MDA Scholarship Cover Sheet

Morgan Dressage Association
Scholarship Application Cover Sheet

Name: ______________________________________________________ Date ________________________

Address: ___________________________________ City _________________ State _____ Zip___________

Daytime Phone _____________________________ Evening Phone _________________________________

E-mail address ___________________________________ Fax number ______________________________

Morgan Horse's Name ___________________________________ Registration #_______________________

Sire_________________________________________ Dam _______________________________________

Gender ______________________ Height ________________ Color _________________________________

Scholarship category:

(You must Circle One - This represents the highest level you are currently competing your Morgan(s) in recognized competition)

Training/First Level

Second/Third Level

Fourth/FEI

Your status (Circle One)

Professional

Adult Amateur

Junior/Young Rider

Junior/Young Rider Date of Birth ___________________

Did you receive a scholarship for 2007? _____ Yes _____ No

Applicants MUST be a current member of the Morgan Dressage Association to be eligible for this scholarship.

I certify that all of the information submitted is accurate and complete to the best of my knowledge. I further certify that if chosen to receive a scholarship, I will use the funding to continue my dressage education on a registered Morgan Horse. I also understand that incomplete applications will not be considered.

_______________________________________________________	____________________________
Signature of Applicant	Date

Application packages, (ONE original and FIVE copies) including this cover sheet, up to 3 pages of answers to questions and up to one page of photo(s) (optional) must be postmarked by October 1, 2007.

Mail to:

Morgan Dressage Association
Scholarship Application
c/o Tonya Farina
2101 Cedar Grove Road
Winchester, VA 22603