Application Deadline: May 1, 2016

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New York Thoroughbred Breeders, Inc. 57 Phila Street, 2 nd Floor, Saratoga Springs, NY 12866 (518) 587-0777 Fax: (518) 587-1551 info@nytbreeders.org www.nytbreeders.org The Gerald A. Nielsen, Sr. New York Thoroughbred Breeders, Inc. Scholarship & The Debby Malloy Winkler New York Thoroughbred Breeders, Inc. Scholarship General Instructions & Guidelines Application Deadline: May 1, 2016 ELIGIBILITY These scholarships recognize students who are currently enrolled in equine- related undergraduate courses of study at accredited colleges or universities in New York State. The applicants must be full- time enrolled students in order to be considered. Before completing the application, carefully read all instructions and information that follows. DEADLINES Event: Deadline: Complete application* postmarked to NYTB office on or before May 1, 2016 NYTB to review scholarship applications May 1, 2016 June 1, 2016 Recipients will be notified in writing if selected to receive a NYTB Scholarship June 15, 2016 NYTB to present scholarship to recipients at 2016 College Day at Saratoga Race Course 2016 College Day at Saratoga Race Course *A complete application consists of: 2016 Application Form Two Letters of Recommendation Official Academic Transcript(s) INSTRUCTIONS TO APPLICANTS 1. OBSERVE DEADLINES. Remember that the application must be postmarked by the May 1 st, 2016 deadline. Any application not postmarked or delivered by hand to the NYTB office by this date will be disqualified. 2. Do not use application forms from previous years. Only the 2016 Application Form will be accepted. No others will be considered for selection. 3. Please print clearly on the Application Form. Essays and Letters of Recommendation must be typed.

New York Thoroughbred Breeders, Inc. 57 Phila Street, 2 nd Floor, Saratoga Springs, NY 12866 (518) 587-0777 Fax: (518) 587-1551 info@nytbreeders.org www.nytbreeders.org Hand- written essays and Letters of Recommendation will not be considered. 4. Type all material in no smaller than a 12- point font size. 5. Complete all sections of the application form and include all appropriate and relevant information. 6. Clearly identify your rationale for selection of the undergraduate program you have chosen and give attention to your personal statement. 7. Exercise care in selecting the persons who will supply letters of recommendation. Be sure to stress to them that letters must be typed. 8. PROOFREAD your application. 9. Read and sign the Verification Statement on page 6. This indicates that should you be selected to receive a NYTB scholarship you understand and accept the responsibilities, obligations, conditions, and possible causes of revocation of the award. 10. Maintain a copy of your application for your records. 11. ASSEMBLE SCHOLARSHIP APPLICATION IN THE FOLLOWING ORDER: Application Form, two Letters of Recommendation (sealed), and Transcript(s) (sealed). Please note, application materials will not be returned. IF SELECTED TO RECEIVE THE GERALD A. NIELSEN, SR. NEW YORK THOROUGHBRED BREEDERS, INC. OR THE DEBBY MALLOY WINKLER NEW YORK THOROUGHBRED BREEDERS, INC. SCHOLARSHIP: Recipients of New York Thoroughbred Breeders, Inc. Scholarships will be required: To provide a recent original color photograph and a brief biographical sketch for publicity purposes. To pursue the proposed course of study at the institutions listed, unless prior approval of changes in plans is secured from the NYTB. To pursue study as a full- time student and to maintain a high level of scholarship and good academic standing. To immediately notify the NYTB of any circumstances that may significantly alter student status. Student must be able to be present on 2015 College Day at Saratoga Race Course to receive scholarship.

New York Thoroughbred Breeders, Inc. 57 Phila Street, 2 nd Floor, Saratoga Springs, NY 12866 (518) 587-0777 Fax: (518) 587-1551 info@nytbreeders.org www.nytbreeders.org The Gerald A. Nielsen, Sr. New York Thoroughbred Breeders, Inc. Scholarship & The Debby Malloy Winkler New York Thoroughbred Breeders, Inc. Scholarship 2016 Application Form Application Deadline: May 1, 2016 These scholarships recognize students who are currently enrolled as full time students in equine- related undergraduate courses of study at accredited colleges or universities in New York State. Please fill out as completely as possible. 1. Applicant Information Applicant Name: Last First Middle Gender (check one): Female Male Date of Birth: Month Day Year Current Address: Street Apt Number City State Zip Permanent Address: Street Apt Number Name of Parent(s)/ Guardian(s) or Spouse: City State Zip Primary Phone: Home Phone: Cell Phone: Work: Other: Cell / Home / Other (circle one) Email:

2. Education Please provide a list of all schools attended, starting with high school. High School: 1) Name City State Dates Attended Date Graduated Undergraduate: 1) Name City State Dates Attended Date Graduated/Expected Degree Major GPA Classification (freshman, sophomore, ect.) 2) Name City State Dates Attended Date Graduated/Expected Degree Major GPA Classification (freshman, sophomore, ect.) Graduate: 1) Name City State Dates Attended Date Graduated/Expected Degree Major GPA Classification (freshman, sophomore, ect.) 3. Extracurricular Activities & Interests Please list all extracurricular activities, sports, clubs, etc you are currently involved in. 4. Community Service Please list community service you have participated in or are currently in.

5. Awards/Honors Please list any awards/recognition (academic or otherwise you have received. 6. Work Experience Please provide a list of all jobs and internships, starting with the most recent. 1) Title Hours Per Week Employer Dates Employed Responsibilities 2) Title Hours Per Week Employer Dates Employed Responsibilities 3) Title Hours Per Week Employer Dates Employed Responsibilities 4) Title Hours Per Week Employer Dates Employed Responsibilities

7. Statement of Financial Need Please describe your financial situation, means of support, and any unusual financial circumstances. List all resources, including other scholarships which you have received or recently applied for. 8. Goals Please describe your career goals and objectives, as they relate to equine studies and/or the Thoroughbred breeding and racing industry. Specifically, please include your plans after graduation from college

9. Personal Statement Please describe why you feel you are a good candidate to receive a NYTB Scholarship. Include what you anticipate being able to contribute to the equine industry and/or the Thoroughbred breeding and racing industry in New York with your future endeavors.

10. References Please provide two references that are knowledgeable of your qualifications for these scholarships. Academic, professional, or character references are appropriate. Please do not include family members. Include two signed and complete Letter of Recommendation forms from each of these references. Name Relationship Phone Number Name Relationship Phone Number 11. Verification Statement I hereby authorize release of this application and any relevant supporting information concerning grade point average, financial aid, etc. to persons involved with the selection of scholarship recipients. I hereby certify the statements recorded in this application are true and accurate. Furthermore, I am aware if any statement presented in this application is untrue, my application may be disqualified. If selected as a recipient, I understand I must be able to be present on College Day 2015 at Saratoga Race Course. Applicant's Signature Applicant s Printed Name Date Date

New York Thoroughbred Breeders, Inc. 57 Phila Street, 2 nd Floor, Saratoga Springs, NY 12866 (518) 587-0777 Fax: (518) 587-1551 info@nytbreeders.org www.nytbreeders.org The Gerald A. Nielsen, Sr. New York Thoroughbred Breeders, Inc. Scholarship & The Debby Malloy Winkler New York Thoroughbred Breeders, Inc. Scholarship 2016 Letter of Recommendation Request Form First part to be completed by applicant Name of Applicant Name of Person Recommending Applicant I hereby waive my rights of access to this confidential evaluation report. (Optional) Applicant s Signature Date INSTRUCTIONS TO PERSON PROVIDING LETTER OF RECOMMENDATION The above applicant has identified you as one who knows and can evaluate his/her qualifications for the New York Thoroughbred Breeders, Inc. Scholarships. In no more than 400 words (must be typed), please indicate your impressions of the applicant s (1) scholarship, with particular reference to capacity for meaningful work as an equine undergraduate student; (2) character and personality attributes, or other observations that will assist in appraising the applicant s potential success in their chosen career program. Print the typed letter and attach it to this sheet. Please fill in the blanks and sign the bottom portion of this page. I have known the applicant for a period of years and/or months. I have served as the applicant s instructor in one class instructor in several classes academic advisor mentor supervisor Other, explain Signed Title Date Please return this request form with your letter of recommendation in a sealed envelope to the applicant, with the following in the mailing address section of the envelope: Recommendation for: (applicant s name) New York Thoroughbred Breeders, Inc. 2016 Scholarship Program