TJ Holmes Memorial Scholarship Application

Hope Ranch Therapeutic Riding Center

3715 W. 69th Ave Manhattan, KS 66503 785.587.8180

A Non-Profit Corporation (501c3) Tax ID #: 20-4837483

TJ Holmes Memorial Scholarship Application

The TJ Holmes Memorial Scholarship Fund aims to honor TJ's memory by supporting individuals seeking therapeutic riding lessons who may need financial assistance.

Due to the increasing number of scholarship requests, Hope Ranch awards full scholarships during extreme financial situations only.

Please complete the application in full and submit required paperwork. Applications without supporting financial statements will not be considered.

Scholarships are awarded on a yearly basis.
Please enter your information.
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Email*
example@example.com
Name of Participant (if other than yourself, please provide participants name):

First NameLast Name
Number of members in household:
Is the participant: (check one)*

A currently enrolled at Hope RanchA new Participant

Financial Information

Please fill in all sources of income that are received in applicant's household.
Household's yearly income from employment:
Other sources of employment income in household:
Other yearly social security benefits:
Total yearly alimony received:
Total yearly child support received:
Other yearly income not yet reported:
Please fill in all monthly expenses in applicant's household.
Mortgage/Rent:
Utilities:
Uninsured Health Care Expenses
Vehicle Loan Payments
Misc. Expenses (alimony, child support, groceries, etc)

Please explain why you are applying for a scholarship at Hope Ranch:
Please describe hot the recipient of this scholarship will benefit from the program:*
Pay special attention to this question and provide a detailed response.
List any special circumstances that impact your financial situation (i.e. frequent emergency situations, employment instability, etc.)

In order to establish financial need we accept any of the following documentation for applicants:

- W-2

- SSI

- Previous year's tax return showing income at or below 150% of the 2024 Federal Poverty Level

- Last two pay stubs from all sources of employment income in the household

*If applicant is a dependent, documentation should be in Parent/Guardians name.

Applications submitted without supporting financial documentation will be returned to the applicant.
Please submit enough documentation to adequately prove yearly income as stated in application.

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By applying for a scholarship, you understand there is an agreement on your part to attend weekly riding lessons. If you are unable to attend your scheduled riding lessons, you are required to contact the Program Director or Lead Instructor to make them aware of your absence or submit your absence in the portal with 24 hour notice.

Scholarship recipients are allowed 3 excused absences in a single session. If the recipient cancels without 24 hour notice or no-shows a lesson 3 times, the scholarship will be withdrawn and the recipient will removed from lessons and put on the bottom of the waitlist.

If a recipient receives a partial scholarship, the recipient (or parent/guardian if recipient is a dependent) is responsible for the remainder of the lesson fees. Past due lesson fees of more than 60 days will result in the scholarship being withdrawn and the recipient being removed from lessons and put on the bottom of the waitlist.

Participants at Hope Ranch must apply for scholarships on a yearly basis.
I certify that all the information I have provided to Hope Ranch is true and accurate to the extent of my knowledge.
Participant's Signature (Parent/Guardian Signature if Participant is a dependent)*

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