Equestrian Prospect Questionaire

·  Today's Date:

·  Your Name:

·  Mail address:

·  City:   State Abbreviation:

·  Zip Code:

·  Graduation Date:

·  Phone number:

·  Email:

·  Birthdate:

·  Parent/Guardian Name:

·  Occupation:

·  Mother Work Number:

·  Father Work Number:

·  High School:

·  Riding Instructor/Coach:

·  Riding/Instructor Telephone Number:

·  SAT Math:

·  SAT Verbal :

·  ACT:

·  PSAT/PACT:

·  GPA:

·  Academic Interest in College:

·  Other Colleges Considering:

Equestrian Information

·  Height:

·  Weight:

·  Riding Discipline: Hunt Seat Western Both

·  Number of Years Riding:

·  Describe your Riding Background:

·  Have you shown in a recognized competition through AQHA or USEF?: Yes No

·  Please list Awards, Honors and other competitions:

·  Other activities involved in: