ࡱ> ACB[ bjbj ."ΐΐ $e$11111   $+"       11222  112 22V0@1~AP.p 50e|0"D""$  2       2   e    "          : Glastonbury Lacrosse Club Youth Lacrosse Scholarship Information NAME OF SCHOLARSHIP Glastonbury Lacrosse Club Scholarship AMOUNT OF SCHOLARSHIP $1500 Girls; $1500 Boys SCHOLARSHIP QUALIFICATIONS A graduating senior boy or girl on the GHS lacrosse team, attending a post secondary, accredited institution, in pursuit of a degree. Candidate must have played/participated with the Glastonbury youth lacrosse program for at least two (2) years and have played high school lacrosse for at least two (2) years. TO WHOM APPLICATION SHOULD BE SENT: Contact Person: Rob Peterson C/O Glastonbury Lacrosse Club Address: PO Box 901Glastonbury, CT 06033-2516 Telephone: 860-633-5454 Application Deadline: Must be received by May 15, 2008 Materials that must be included in this scholarship application: Completed application form Copy of High School transcript A short essay (approximately 500 words, typed and double-spaced) on: What Being a Member of a Team Has Meant to You Listing of High School/Extracurricular Activities noting years involved and accomplishments in each Work Experience Two (2) letters of recommendation Please include any additional information you would like the committee to be aware of. Glastonbury Lacrosse Club Youth Lacrosse Scholarship Application NAME _________________________________________________________________ ADDRESS ______________________________________________________________ PHONE NUMBER _______________________________________________________ FATHERS NAME _______________________________________________________ FATHERS ADDRESS ____________________________________________________ FATHERS PHONE NUMBER _____________________________________________ MOTHERS NAME ______________________________________________________ MOTHERS ADDRESS ___________________________________________________ MOTHERS PHONE NUMBER _____________________________________________ Colleges applied to or planning to apply to _____________________________________ ________________________________________________________________________ ________________________________________________________________________ Anticipated Major or course of study _________________________________________ ________________________________________________________________________ Please list the years that you were involved with the Glastonbury Youth Lacrosse program and how you were involved (player, coach, ref, etc.). ________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ ______________________________________________ ________________ Signature of Applicant Date Glastonbury Lacrosse Club Youth Lacrosse Scholarship Selection Criteria Glastonbury Lacrosse Club (GLC) Scholarship recipients will be nominated annually by the GLC scholarship committee. The GLC scholarship committee will review all applications and provide recommendations to the GLC Board of Directors for final selection and approval. Students applying should demonstrate commitment and motivation through participation in Glastonbury Lacrosse Club and in the community, school or other local organizations. 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