Gordon Nelson Memorial Foundation

Scholarship Application

Name________________________________ Date of Birth_______________________

Address_________________________________________________________________

City_____________________________ State________ Zip Code__________________

Telephone number_________________________ E-mail__________________________

Name and address of school you are now attending:

______________________________________________

Name and address of school you will be attending:

______________________________________________

Current educational status (e.g. high school senior, college freshman, etc.)_____________________

Career preference (if any):__________________________________________________

Scholastic achievements: ___________________________________________________

________________________________________________________________________

Extra-curricular activities, including any community service or volunteer activities:_____

________________________________________________________________________

How did you find out about this scholarship?___________________________________

________________________________________________________________________

Brief Essays

Please use a separate sheet of paper to complete the following two essays.

Please discuss your past and/or present involvement with horses and how being involved with horses has influenced your life’s philosophies.

Please describe your future plans and goals and how you propose to give back to the horse community in the future.

Please list your personal references.

Address____________________________________

_____________________________________

Address____________________________________

_____________________________________

I certify that the information on this application is correct and that all work submitted is mine:

Applicant’s signature________________________________ Date__________________