Student Participant Application

Scholarship Information and Application

All information is intended for internal use only and will not be disclosed to anyone outside of THP. Scholarships are provided because of generous donors and grants we receive. They are given on a needs basis and are not guaranteed. Please contact THP for more info.
Applicant Name: *

First Name Middle Name Last Name

SCHOLARSHIP INFORMATION
The Horse Prayer is supported by generous community sponsors. The donations and awards of grants that we receive are what make it possible for us to provide scholarships to our participants.

This section is optional and should only be completed if you are applying for a scholarship.
Number of ADULTS in your household:
18+ years old
Number of CHILDREN in your household:
0-17 years old
Household Annual Income:
How will you provide proof of household income?

Pay stub for all adult members Tax Return from previous year
Upload forms here:
REQUIRED *

By submitting this application, I acknowledge that the information provided is true and accurate to the best of my knowledge. I understand that fraudulent activity will be reported.
REQUIRED *

I hereby authorize THP to process this scholarship application and keep this information on file for internal use only (including registration, billing, and planning of programs for the participant listed above). *This application is valid for one calendar year.
REQUIRED *

I understand that my application is the start of a process. I am not committed to participation if I change my mind after my consultation. I also understand that THP does not guarantee to provide services if the current program would not benefit my child. THP is an equal opportunity program and does not discriminate.
E-Signature Required Before Submitting Application *

By submitting this form, I attest that this my legal signature. Clear
Should be Empty:

Scholarship Information and Application