Tri-Center Athletic Booster Club Scholarship Application

Scholarship Information:
x x x x x x x This will be a one year scholarship. The maximum amount of the scholarship will be $500. You must have participated in 2 sports for 3 years of your high school career at TriCenter. You must be enrolled in a “secondary” level school by August 15th. The scholarship check will be issued at the end of September, and will be made payable to both the student and the school. The application is due May 1st, and no late applications will be accepted! Thanks for applying!!

Personal Information:
First Name: Address: City: State: Last Name: Home Phone: E-Mail: Zip:

Educational Information:
High School GPA: High School Class Rank: ACT Overall Score:

Sports Participated in while @ Tri-Center:
1. 2. 3. 4. Years Years Years Years

Extracurricular Activities (other than sports) while @ Tri-Center:
Activity Roles and Responsibilities

1. 2. 3. 4.

Volunteer Activities while in High School:
Activity and Responsibilities

1. 2. 3. 4.

Work History while in High School:
Job and Responsibilities

1. 2. 3. 4.

College/School Attending after High School and Why:

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