Test Form – Dock Dogs

Teen Name

First

Last

Teen Handler DockDogs® Username

Address

City

State/Province

Zip/Postal

Country

Birth Date

Phone Number (Parent/Guardian Contact)

Phone Number (Mobile)

Parent/Guardian Name

First

Last

Parent/Guardian Name

First

Last

Youth Email

Parent/Guardian Email

Current School Name

Current Grade

Current GPA or similar grade average

Please attach a copy of your report card below

What are your college/career plans after high school? (Please provide as much information as you can and that you feel comfortable with)

Which DockDogs® Club(s) do you belong to?

What are some of your DockDogs® achievements?

Please tell us about your hobbies, clubs, or sports (non DockDogs®) that you participate in. (Please provide as much information as you can and that you feel comfortable with)

Include any awards won

Do you have any Social Media Pages? Please list them.

Why should you win this Scholarship? (Please provide as much information as you can and that you feel comfortable with)