Scholarship Application Form

Scholarship Applications Introduction and Requirements



    Full Name

    Full Street Address


    Your Email (required)

    Date of Birth



    Father's (or Guardian) Name

    Father's Occupation

    Father's Employer

    Father's MHHA Number

    Father's ORC Licence Number

    Mother's (or Guardian) Name

    Mother's Occupation

    Mother's Employer

    Mother's MHHA Number

    Mother's ORC Licence Number


    Educational institution you will be attending for the upcoming academic year:

    School Name

    School Full Street Address

    School Phone

    Degree Pursued

    Area of Study

    List the schools you have attended, including high school with the most recent school first and provide dates of your attendance. If college, please indicate if you obtained a degree.

    Together with this application, you must submit a certified academic transcript of your entire high school career and/or your entire record in a post-high school institution. If your official transcript is not available by April 15, 2021 send all other documentation and note that your transcript will be forthcoming with a projected date of arrival.


    List any honors you have received and any noteworthy participation in special programs, school or community activities, or athletics with dates of participation.

    Please provide information about the Activity/Program/Award, The sponsor, and the dates for each activity.

    List any jobs you have held in the past few years

    Please provide dates employed, position, employer, and hours per week for each job.

    Please briefly describe your present and future professional and career goals.


    Cost of your tuition, room and board, and books for the upcoming academic year.

    Estimation of funds available to you for the upcoming year

    From Family

    Personal Earnings



    Other Scholarships

    How are you, personally, contributing to the cost of your education?

    Please attach two letters of recommendation from:
    School Official (teacher, coach, administrator) and
    Other (employer, community member, non-family member)

    Please attach a brief essay explaining how you are involved in the harness racing industry, and how it may have determined your future. Indicate why you are seeking and believe you deserve financial assistance from the MHHA. For purposes of anonymity, do not include personal names.

    Together with this application you must submit a certified transcript of your entire high school career and/or your entire record in a post-high school institution.

    By signing this application, I certify that all of the information provided herein is complete and accurate to the best of my knowledge. I agree to provide the scholarship committee with any further information or documentation it may request. Please check this box if you agree