George Allan Memorial Scholarship Application

Please print or type information – Additional sheets may be used if needed

Applicant Name ______

Address ______

City______State ______Zip ______

Phone ______Email ______Date of Birth ______

Father’s Name ______Occupation ______

Mother’s Name ______Occupation ______

# of brothers _____ Their ages ______# of sisters ______Their ages ______

Soccer Club (s) ______

Years with club (s) ______As a player ______referee ______TOPSoccer______

Other Soccer Activities (explain)______

High School ______Year of graduation______

College you plan to attend ______State______

Proposed major______Career goal______

Have you been accepted to this college? ______yes ______no

Have you applied to the college for a scholarship? ______yes ______no

Have you been approved by the college for this scholarship? _____ yes ______no

What is the amount of the scholarship? $______

Are you applying for other scholarship monies? ______yes ______no

If yes, give details ______

Are you working? ____ yes ____ no If yes, where? ______

Average hours per week ______

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Please answer the following questions on a separate sheet of paper – type or print only

  1. How are you involved in soccer now?
  1. State your achievements in school. Include your extracurricular activities, clubs, offices held, or any other school related experiences.
  1. List any soccer, scholastic, athletic, personal or community honors you have received.
  1. State the factors that indicated your financial need.
  1. State any service you have performed for your community, church, school, soccer club, or other organization. State the duration of the service and how it helped you, as well as the organization.
  1. Include other information you think may be helpful in your selection for this award.
  1. State your feelings about the sport of soccer and what it has meant to you.
  1. Submit personal references – letters from coaches, teachers, community, or church personnel.
  1. Tiebreaker information: Please include your GPA out of GPA Maximum possible, Class rank, and SAT or ACT scores. (This information will be used only in the event of a tie between candidates.)

Please indicate your family’s combined income:

______Under $25,000______$25-40,000______$40-55,000______$55-70,000 _____ $70-85,000____ $85-100,000____ $100-115,000____ $115-130,000____over $130,000

Other family members in college? _____ yes _____ no If yes, How many? ______

Aid given by colleges? ___ yes ___ no If yes, Total amount of aid $______

Scholarships? ___ yes ____ no If yes, Amount $______

Loans? ___ yes ____ no If yes, Amount $______

Submit both pages of this application with attachments, no later than April 30, 2015to:

PA West Soccer Association, 111 Whitehead Lane, Suite 200, Monroeville, PA 15146

ATTN: George Allan Scholarship Committee