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           HIGH SCHOOL SCHOLARSHIP APPLICATION

                             Football and Cheerleading

Complete this form, print it, and bring it with you to the player's
meeting. If we do not have this information you can not be considered for a scholarship. If you are receiving other scholarship money, please DO NOT submit this form.



Name:      Phone Number:
(As you would like it to appear on a certificate)

Address:

Field of Study:
Career Plans and Goals:
What University, College or Trade School do you plan to attend?


Are there any special circumstances that should be known to the Scholarship Committee?



Which Valley Youth Conference Club did you play for and when (if any)?


High School: Overall GPA:

Father's Occupation:

Mother's Occupation:

                                                                     APPLICANTS ACTIVITIES

Student Government (student body and/or class):


Organizations you are a member of:


Athletics:

Additional Activities:

Awards, Honors, Other Achievements:



                                                                         COMMUNITY ACTIVITIES

Employment:
Clubs and Organizations:

Community Service Projects:

Additional Activities:

Awards, Honors, Recognition:


Additional Comments:






THIS FORM MUST BE COMPLETED AND SUBMITTED SO THAT YOU CAN BE CONSIDERED FOR A SCHOLARSHIP AND SHOULD YOU BE AWARDED A SCHOLARSHIP YOU WILL BE REQUIRED TO SUBMIT PROOF OF REGISTRATION AT THE COLLEGE YOU ARE ATTENDING.