W&L RIDING PROSPECT INFORMATION FORM

PERSONAL      
Full Name: Preferred Name:
Street Address: City:
State: Zip:
Home Phone: Cell Phone:
E-Mail:    
Mother's Name: Occupation:
Father's Name: Occupation:
ACADEMIC      
High School: Graduation Year:
Class Rank
(No. and Class):
Grade Point Average:
PSAT
(Math/Reading/Writing):
SAT
(Math/Reading/Writing):
PACT (Composite): ACT (Composite):
2 SAT II Subject Tests (Required by University):    
Subject: Score:
Subject: Score:
Academic Honors: Academic Field of Interest:
Other Schools Where You Plan to Apply: First Choice for School:
Will You Apply to W&L?: Yes   No
Have You Visited W&L?: Yes   No
Will You Need Financial Aid to Attend W&L?: Yes   No
Do You Know Anyone Who Has Attended W&L?: Yes  No
RIDING      
Height: Weight:
Current Trainer: Phone:
Previous Trainer: Phone:
Do You Have a Horse?: Yes   No  Description of Horse
(Breed, Height, Sex, Color, Age, Discipline):
Do You Plan on Bringing a Horse to College?: Yes   No  If Yes, Where do You Plan on Boarding?:
Have You Visited Hillview Farm/Colliers Creek Show Stable?
Yes   No   Have You Visited the Virginia Horse Center?:
 Yes   No 
Do You Plan on Showing Your Horse Outside of Team Competition?: Yes   No   

Note: In answering the following questions, a "recognized" show is a competition of the USEF, USEA, USDF, AQHA or NRHA. "Recognized" shows DO NOT include 4-H or local, non-registered or riding club shows.

Have you had more than 24 weeks of mounted instruction?: 
Yes   No 

Have you competed in ANY mounted competition which required you to canter or lope?:   
Yes   No 

Have you competed over fences 18" or higher in ANY competition?:     
Yes   No 

Have you competed in a recognized show?:         
Yes   No 

Have you shown over fences 2'9" or higher in ANY competition?:   
Yes   No 

Have you had/will you have had six months continuous instruction over fences prior to enrollment?:   
Yes   No 

Have you won 5 or more hunter seat equitation on the flat classes in recognized shows?:      
Yes   No 

Have you won 6 or more classes over fences 3' or higher in recognized competition?:
Yes   No 

Have you won 10 or more hunter seat equitation on the flat classes in recognized shows?:  
Yes   No 

Have you won 6 or more classes over fences 3'6" or higher in recognized competition?:     
Yes   No 

Will you be sending a performance DVD?
Yes   No 

Please provide a brief summary of your experience and equestrian achievements in the space provided below.

Additional Comments: