarded based upon the quality of entries as scored by the judges and the funds available***

Appaloosa Youth Foundation Territory Scholarship Requirements 1. In order to apply for this scholarship, the applicant must hold a high school diploma or equivalent certification, or be anticipating high school graduation this year. GPA must be at least a 2.5 on a 4.0 scale or a 3.8 on a 6.8 scale. 2. The application must be completed on an official application and must be filled out by the person applying for the scholarship. You may add supplemental pages if there is not enough space provided. 3. An official academic transcript from the applicant s most recent high school or college semester/quarter must accompany the application. An official academic transcript must be sealed and be sent directly from the applicant s high school (including earned college credits in high school) and may not be simply copied and mailed by the student. 4. A copy of your official ACT, SAT, or similar exam must be attached 5. Proof of college or university acceptance for the academic year of 2016-2017 must be provided. This must be an official acceptance letter from the college or university, not a photocopy. 6. A photograph of the applicant must be attached to the application. The photo must be on photo quality paper. No color copies or scanned photos will be accepted. The photo and application will become property of the AYA and will not be returned. 7. Three letters of personal recommendation must be mailed separately from the application itself, to the ApHC office at the address listed below, postmarked no later than March 21. It is suggested that the letters address the applicant s scholastic career, community involvement, and participation in equine events and organizations. These letters may be from instructors, advisors, or other qualified persons. Letters from relatives are not accepted. 8. All applications must be completed and received in the ApHC office no later than March 21 in order to be considered by the scholarship selection committee. 9. Mail application and materials to: Appaloosa Horse Club Attn: AYF Scholarship Application Coordinator 2720 West Pullman Rd Moscow, ID 83843

Part I: School Information Name of College/University you plan to attend School Address City State Zip code Financial Aid Office Contact Name Phone Number E-mail address Financial Aid Office Address City State Zip code Applicant Address while attending school (if available) City State Zip code Anticipated Major/Area of Study: Please briefly describe your scholastic and career goals: Part II: Work History Provide a brief overview of your work history and/or positions you have held Start Date: End Date: Position/Title: Job Duties: Start Date: End Date: Position/Title: Job Duties: Start Date: End Date: Position/Title: Job Duties: Start Date: End Date: Position/Title: Job Duties: 2

Part III: Scholastic Aptitude College/University GPA 4.0 Scale 6.0 Scale High School GPA 4.0 Scale 6.0 Scale An official grade transcript from your most recent school semester or quarter must accompany this application. This must be an official sealed copy directly from your school, not a photocopy by the student. Attach a copy of your official SAT/ACT Score (Territory Scholarship Only): Scores/Percentiles: ACT SAT OTHER: List your scholastic honors/achievements/awards: List your school organizations, activities and any positions held: List your hobbies, interests and civic actives: 3

Part IV: Extracurricular Equine Activities List the name and type of equine related clubs/organizations you belong to outside of the ApHC or AYA. Club Name Club Type Years Involved List your 4-H or FFA project you have enrolled in: List outstanding awards and achievements in 4-H, FFA, Pony Club or similar organizations: Pony Club Rating? Part V: Involvement in Appaloosa Industry Do you own an Appaloosa? Does your family own Appaloosas? List ApHC affiliated regional clubs or racing associations you belong to: Club/Racing Association Years as a member How long have you been riding? Showing? Trail Riding? _Other? Outline your activities/experiences in riding/trail/showing/racing/dressage/4-h/ other using Appaloosa horses: List major horsemanship awards you have received using Appaloosa horses: 4

Part VI: Financial Need and Parent/Guardian Information Father s Name ApHC Number (if applicable) Father s Occupation Father s Address City State Zip code Father s Estimated Gross Income Father s Estimated Net Income Mother s Name ApHC Number (if applicable) Mother s Occupation Mother s Address City State Zip code Mother s Estimated Gross Income Mother s Estimated Net Income # of Children in Family # Living at Home # Children in College Part VII: Applicant Essay In a 200 to 400 word formal letter, summarize your thoughts and feelings on the following: 1. What has your experiences with horses meant to you. 2. Why do you desire to continue your education. 3. What personal qualities do you possess that you believe qualify you to receive this scholarship. 4. What, if any, circumstances do you have the demonstrate financial need? 5. How will receiving this scholarship enhance your education experiences? Part VIII: Letters of Recommendation Three letters of recommendation are required. These letters must be mailed separately from the application and be sent directly to the ApHC by the person writing the letter. The letters can not be written by your family members. They may be from instructors, coachers, teachers, colleagues, youth leaders or other qualified persons. It is suggested that you provide an envelope pre-addressed to the Appaloosa Horse Club, Attn: AYF Scholarship Coordinator, 2720 West Pullman Rd, Moscow, Idaho 83843, those who are writing your recommendation letters. It is also suggested that you follow up with those you asked to write the letters to ensure they are mailed to the ApHC to arrive before the March 21 deadline. In the section below please provide the name and contact information for those writing your letters of recommendation: Reference 1 Address City State Zip Phone Reference 2 Address City State Zip Phone Reference 3 Address City State Zip Phone 5

Part IX: Applicant Signature and Acknowledgement I hereby acknowledge the information contained in this application to be true to the best of my knowledge. I understand that fraudulent information may result in disqualification of any scholarship money awarded, and / or may disqualify me from present and future consideration for scholarship funding from the APPALOOSA YOUTH FOUNDATION. _ Applicant Signature Date Applicant s Parent/Legal Guardian's Signature Date (Parent/Guardian Signature not required for Sagebrush or Continuing Student scholarship) Mail Applications to: Appaloosa Horse Club Attn: AYF Scholarship Application Coordinator 2720 West Pullman Rd Moscow, Idaho 83843 Scholarship Deadline: March 21 No exceptions 6