Stampede of Dreams Scholarship Application
Eligibility: Scholarships are available to former and new therapeutic riding students at nearby programs. Due to a limited amount of scholarship funds, scholarships can be revoked from clients who demonstrate a high rate of cancelleations/no shows. Riders must demonstrate a need for financial assistance in order to receive the scholarship. You may reapply each calendar year. A new application is required annually.

Instructions: Complete the application below in its entirety. Incomplete applications will not be considered. A scholarship committee consisting of members from Stampede of Dream's Board will review applications. You will be notified of the status of your application prior to the start of your riding lessons. Scholarships are awarded for one riding session at a time and may be granted for subsequent riding sessions.
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Student Name: (Full name) *
Address: *
City: *
State: *
Zip: *
County: *
Telephone Number: *
Email address: *
Parent/Guardian Name: *
Are you a former student of Stampede of Dreams *
If the answer to the above question is yes, when?
How many individuals live in your househould (e.g. number ofdependents) *
Are you eligible for financial assistance from any other sourse (e.g. Family Resources, Free/Reduced School Lunch Program?) Please describe: *
Briefly explain why you are in need of a rider scholarship: *
Type your Signature below if the information presented on this application is accurate, complete and true: *
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