Scholarship Application Template 2003 (Page 2 of 3) in pdf

Scholarship Application Template 2003 Page 2

Audubon Soccer – Scholarship Program

Audubon Soccer

Scholarship Application

Please type or print your answers. If application is illegible it will be returned to you.

Last Name:

First Name:

Mailing Address:

Street: _________________________________________________________

City:

State:

ZIP:

Daytime Telephone Number: (

)

Name & address of parent(s) or legal guardian(s): Use reverse side of application if you need more space.

Name (s)

______________________________________________________________________________

Street: ___________________________ City: _____________________ State: ______

ZIP:_____________

Home phone of parents or legal guardians:

Current High School:

Number of years attended:

I will be attending the following school in the Fall: ___________________________________

What specialty/major do you plan to major in as you continue your education? ___________________

How many years were you a member of the Audubon Soccer Youth Association? _______________

Did you ever volunteer services to the organization? _____

If so, in what capacity ___________________________________________________________________

10.

List the sports you participated in High School and the number of years in each

_____________________________________________________________________________________

Scholarship Application Template 2003 Page 2