TRUMBULL UNITED SOCCER CLUB

Anthony Teixeira Memorial Scholarship Application– 2018

In memory of Anthony Teixeira, a THS 2012 graduate, Varsity Soccer Captain and former TUSC player, who unexpectedly passed away Thanksgiving 2015.TUSC will award up to two $1000.00 scholarshipsto graduating high school seniors.Completed application, including all required attachments, must be postmarked by May 4th, 2018, and mailed to: The TUSC Scholarship Committee, 32 Ridgeview Ave, Trumbull, CT 06611.

Eligibility Guidelines:

  • Must be a resident of the Town of Trumbull, CT at the time of application/graduation from high school.
  • Seniors graduating from high school in May / June 2018, or who graduated at the end of the fall academic grading period.
  • At time of scholarship being dispersed, student must be enrolled as a full-time undergraduate student in the fall of 2018 at an accredited two- or four-year college or university or vocational-technical-trade school.
  • Must have been a participant with Trumbull United Soccer Club for a minimum of two years as a player (Rec-Plus, Travel and/or Premier) ORa volunteer with TUSC’s Top Soccer Program OR a combination of both.
  • Alternative Program Involvement – Scholarship consideration will also be given to individuals that have been/are volunteer referees for recreational soccer programs in Trumbull for a minimum of two years and/or who have volunteered to coach recreational soccer teams in Trumbull for a minimum of one year.

Student Instructions & Checklist:

  • Application form must be filled out by applicant. Please type or print clearly.
  • Attach a typed or written, double-spaced essay of no more than 500 words describing why or how the game of soccer, or a specific coach or being part of a team, or volunteering has impacted your life, and if you have learned anything that you think you can carry forward with you as you graduate from high school.

Student’s Name ______DOB: ______Male/Female ______

Home Address ______Student’s Cell Phone # ______

Mother/Guardian Name______Father/Guardian Name ______

Phones (Home) ______(Cell - mom)______(Cell - dad) ______

Student’s E-mail ______Parent/Guardian E-mail______

High School Attending ______School Phone #______

Major/Vocational Pursuit ______College Attending (if declared) ______

Colleges to which you applied: Accepted Accepted

______Yes No______Yes No

______Yes No______Yes No

Below, list the two years you were active within TUSCor volunteered with recreational soccer programs in Trumbull. Indicate teams and/or volunteering time frames. List on each line the club, program and year(s) you were involved.

CLUB / PROGRAM/ Top Soccer Years Involved CLUB / PROGRAM / Top Soccer Years Involved

1)______3)______

2)______4)______

Student Certification – I have personally prepared and signed this application and certify that all statements regarding my application for this scholarship are true.

Signature of Student ______Date ______