Horsemens Pony Club

Wilkie Family Scholarship Application

Fields marked with an asterisk (*) are required

NOTE: do not fill in this field. It is used to prevent automated unsolicited submission.

Name of Applicant: *

Address: *

Email Address: *

Applicants Date of Birth: *

Phone: *

Do you belong to a PCWA CLUB Circle:

Yes

No

If yes, which PCWA CLUB are you a member of?:

How many years have you been a member of this club:

Certificates Passed:

What Equestrian disciplines are you interested in?:

What Equestrian Disciplines have you competed in? Please give information about your own competition experience and that of your horse/pony:

What is your General Equestrian Background?:

What are your Equestrian Goals, Short and Long term?:

What equestrian activities/competitions do you have planned for 2024?:

If you received this HPC Scholarship what would it mean to you?:

How would receiving this scholarship support you?:

Scholarship Application