OPHC Leadership Conference Scholarship

OPHC Leadership Conference Scholarship Application

AjPHA National Leadership Conference - October 2008 - San Diego, California (dates pending)

Applicant must be a Member of Oklahoma Junior Paint Horse Club

Due July 15, 2008 - Mail to: Debbie Vogt, 916 Fox Hill Drive, Edmond OK 73034

Name: ________________________________________________________________________

Address: ______________________________________________________________________

City: _______________________________________ State: _____________________________

Home Phone (Area Code) ____________________Cell Phone (Area Code___________________

Parents/Legal Guardian:___________________________________________________________

Email: ___________________________________________________Age (As of Jan. ’08):______

AjPHA Membership #:_______________________________________________

Are you a member of Oklahoma Junior Paint Horse Club? Yes____ No_____

Applicant Signature: ____________________________________________Date: _____________

Parents/Guardians Signature: ______________________________________________________

Brief statement (300 words or less) on why you should be the recipient of an AjPHA Leadership

Conference Scholarship being offered by the Oklahoma Paint Horse Club. (May attach extra pages)

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