Gail Angell Scholarship Application Page | New Dressage Association of Wisconsin

Junior/Youth Gail Angell Scholarship Application

* All Items are Required.

Junior/Youth's First Name:

JR/YR Last Name:

Age (Required):

Parent's Name (if under 18 years):

Phone:

Email:

Street Address:

City:

State:

Zip:

Chapter Affiliation:

Northeast (North of Green Bay) Eastern (Milwaukee, Sheboygan, Fond du Lac) Southern (Madison, South & West WI Areas) Member at Large (Out of State Residents Only)

Horse's Name, Breed, Age, Height, and Schooling Level:

How many years have you been a NEWDA member: (minimum of 6 months is required to be eligable for this scholarship):

Educational Event Information

Which educational event will you apply your scholarship to?

Riding in a Clinic Auditing a Symposium USEF sanctioned education program USDF/NEWDA sanctioned education program No Event yet, Pre-Approved Scholarship

Educational Event Name:

Educational Event Dates:

Brake Down of Educational Event Fees:

Total Educational Event Fees:

Volunteer Hours

(Minimum of 8 hours required, does not need to be a NEWDA activity)

Event 1:

Location and Date:

Hours:

Event Organizer who Signed your " Volunteer Credit Request":

Event 2:

Location and Date:

Hours:

Event Organizer who Signed your " Volunteer Credit Request":

Event 3:

Location and Date:

Hours:

Event Organizer who Signed your " Volunteer Credit Request":

More Events for Hours:

NEWDA Meetings Attended

(Minimum of 2 Meetings Required)

*Meeting attendance will be confirmed with your chapter president.

Meeting 1 - Location & Date:

Meeting 2 - Location & Date:

Essay / Video

Essay: (minimum of 500 words)

Video Link (3-5 minutes):

GAIL ANGELL SCHOLARSHIP APPLICATION

Junior/Youth Gail Angell Scholarship Application