Berrien Kennel Club

Scholarship Application
The Berrien Kennel Club is offering a minimum of one $1,000 scholarship to a
student who lives in Berrien, Cass or Van Buren counties in Michigan, and who plans
to become a veterinarian or a veterinarian technician.
Name __________________________________________ Age _________________
Date of birth __________________________________ Email ________________________________________
Home telephone _____________________________________
Cell phone ____________________________________________
Permanent address (Street, City, State, Zip)
_________________________________________________________________________________________________
Current address (Street, City, State, Zip)
_________________________________________________________________________________________________
Parent or Guardian name ___________________________________________________________________
Name of high school and graduation date _________________________________________________
College or school you are considering _____________________________________________________
College/School phone number ______________________________ Accepted: ___________________
Annual tuition cost ____________________________
Total amount received from other scholarships __________________________________________
I certify that to the best of my knowledge, the information furnished on this
application is accurate. I understand that if any of the information proves to be false,
I will be ineligible and will be required to return any funds received or paid on my
behalf.
Signature ____________________________________________________ Date __________________________

Berrien Kennel Club

Scholarship Application Information
Criteria for selecting successful applications for the scholarship(s):
Resident of Berrien, Cass or Van Buren counties
High school graduate
Accepted to accredited college or school
Financial need
Demonstrate interest in canine biology
Additional requirements:
Submit letter of introduction, explaining why you are applying and why you should
be considered.
Submit 2 letters of recommendation
Submit a copy of your most recent high school transcript
You may be invited to have a personal interview by the Scholarship Committee
Additional copies of this letter and application may be made to distribute to other
interested students
The application must be postmarked no later than June 30th
Send application to:
Regina Hess, Scholarship Chair
Berrien Kennel Club
58581 Klumbis Road
Dowagiac, MI 49047