Neptune Soccer Association

P. O. Box 165

Neptune, New Jersey  07754-0165

 

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_________

 

Neptune Soccer Association Involvement:

 

            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).

 

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Attach an additional page if needed

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