AHG Scholarship Form Question Title * 1. Begin the Application with Today's Date Select/Enter Today's Date: Date Question Title * 2. We also kindly request that you provide two character or work references. These references should be individuals who can speak to your work ethic, character, and suitability for this program. Preferably, they should be from a professional or volunteer setting, such as a supervisor, colleague, or mentor. Please include their contact information and your relationship to them. Reference 1 - their full name, e-mail address, relation to you: Reference 2 - their full name, e-mail address, relation to you: Question Title * 3. In addition, if you have any additional supporting documents that you believe will strengthen your application – such as certificates, awards, relevant work samples, or personal statements about your interest in animal hospice care – please feel free to include them. These documents, while not mandatory, can provide us with a deeper understanding of your passion, skills, and experiences relevant to this program.You may upload one file below (you may upload a multiple page document if needed). Or, if you have multiple files to share with us, you may email the files (PDF, DOC/DOCX, PNG, JPG, or GIF) to customersupport@animalhospicegroup.org. Please upload any documentation here (up to 16 MB): PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Please upload any documentation here (up to 16 MB): Question Title * 4. Your Personal/Contact Information Full Name: Address: Address 2: City/Town: State/Province: -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code: Country: Contact Email Address: Preferred Phone Number: Question Title * 5. My pronouns are: He/Him/His She/Her/Hers They/Them/Theirs I prefer not to answer No pronouns, please Other (please specify) Question Title * 6. Your Date of Birth: Question Title * 7. Your Highest Level of Education Achieved: High School Associate Degree Bachelor’s Degree Master’s Degree Doctorate or Higher Other (please specify): Question Title * 8. Your Field of Study (if applicable): Question Title * 9. Your Experience and Interest in Animal Hospice Care - Do you have any prior experience with animal care? If yes, please describe below.Also, what interests you about animal hospice care, and why do you want to pursue this scholarship? Please describe below. Question Title * 10. Your Writing and Organizational SkillsPlease provide a short writing sample (200-300 words) on the topic: “The Importance of Compassionate Care for Aging Pets” and email it to customersupport@animalhospicegroup.org when complete. Your writing sample does not have to be submitted with this form, it can be submitted later. Or, you may upload your document below (up to 16MB): PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Or, you may upload your document below (up to 16MB): Question Title * 11. Describe any experience you have with social media management or document proofing: Question Title * 12. Your Volunteer Commitment - Are you able to commit a few hours each week for volunteer work? Yes No If yes, what days and times are you generally available for volunteer work? Question Title * 13. Additional Information - Do you have any other skills or experiences that you feel would contribute to your role as a work-exchange/intern and volunteer at Animal Hospice Group? Question Title * 14. Agreement - Please read and agree to the following: I understand that this agreement requires a commitment to both learning and volunteer work. I certify that the information provided in this application is true and complete to the best of my knowledge. Please sign (type) and date: Updated: January 17, 2024. Copyright © 2024 The Animal Hospice Group. All rights reserved. Submit Application