JUPITER HORSEMEN’S ASSOCIATION 2021 SCHOLARSHIP APPLICATION
Please read this form carefully and answer each question completely. Your application will not be processed if all of the questions are not answered in full. Mark N/A for items not applicable. Please print or type your application.
Full Name ________________________________ Email: ______________________________
Address _________________________________________ Telephone # __________________
City/State______________________________________ Zip Code _______________________
Full Name and Address of Parents or Guardians:
Father _______________________________ Occupation ______________________________
Father’s Employer ______________________________________________________________
Mother ______________________________ Occupation _______________________________
Mother’s Employer ______________________________________________________________
How long have you been a member of JHA? __________________________________________
High School _______________________________ Graduation Date ______________________
What is your cumulative Grade Point Average? __________ Class Rank? ___________________
Number in your class? ______________If available, highest ACT or SAT score _______________
COLLEGE/TRADE SCHOOL PLANS
Where do you plan to attend college or Trade School? __________________________________
College or University Address _____________________________________________________
Have you currently applied for admission? _____________ Been accepted? _________________
Proposed Major? ________________________________________________________________
FUTURE GOALS AND PLANS
What are your plans for the future? ____________________________________________________________________________
Agriculture, Environmental or Animal related Subjects
Please list high school or college courses you have taken that relate to agriculture, environment, animals, horticulture or related fields.
Please list activities/organizations that you were involved with in school and outside of school. Indicate offices or positions held
and accomplishments while involved in each such organization or activity.
Please list all Honors and Awards you have received for any activities you engaged in in school and outside of school.
a. Number of years you have you been involved with horses? _________________________
b. Type of experience you have had with horses? _________________________________
OTHER HOBBIES AND INTERESTS
Please list any hobbies and interests you have other than equestrian related. ___________________________________________________________________________ ___________________________________________________________________________
Please list all community service you have performed stating the dates such service was performed,
the duties you performed and the organization to whom your performed the service and list any certificates and commendations you may have received.
Please list work experience and include the name and address of the employer, dates of employment and duties performed.
How have you and your parents prepared for anticipated college costs and expenses? ___________________________________________________________________________
Please list any other scholarships you have applied for or been granted ____________________ _____________________________________________________________________________
Please list any Government Loans you have received or applied for ______________________ ____________________________________________________________________________
Please list any Financial Aid Programs you have applied for ____________________________ ____________________________________________________________________________
List the names and telephone numbers of personal references whom the Scholarship Committee may contact other than relatives.
1. ________________________________________________________________________ 2. ________________________________________________________________________
Please write a short essay (250 – 500 words) on a subject that interests you. For example: Most memorable experience;
Most important person in my life; My biggest personal accomplishment; What I am most proud of. Please attach your essay on a separate sheet. ESSAY MUST BE TYPEWRITTEN.
NOTE: Scholarship finalists may be contacted for a personal interview with the Scholarship Committee.
Applicant’s Signature Date
Signature of Parent or Guardian Date
Applications may be mailed or hand delivered to the address below. If mailed the sender MUST call Carol Walter 561 262-6361, in about a week, to confirm her receipt of the application. Failure to make sure it is received by the deadline will result in not being eligible.
Deadline for Application is May 24, 2021. Applications postmarked after this date will not be considered. Application Packet shall be submitted to:
Jupiter Horseman’s Association
P.O. Box 2613, Jupiter, FL 33458
Late or incomplete applications will not be considered.