Title: (TO BE COMPLETED BY: Applicant)
Author: dmorgan
Last saved by: office2@cifccs.onmicrosoft.com

TO BE COMPLETED BY: Applicant

CENTRAL COAST SECTION SCHOLAR-ATHLETE SCHOLARSHIP AWARD
STUDENT APPLICATION FORM (PART A)

Please evaluate the prerequisites and qualifications for this award on the previous pages. If you meet the requirements, you are invited to complete and submit this application. The entire application packet [the Student Application Form: Parts A & B; a transcript of grades verifying the information given; an official verification of SAT/ACT score(s); your essay; and all letters of recommendation] must be returned to your Principal or Athletic Director so that he/she will have enough time to send to League Office by:
The deadline for applications is posted on the CCS Website on the Scholarship page.  
(ATTACH ADDITIONAL PAGES IF SPACES PROVIDED ARE NOT SUFFICIENT)
 
*** GENERAL INFORMATION SHEET ***
 
APPLICANT:__________________________________ AGE:______ MALE:______ FEMALE:_____ 
 
ADDRESS:______________________________  HIGH SCHOOL:___________________________________ 
 
CITY:____________________ ZIP:_______________ E MAIL: _____________________________________ 
 
PHONE#:_______________________________    MOBILE PHONE # _______________________________ 
 
My plans for next year (College/University name and expected Major): _______________________________ 
_________________________________________________________________________________________ 
_________________________________________________________________________________________ 
 
I am involved in following school activities (Include length of involvement for each): 
_________________________________________________________________________________________ 
____________________________________________________________________________________________________________________________________________________________________________________ 
 
Citizenship: 
 
Community Service is a graduation requirement of my school:  Circle One:  YES NO    
 
If yes - how many hours are required? ____________ 
 
Please tell us about what you do in your free time. In what ways are you contributing to your community?  
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 

Please reflect on your service work, volunteer work, or how you contribute to your community. Please specify how these experiences have changed your life and the lives of others: __________________________________________________________________________________________ 
__________________________________________________________________________________________ 
__________________________________________________________________________________________ 
__________________________________________________________________________________________ 
__________________________________________________________________________________________ 
__________________________________________________________________________________________ 
____________________________________________________________________________________________________________________________________________________________________________________ 

Non-Athletic Awards and Achievements: ______________________________________________ 
__________________________________________________________________________________________ 
__________________________________________________________________________________________ 
__________________________________________________________________________________________ 

 
(TO BE SIGNED BY: Administrator) 
 
*** STUDENT'S CITIZENSHIP VERIFICATION FORM *** 
 
As part of the process for selecting CCS Scholar/Athlete Scholarship Award winners, this student's Citizenship Verification Form must be carefully considered and signed by the student's school administrator: 
 
I certify that _________________ demonstrates integrity, fair-play and good citizenship, both in and out of the competitive arena; that he/she is an honest individual; that he/she is a positive role model for others; and that he/she is clearly an exemplary sportsperson. 
______________________________________  ___________________________  _______________ 
SCHOOL ADMINISTRATOR'S SIGNATURE  TITLE     DATE