WEST COAST EQUINE FOUNDATION
DICK RANDALL MEMORIAL SCHOLARSHIP
APPLICATION
(Must be Typed)

This form can be completed online and then MUST be printed, signed and mail to:
West Coast Equine Foundation · 7200 Lone Pine Dr. · Rancho Murieta, CA 95683
Date of Application:
Name......................: SSN#:
Address..................:
City, State...............: Zip....:
Phone (Home)........:
Phone (Work).........:
Phone (School).......:
Indicate education completed:    High School or equivalent Yes   No

Year of completion: Please submit transcripts.
Note:  If you are selected as a scholarship recipient, you must provide your 
acceptance to an accredited institution prior to receiving your scholarship award.
Tuition and Fees $ Room and Board $
Books $................: Transportation $...:
Other $.................:
In addition to the scholarship, what other sources of support\income do you
anticipate having at your disposal to meet the above expenses?

Please provide a brief description of the course work you plan to take.

Personal Statement: A critical part of this selection process will be the applicant’s description of how the scholarship will assist in meeting his or her career\educational plans.  Attach a separate sheet with your typewritten personal statement (approximately 300 words) describing your educational plans, your career goals, financial needs, and any other comments, which may be helpful in the evaluation of your application.

Please provide two (2) letters of recommendation (family members excluded.)
I attest that all of the above statements are true.

Signature: ___________________________

Date:____________