EHT Street Hockey Association

Scholarship Application

The EHT Phantoms Street Hockey Scholarship is awarded to a player who has participated in the youth recreational league for at least six years and who achieves academic success. The scholarship honors the dedication and enthusiasm for youth street hockey. Four student athletes will be selected to be one time recipients of a $500 scholarship. Selection is based on the candidate’s grades, school and community involvement, letters of reference, college, university, vocational and technical school acceptance/registration and an essay. Candidates must also have a current GPA of 2.75 or better. In accepting this scholarship, the recipient consents to their name being published in the media.

The application must be completed and mailed to:

EHTSHA 108 Ruby Drive, Egg Harbor Twp. NJ 08234 and be postmarked no later than April 12, 2015.

The application must include at least one letter of reference, essay, your current high school/college transcript, and proof of registry or acceptance at a college, university, vocational or technical school.

Please type or print all answers clearly and fill in all information completely. Use a blank sheet of paper if you need to add additional information.

Personal Information

  1. Full Name______
  2. Address______
  3. Daytime Telephone______Evening______
  4. Birthdate______e-mail address ______
  5. Participation years in EHT Street Hockey.Must include division, year and coach’s name:______

______

  1. Current/future college information______

Education and Academic Information

  1. Current High School/College/University______
  2. GPA and scale______/______
  3. Expected graduation date______
  1. Scholastic Honors(National Honor Society, first place science competition, etc.)__

______

______

______

______

  1. Extracurricular activities (Clubs, sports, school volunteer work, etc)______

______

______

Community and/or Other Activities

1. List community activities not related to school (church, volunteer work, Boy/Girl Scouts, etc)______

______

Essay

Please write a 500 word essay which describes the value of your participation in extracurricular and community activities and how these experiences may help you in achieving your educational and career goals and what street hockey has meant to you. Thoroughly check your essay before you submit it. Submit your essay on a separate sheet of paper and include your full name in the upper right hand corner.

Official Signatures

I certify that the information on this application is true and correct to the best of my knowledge. If you have any questions concerning this form please call Sandy Gehringer (Scholarship committee) at 609-705-6370.

Applicant signature______Date______

______

Signature of Parent or Guardian if applicant is under 18

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Official Use Only:

Date Received______Initials______

Application______References______

Transcript______Essay______

Proof of Registry/Acceptance______