Violet M. Hopkins Fund

Application Form

Please fill out every field below. Use tab key to go from area to area; do not use enter key. Do not press enter until the entire form is filled out. Thank You.

GMO Name	Date of Application

Contact Name	Position

Address of Contact Person

City	State	Zip

Phone	Fax

E-mail

1. Instructional program.
A. Describe the program to be supported by this application i.e. is this a camp, clinic, freestyle, seminar, symposia, lecture, pre-certification instructor workshop, sessions for L program participants. OTHER

B. Be specific and give a summary description of the program listed above.

C.What is the need for the program as defined in 1A & B?
D. How will your INSTRUCTIONAL AND EDUCATIONAL program help the participants?

E. If applicable, list the level of riders who will be participating in this clinic program.
(Do not include auditors.)

2. Date(s) of event.

How many will attend?

a) Participants

b) Auditors

Fee per participant?

Fee per auditor?

Name of Equestrian Facility
Location of Equestrian Facility

3. Instructor's name and qualifications

4. How will you advertise this activity?

5. Who is the desired audience?

6. Other information regarding your clinic that you think the Selection Committee will
find useful in looking at this application

7. What financial help will your GMO give to this clinic?

8. Budget of expenses and income. Please indicate other additional expense and revenue line items for your program with dollar amounts listed:

Expense

Facility

Clinicians:

Clinician Expense Breakdown

Clinician
Fee
Food
Lodging
Travel

Clinician 1 Expense Breakdown

Clinician
Fee
Food
Lodging
Travel

Clinician 2 Expense Breakdown

Clinician
Fee
Food
Lodging
Travel

Clinician 1 Expense Breakdown

Clinician
Fee
Food
Lodging
Travel

Clinician 2 Expense Breakdown

Clinician
Fee
Food
Lodging
Travel

Clinician 3 Expense Breakdown

Clinician
Fee
Food
Lodging
Travel

Supplies

Other

Total Expense

Income
Participant fees for riders
Participant fees for auditors
If applicable, does participant fee include food, lodging?
Grants
* Under 'Grants' - do not include amount requested from the Foundation *
Other
Total Income

Amount requested from the Dressage Foundation: (Maximum amount $2,000) Dressage Foundation will grant funding only once in each calendar year to applicant GMO or Chapter of a GMO If you do not receive a copy of your application after you have sent, please contact TDF office to verify that we received your application
Please insert the code below in order to submit your email.


Please double check your work before you press the send button. Your application will be sent as shown above directly to The Dressage Foundation.

Violet M Hopkins News

Dressage Riders to Attend Three-Day Adult Camp Hosted by Local Association

Dressage Riders and Auditors to Attend Special Training Program Hosted by Local Association

Dressage Riders, Trainers, Instructors and Auditors to Attend Special Training Program Hosted by Local Association

Dressage Riders and Auditors to Attend First Training Clinic Ever Hosted by Local Association

Dressage Riders and Auditors to Attend Training Symposium Hosted by Local Association

Violet M Hopkins Grants

Grants Awarded from 1995-2006 on pages 23 and 25 in The Dressage Foundation News

Violet M Hopkins Fund Rules

Violet M Hopkins Fund Application