Financial Aid Application

Financial Aid - Individual Application

Date*
Month
Day
Year
Participant's Name:*
First Last
Participant's Birth Date*
Month
Day
Year
Applicant’s Name:*
First Last
Applicant's Phone*
Activity*
- Riding
- Carriage Driving
- Equine Learning
- Camp
- Immersion
- Horse Sense
- VetKids
- Training & Education (mentored teaching hours or educational workshop)
Semesters Financial Aid Requested*
- Academic Semester 2022-2023
- Summer 2023
- Other
Participant's Mailing Address*
Street Address Address Line 2 City State ZIP Code
Primary Contact Email*
Name of Parent/Guardian 1
First Last
Home Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Occupation
Employer
Business Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Name of Parent/Guardian 2
First Last
Home Address*
Street Address Address Line 2 City State ZIP Code
Occupation
Employer
Business Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Are you a one or two family income household?*
Please list amount per year of any aid or support you receive other than earned income.*
Annual Earned Income Category (Select One):*
- Less than $15,000
- $15,000 - $25,000
- $25,000 - $35,000
- $35,000 - $50,000
- $50,000 - $75,000
- $75,000 +
Number of Dependents in Household (Adults)*
Number of Dependents in Household (Children)*
List Dependent Children*
Name Age School/College Percent of tuition paid by parents Percent of aid received by parents
List other people dependent upon your income (e.g., parents):
Real Estate/Primary Residence*
Year/Make Date Purchased Wholly Owned Financed Rented
Other Property/Real Estate:
Year/Make Date Purchased Wholly Owned Financed Rented
Vehicles
Year/Make Date Purchased Wholly Owned Financed Rented
Please identify below other financial obligations you may have that should be considered with this Financial Aid Application. In addition, if there are other factors you feel might affect consideration of this application, please explain them.*
Level of Financial Aid requested*
- 20%
- 40%
- 60%
- 80%
Other Comments

Name	Age	School/College	Percent of tuition paid by parents	Percent of aid received by parents

Year/Make	Date Purchased	Wholly Owned	Financed	Rented

Year/Make	Date Purchased	Wholly Owned	Financed	Rented

Year/Make	Date Purchased	Wholly Owned	Financed	Rented

Financial Aid Application

Financial Aid - Individual Application

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