APPLICATION FOR ADMISSION
Please submit and send to above address. I am applying for the _________ __ I am applying for an earlier admission date__ Please specify date ___________
1. Print legal name in full __________________________________________________________________
Last First
Middle
Preferred first name: ______________________________ gender female male
2. A. Home mailing address _________________________________________________________________
Street
City
State/Province
Zip/Postal Code
Country
B. E-mail Address _________________________
C. Home telephone ( ) ___________________ Current/Work telephone ( ) ___________________
3. Current mailing address ___________________________________________________________________
(if
different from above)
Street
City State/Province Zip/Postal Code Country
4. Date of Birth ____/____/____ Country of Birth ___________________ Citizen of ___________________
MM DD YY Country
5. Language most fluently spoken __________________ other languages spoken _______________________
6. Intended academic major First choice __________ Second choice __________ Third choice ________
A. Dressage B. Jumping C. Dressage/Jumping
Combined training Show Jumping Hunter Jumper
7. Housing plans Apt. Apt w/roommate Family live- in arrangement Have own arrangements
8. Tuition is $10,200.00 per year. 12 month course with holiday breaks during the year.
9.
Member of USDF:
Yes No
Pony club member: Yes No Rating: ______
High School Information: Please indicate all high schools and post graduate high schools you have attended
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School Name |
City State Zip |
From |
To |
Graduation
Date |
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Did you receive your high school equivalency diploma
through the GED examination? Yes No Month/year awarded
_______
College Information:
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College Name |
City State Zip |
From |
To |
Graduation
Date |
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Parent/Guardian Information |
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10. Father’s name___________________________________________________________________________
last first middle
Home (legal address) _________________________________________________________________
Street City State Zip
Occupation Title ____________________________________________________________________
Employer__________________________________________________________________________
Name City State
11. Mother’s name__________________________________________________________________________
last first middle
Home (legal address) _________________________________________________________________
Street City State Zip
Occupation Title ____________________________________________________________________
Employer__________________________________________________________________________
Name City State
Please identify legal guardian:___________________________________ mother father both
12. Have you ever been expelled from school? _____________ If so please state the reason.
_______________________________________________________________________
Please indicate how your attention was called to this equestrian school.__________________________
13. Please submit a personal statement regarding your goals and objectives.
______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Please submit a personal description of your experiences with horses you have ridden, owned, or cared for. Include any show experience you have had. Attach a separate paper if necessary.
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
My signature below verifies that the information I have reported on this application is complete and factually correct. ________________________________________________________
Applicant’s Signature