MHHA SCHOLARSHIP APPLICATION
You are eligible to receive scholarship awards from the MHHA for a total of four years. Please complete this form online and submit it by April 30. Scholarship award recommendations will be finalized by the Board of Directors at the May MHHA meeting. If you have any questions, please contact the MHHA Office, info@mhha.com or 517.349.2920. All information disclosed in this application will be held in confidence to the fullest extent possible.
Personal Information
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
Date of Birth
-
Month
-
Day
Year
Date
Age
Parents
Father's (or Guardian) name
First Name
Last Name
Occupation
Employer
MHHA#
ORC License #
Mother's (or Guardian) Name
First Name
Last Name
Occupation
Employer
MHHA#
ORC License #
If your parents or guardian are not MHHA members, please list the name of the MHHA member you are submitting the application under and your relationship to this person.
MHHA Member Name
First Name
Last Name
Relationship
Education
Educational institution you will be attending for the upcoming academic year.
Name of Institution
Student's School ID Number (if available)
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Degree Pursued
Area of Study
Please briefly describe your present and future professional and career goals
Together with this application, you must submit a certified academic transcript of your entire high school career and/or your entire record in a post high school institution. If your official transcript is not available by April 15 send all other documentation and note that your transcript will be forthcoming with a projected date of arrival.
Extracurricular Activities
List any honors you have received and any noteworthy participation in special programs, school or community activities, or athletics with dates of participation. (Please indicate if you are attaching this information on a separate sheet.)
Rows
Program/Activity/Award
Sponsor/Organization
Dates
#1
#2
#3
#4
#5
#6
Please list jobs you have held in the past few years
Rows
Date Employed
Position
Employer
Hours/Week
#1
#2
#3
#4
Financial
Educational Institution you will be attending during the upcoming academic year
Costs of your tuition, room and board, and books for the upcoming academic year
Estimation of funds available to you for the upcoming academic year
Rows
From Family
Personal Earning
Savings
Loans
Other Scholarships
Funds availbale
How are you personally contributing to the cost of your education?
File Attachments
Please attach two letters of recommendation, if you have previously applied for or won an MHHA scholarship, please submit new letters of recommendation, no repeat letters from previous years will be accepted.
Letter of Recommendation from School Official (teacher, coach, administrator)
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Letter of Recommendation from Other (employer, community member, non-family member)
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Please attach a brief essay explaining how you are involved in the harness racing industry, and how it may have determined your future. Indicate why you are seeking and believe you deserve financial assistance from the MHHA. For purposes of anonymity, do not include personal names. This essay is 75% of your entire score in the committee's review process. If you have previously applied for or won an MHHA scholarship, please submit a new essay, no repeat essays from previous years will be accepted.
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Together with this application you must submit a certified transcript of your entire high school career and/or your entire record in a post-high school institution.
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Please submit a headshot with your application. MHHA will only use if the applicant is awarded a scholarship. For promotional use only.
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By submitting this application, I certify that all of the information provided herein is complete and accurate to the best of my knowledge. I agree to provide the scholarship committee with any further information or documentation it may request.
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