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Doug Chaffins Tecumseh Athletic Booster Scholarship Application

Name: ______________________________  Phone: __________________

Address: _______________________________________________
______________________________________________________

1) Grade point average through last semester: ____________

2) Varsity Sports and number of years in which you participated:

Sport
__________________________

__________________________

__________________________

Years
__________________________

__________________________

__________________________

3) Varsity Sports Awards (all conference, MVP, MIP, etc):
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________

4) Community related activities:

Organization Office/ Position held Awards/ Recognition

_____________________________________________________________
_____________________________________________________________
_____________________________________________________________

5) School activities
Organization Office/ Position held Awards/ Recognition

_____________________________________________________________
_____________________________________________________________
_____________________________________________________________

6) A typewritten mission statement of at least 100 words must accompany this application.  The subject of the statement will be how you feel you best personify the student athlete that this scholarship seeks to reward.

7) Other scholarships received:
_____________________________________________________________

8) School attending next year: ______________________________________

 

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