Instructor Certification Assistance Program Application Form - PDF Version

Complete the application by filling in the fillable form fields below or email to Ann Pereira at Annper1@aol.com. All form fields are required. Incomplete forms will not be processed.

Scholarship Program for Trainers, Instructors, and Judges Application Form

Name

Date of Birth

Month

Day

Year

Address

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City

State

Zip

Phone

List the D4K activities in which you have participated. Include the year/s.

List any equestrian organizations to which you belong.

List any other grants, scholarships, or financial awards (horse-related) you have received.

Describe your overall goals or objectives as they relate to dressage (or horses).

Provide the Location and Date of the course in which you intend to enroll and for which you are seeking financial assistance.

State why you are interested in this opportunity. Explain in what way does this course of study fit into your long-term goals?

Detail the expenses you expect to incur. Itemize as much as possible.

Please list the scholarship $ amount you are requesting.

Signature of Applicant

Scholarship Program for Judges and Instructor Certification - Application

Scholarships for Trainers, Instructors, and Judges

Scholarship Program for Trainers, Instructors, and Judges Application Form