2015–NJAYF Community Scholarship - 2015

sponsored by: NEW JERSEY AMERICAN YOUTH FOOTBALL

SCHOLARSHIP APPLICATION

THIS FORM CAN BE DOWNLOADED AT

PART 1: PERSONAL INFORMATION

NAME / AGE / BIRTHDATE / SOCIAL SECURITY NO.
ADDRESS / EMAIL ADDRESS / ZIP CODE
PHONE NO:

PART 2: PRELIMINARY SCHOOL INFORMATION

NAME OF CURRENTHIGH SCHOOL: / GRADUATINGYEAR
FULL SCHOOL ADDRESS:
NAME OF GUIDANCE COUNSELOR / SCHOOL PHONE# / NAME OF COLLEGE/ UNIVERSITY YOU PLAN TO ATTEND

PART 3: NJAYF VERIFICATION

NAME OF NJAYF/PW ORGANIZATION THAT YOU PARTICIPATED IN PRIOR TO HIGH SCHOOL / FOOTBALL
# YEARS IN NJAYF / CHEER
# YEARS IN NJAYF
DID YOU CONTINUE PARTICIPATING IN NJAYF WHILE IN HIGH SCHOOL, AS A VOLUNTEER? YES NO / # YRS AS A
VOLUNTEER? / # OF VOLUNTEER
HRS PER WK.
VERY IMPORTANT
YOU MUST OBTAIN THE VERIFICATION OF CURRENT NJAYF OFFICIALS AS TO THE INFORMATION CONTAINED IN THIS SECTION ...... / I hereby certify that the information given regarding any NJAYF involvement, to be true, to the best of my knowledge and belief and in accordance with Franchise records.
(must be signed by current NJAYF President where you played/volunteered
Signature: X______
Print Name:______Title: ______

PART 4: EXPLANATION OF SPECIAL NEEDS, OR CIRCUMSTANCES

PLEASE ATTACH SEPARATE SHEET OF PAPER
TYPE ANY SPECIAL NEEDS OR
CIRCUMSTANCES
ATTACH SEPARATE TYPED SHEET WITH ADDITIONAL AWARDS, HONORS, COMMUNITY SERVICE

PART 5:FOOTBALL OR CHEER HONORS AWARDS. ACADEMIC HONORS, VOLUNTEERING, COMMUNITY

NJAYF
“HS DEMONSTRATOR”
VOLUNTEER / Grade level in year
of participation
9 10 11 12 / Approx. # of hrs.
spent per week &
# of wks. involved / Positions held, or
Honors won / Verification by
NJAYFOfficial
HONORS & AWARDS IN HS
FOOTBALL
CHEER ONLY / 9 / 10 / 11 / 12 / Verification by
School Officials
INDIVIDUAL ACADEMIC
HONORS & AWARDS / 9 / 10 / 11 / 12 / Verification by
School officials
SCHOOL COMMITTEES,
CLUBS, ORGANIZATIONS / 9 / 10 / 11 / 12 / Approx. # of hrs.
spent per week &
# of wks. involved / Verification by
School officials
OTHER COMMUNITY
ACTIVITIES / 9 / 10 / 11 / 12 / Approx. # of hrs.
spent per week &
# of wks. involved / Verification by
School officials
WORK EXPERIENCE / 9 / 10 / 11 / 12 / Approx. # of hrs.
worked per week &
# of wks worked

PART 6: ESSAY

Each applicant MUST submit a minimum of 150 word essay on the topic:
“What impact did YOUTH FOOTBALL/CHEERHave On My Life?”
***Please Attach a Type WrittenEssay To This Application***
***HAND WRITTEN ESSAYS WILL NOT BE ACCEPTED***
****OFFICIAL HIGH SCHOOL TRANSCRIPT MUST BE SUBMITED WITH THIS APPLICATION****
By way of subscribing our signatures below, we hereby certify, individually and collectively that all of the information contained in this application is true, correct and complete in all of its particulars to the best of our know-ledge and belief. We understand that this application is being filed jointly by all signatories. We agree to give proof of the information provided on this application and realize that if said proofs are not provided, that the applicant (student) can be denied any scholarship funding. Scholarship funding will be sent directly to college or school by NJAYF. Finally, I the applicant agree to return all money received if I do not attend college or school.
DATE: / SIGNATURE OF HIGH SCHOOL OFFICIAL: X
DATE: / SIGNATURE OF STUDENT: X
DATE: / SIGNATURE OF PARENT: X

Mail completed application to:NJAYF c/o Lou Montanaro2114 Orien Road, Toms River, N.J.08755

Deadline for submission is APRIL 1, 2015. Please call Lou Montanaroat (732) 637-7231 with questions.

Application Checklist:

For application to be considered VALID all 7 parts MUST be filled out correctly.

Part 1 – Personal info printed/typed and legible

Part 2 - School Info Completed

Part 3 - MUST be signed by current NJAYFPresident where you played/volunteered. Failure to do so will result in disqualification.

Part 4 – Special needs?

Part 5 – Each Activity/Award or Honors MUST be verified by School Official. Failure to do so will result in disqualification.

Part 6 - Type essay on separate sheet. Minimum of 150 words. (Will be counted)

Part 7 – High School Official, student, parent signatures. Failure to do so will result in disqualification

***OFFICIAL HIGH SCHOOL TRANSCRIPT MUST BE SUBMITED WITH THIS APPLICATION***

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