The George Conti, Jr. Memorial Scholarship Application
TO THE APPLICANT: The Applicant must be a graduating High School Senior. Please complete this application with as much information as possible. If the space provided for any question is inadequate, feel free to attach additional information. All applications should be submitted with at least two letters of recommendation, more if possible, with at least one recommendation related to the candidate’s soccer background. A current picture is required and should be attached to this application in the box below.
All applications must be postmarked by April 30th of this year and forwarded to “Attention: Scholarship Committee” at the above address.

Date__________________
Name___________________________________ Telephone___________________________
Address_______________________________________________________________________
High School _____________________________ Years Attended_______________________
Academic Record: Class Rank_________ S.A.T. Scores______________________________
Cumulative Grade Point Average_________
Traveling Team __________________________________________________________
Recreation ______________________________________________________________
Referee _________________________________________________________________
Other___________________________________________________________________
General participation in the sport of Soccer:
Traveling _______________________________________________________________
Recreation ______________________________________________________________
Coaching _______________________________________________________________
Officiating ______________________________________________________________
School Soccer ____________________________________________________________
________________________________________________________________________
Other __________________________________________________________________
Academic and/or Soccer Awards ___________________________________________________
______________________________________________________________________________
Post-Graduation Plans for Education and/or Soccer ____________________________________
______________________________________________________________________________
______________________________________________________________________________
Please write a paragraph (or more if you wish) regarding what influence the game of Soccer has had on your life. (Please limit your statement to approximately 1000 words).
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Attach an additional page if needed