Text Box:      OPHC Jordan Metheny Memorial Scholarship Application                    
Deadline has been extended through April 20th end of show!
 
NAME__________________________________________________________________________ APHA #________________
DATE OF BIRTH____________________________________ SOCIAL SECURITY NO.________________________________  
ADDRESS_______________________________________________________ PHONE________________________________    
CITY_______________________________________________ STATE__________________ ZIP_______________________ 
SCHOOL ATTENDED_______________________________________________________ GRADE______________________ 
PARENT/GUARDIAN______________________________________________________________________________________ 
ADDRESS_______________________________________________________ PHONE________________________________    
CITY_______________________________________________ STATE__________________ ZIP_______________________ 
Please list all of your answers on a separate sheet of paper in the order of their appearance on the questionnaire.
A.    School Extra Curricular Activities (please include the following): 1. Honors   2. Awards   3. Offices   4. Group Activities              
              5. Sports  6. Clubs  7. Arts Programs
B.        Community Activities:  1. Church   2. Clubs   3. Service Organizations
C.         Involvement with OPHC and/or Paint horses.  List all major awards, membership and officer information.
D.         What course of study do you plan to pursue?
E.        How long will you be in school to achieve your educational goals?
F.     Name(s) of college(s) or school(s) to which you have made, or are considering making an application to, in order of  preference.
G.     If you have been accepted at a college or school, provide the address of the Registrar, Provost or Dean of the Business Department, to whom the tuition is paid.
H.    Please include a separate, typed, double-spaced, 250 word or less, explanation of your educational plans and goals.
I.     Enclose three letters of recommendation (one from a teacher, counselor (or pastor), and a character reference is suggested).
J.     Applicant must be a current member of the Oklahoma Paint Horse Club, and meet college eligibility guidelines within the                    year the scholarship is awarded to apply.
 
Signature of Applicant___________________________________________________________________
Signature of Parent/Guardian______________________________________________________________                                                                       We verify that all information provided is accurate and true.
 
Text Box: Please complete this application and send with all required enclosures to:  
Ruby Priore         41691 West Hwy. 16     Bristow, Ok  74010

HomeClub PointsLand RushLinks

Membership FormMembership InfoSale BarnShow Dates