SUSQUEHANNA VALLEY SABERS
ATHLETIC BOOSTER CLUB

SCHOLARSHIP APPLICATION

Return to the Guidance Office By Wednesday, April 30^th

NAME: ___________________________________________________________

ADDRESS: ___________________________________________________________

___________________________________________________________

List the sports in which you have participated since 7^th grade (including modified)

SPORT LEVEL GRADE

List any sport-related honors or recognition you have received (for example, SV Coaches Award, STAC All-Division or All Conference Award, Olympic Development Team Membership, ETC.)

List your participation in any extra-curricular activities during high school (include 9^th grade to present). Attach a separate sheet if necessary.

Indicate your involvement in any community activities during high school (include 9^th grade to present). Attach a separate sheet if necessary.

List employment history (current position first).

What are your plans for college?

Why do you wish to be considered for a Booster Club Scholarship?

__________________________________________________________________

To be completed by Guidance Office:

Grade Point Average: _________ Rank in Class ______ of ______.

Guidance Counselor Signature : _______________________________