Clearwater for Youth Application - 2017
Ø Date: ______
Ø Name: ______
Ø Address:______
Ø Email Address: ______
Ø Contact Phone Number: ______
Ø What High School do you currently attend? ______
Ø What is your overall GPA______
Ø What was/is your ACT or SAT score? ACT: ______SAT: ______
Ø Percentage of Bright Futures for which you qualified? ______
Ø What organizations have you worked with doing community service?
o ______How Long? ______
o ______How Long? ______
Ø What leadership roles have you taken in your community and school?
o ______
o ______
o ______
o ______
Ø Please list your High School sports and the years in each:
SPORT / FRESHMAN / SOPHOMORE / JUNIOR / SENIOR / CAPTAINYES/NO
BAND
BASEBALL
BASKETBALL
CHEERLEADING
DRAMA
FOOTBALL
GOLF
LACROSSE
SOCCER
SOFTBALL
SWIMMING
TRACK
VOLLEYBALL
OTHER
Ø Please list any other High School Academic/Sports accolades you would like CFY to consider:
o ______
o ______
o ______
o ______
Ø Please identify or list any CFY supported or City sports you have played other than High School Sports. Designate the organization (s) and number of years you played each sport.
o Blazin Ravenz Track Club Years Played ______
o Clearwater Aquatic Team Years Played ______
o Clearwater Basketball Club Years Played ______
o Clearwater Bullets Years Played ______
o Clearwater Jr. Tornadoes Years Played ______
o Clearwater Little League Years Played ______
o Clearwater Soccer Club Years Played ______
o Clearwater Youth Lacrosse Years Played ______
o Countryside Jr. Cougars Years Played ______
o Countryside Little League Years Played ______
o Greenwood Panthers Years Played ______
o Other: ______Years Played ______
Ø Please list in order of preference the top 3 colleges in which you have applied:
1. ______
Accepted______or Waiting for notification______
2. ______
Accepted______or Waiting for notification______
3. ______
Accepted______or Waiting for notification______
· You must include an ESSAY with your Clearwater for Youth Application. The topic of the essay is: “What would receiving the Clearwater for Youth Scholarship mean to you and your pursuit of higher education?” - essay should be no longer than 1 page.
Ø This application must include a signature from your school Guidance Office, Athletic Director or Principal.
Applicant Name (Printed): ______
Applicant Signature: ______Date: ______
Guidance Officer/Athletic Director/Principal Name (Printed): ______
Guidance Office/Athletic Director/Principal Signature:
______Date: ______
State position at school:______
Contact Number: ______
CFY ApplicationPage 4