Your Name (required) Your Address (required) Your Mobile Phone Number (required) Your Email (required) Trainers Name Date of Birth Current Age Total Household Income Bracket $0 - $50,000$51,000 - $100,000$101,000 - $200,000$201,000 - $250,000$251,000 +$500,000 + Who currently pays for your horse shows? What other forms of financial support or sponsors do you have Briefly summarize your competitive experience Briefly summarize your equestrian and academic goals From within the equestrian community, name three role models, idols or other influences and explain how they have impacted you. Please include influences at both the local and national/international level. Please indicate which West Palms shows you are interested in attending Please provide your mailing address and your t-shirt size. If you are selected for the Grant, we will be sending you a shirt in the mail. Attach a link to a 2 minute video explaining in detail why you deserve and need this grant. Please include a verbal commitment to follow through on the 8 hours of volunteer work required with West Palms Events. Videos must be under 2 minutes in length. If your video is over 2 minutes, you will not be considered for the grant. Please submit videos in 720p or higher resolution. We strongly recommend uploading to YouTube. Please make sure that your video has clear audio and decent lighting. If the judges cannot clearly see or hear you, it may negatively impact your application. Attach a link to a 2 minute video showing your current riding skills at their best. Videos must be under 2 minutes in length. If your video is over 2 minutes, you will not be considered for the grant. Please submit videos in 720p or higher resolution. We strongly recommend uploading to YouTube. If you receive this Grant please explain how you plan to "Pay it Forward" outside of the horse world? I acknowledge that I must also have a letter of recommendation submitted by a well known individual in the equestrian field. The form for submitting that letter can be found to the right or below this one -depending on your device.I further acknowledge that:1. Recipients are required to do one weekly post on Facebook or Instagram and tag or mention West Palms Events. We also ask that Recipients use designated hashtags provided by our Grant Coordinator. a. Recipients will be responsible for keeping a log of all posts and submitting them to West Palms Grant Coordinator Quarterly.2. Recipients will be given 2 West Palms Grant saddle pads that must be worn during competition at all West Palms Shows.3. Recipients must provide 10 hours of internship during the year. a. Recipient's will be responsible for setting up their internship hours with the Coordinator. b. Internships must be pre arranged no later than June 30th. c. Each recipient must keep a log of their internship and submit the log to the Coordinator when complete.