ࡱ> ]_\ \bjbj "Tjjx ljjjjLng O c UWWWWWW$ t{E g g { U U*b iYo,j0PPOregon Region United States Pony Clubs, Inc. WORK STUDY PROGRAM CANDIDATE APPLICATION C3, B, H/HA, A NOTE: Candidates application will not be considered until all forms from DC and Candidate are completed and returned to the Work/Study Coordinator. Please attach a one-page, typed letter covering the applicants Pony Club qualifications, experience, and club commitment. RECOMMENDATION FOR: Candidates Name:  FORMTEXT       Present Rating:  FORMTEXT       Date Attained Rating:  FORMTEXT       Pony Club:  FORMTEXT       Address:  FORMTEXT       City, State, Zip:  FORMTEXT       Phone:  FORMTEXT       Other Phone:  FORMTEXT       Email:  FORMTEXT       Please complete both sides of this form and return it to: Work/Study Coordinator Please fill in the areas you feel qualified to instruct or assist. Place a  * by any activity in which you feel you are particularly well qualified.  FORMCHECKBOX  Dressage  FORMCHECKBOX  Games  FORMCHECKBOX  Show Jumping  FORMCHECKBOX  Polocrosse  FORMCHECKBOX  Knowdown  FORMCHECKBOX  Vaulting  FORMCHECKBOX  Tetrathalon  FORMCHECKBOX  Ratings or Ratings Prep  FORMCHECKBOX  Combined Training  FORMCHECKBOX  D1-D2  FORMCHECKBOX  Horse Management  FORMCHECKBOX  D1-D3  FORMCHECKBOX  Bandaging  FORMCHECKBOX  C1-C2  FORMCHECKBOX  Longeing  FORMCHECKBOX  All above  FORMCHECKBOX  Conformation and lameness  FORMCHECKBOX  Other (be specific)  FORMCHECKBOX  Conditioning  FORMCHECKBOX  Other Please rate yourself on the following qualities: GreatGoodNeed WorkGreatGoodNeed WorkEnthusiastic FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Safety Awareness FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Responsible FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Respected by Peers FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Decisive FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Flexible FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Mature FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Common Sense FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Well-mannered FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Dealing w/ Adults FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Articulate FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Leadership Abilities FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Tactful FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Innovative FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Honest FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Takes Initiative When Needed FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  I,  FORMTEXT       of  FORMTEXT       Pony Club, certify that to the best of my knowledge, the above information is correct.  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