www.runner.

org
2014 "HOOKED ON RUNNING" SCHOLARSHIP APPLICATION FORM
Name:

_____________________________________________________

Mailing address:

_____________________________________________________
______________________________________________________

Phone:

_____________________________________________________

Email:

_____________________________________________________

High School:

_____________________________________________________

Where do you expect to continue your education?

(Please attach proof of acceptance.) _________________________________________

Submit this form along with the supporting materials specified at

runner.org/scholarship to scholarship@runner.org or mail the form to:
Taconic Road Runners Club ATTN: SCHOLARSHIP
PO Box 711
Shrub Oak, NY 10588
Your COMPLETE application must be postmarked by April 15, 2014 to be considered.