2014 Professional Association of Therapeutic Horsemanship International Riders Assistance Fund $300 Scholarship Nomination Form The purpose of this fund is to assist a child who would not otherwise be financially able to participate in a therapeutic horsemanship program at a PATH Intl. Premier Accredited Center. Thanks to the generosity of its donors, in 2014 PATH Intl. is able to fund one $300 need-based scholarship. Premier Accredited Centers, please complete this form, save and email to [email protected] . All nominations must be received at the PATH Intl. office by FEBRUARY 25, 2014 ! If you have any questions about this scholarship, please contact Megan Ferry, (303) 452-1212, ext. 107 or [email protected] . Thank you. Nominee information: Nominee’s Full Name: Nominee’s Home Address: City: State: ZIP/Postal Code: Day Phone: Evening Phone: Birth date (This scholarship is for children only, so the person must be born after January 1, 1996): Additional Information: Nominating PATH Intl. Premier Accredited Center: Address: Region: City: State: ZIP/Postal Code:

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2014 Professional Association of Therapeutic Horsemanship International Riders Assistance Fund $300 Scholarship

Nomination Form

The purpose of this fund is to assist a child who would not otherwise be financially able to participate in a therapeutic horsemanship program at a PATH Intl. Premier Accredited Center. Thanks to the generosity of its donors, in 2014 PATH Intl. is able to fund one $300 need-based scholarship.

Premier Accredited Centers, please complete this form, save and email to [email protected]. All nominations must be received at the PATH Intl. office by FEBRUARY 25, 2014! If you have any questions about this scholarship, please contact Megan Ferry, (303) 452-1212, ext. 107 or [email protected]. Thank you.

Nominee information:Nominee’s Full Name:

Nominee’s Home Address:

City: State: ZIP/Postal Code:

Day Phone: Evening Phone:

Birth date (This scholarship is for children only, so the person must be born after January 1, 1996):

Additional Information:Nominating PATH Intl. Premier Accredited Center:

Address: Region:

City: State: ZIP/Postal Code:

Day Phone: Evening Phone:

Nominating person’s name, contact information and relationship to the child:

Date Submitted__________________

mailto:[email protected]

Page 2: · Web view2014 Professional Association of Therapeutic Horsemanship International Riders Assistance Fund $300 Scholarship Nomination Form The purpose of this fund is to assist a

All answers must leave off the nominee’s name and the PATH Intl. Center with which he/she is affiliated. Please make all answers as anonymous as possible. Use generic he/she, the center, etc. The above nomination form will include the nominee’s and center’s information so be sure the form is included with your submission.

Describe why this child would benefit from therapeutic horsemanship. How will this scholarship help to change this person’s life?

Please share the child’s financial situation and why he/she needs financial assistance to benefit from therapeutic horsemanship.

Why does your center deserve to be the recipient of the 2014 PATH Intl. Riders Assistance Fund Scholarship? (in 100 words or less)

How will your center promote this scholarship in order to bring awareness to the therapeutic horsemanship industry, to PATH Intl., and to your center?