KHS Soccer Booster Club Scholarship Application

The Scholarship was established by the Kaukauna High School Soccer Booster Club for the benefit of any Kaukauna High School Senior who is pursuing a career through an institution of higher learning in any field of study. This has been established to promote higher education in the local area.

Scholarship

$600.00 scholarship is awarded to cover tuition, books and supplies. The funds may be used for any term, including the summer term, during the awarded academic school year.

Criteria

•Must be a Kaukauna High School senior.

•Must be entering/accepted as a full time student at a college, university, or trade school/technical college program for the upcoming academic semester

•Must be pursuing a degree through an institution of higher learning in any field of study

•Must have a un-weighted GPA of 3.0on a 4.0 GPA scale (cumulative GPA for grades 9-11 and first trimester of 12th grade)

•Must submit application and all required materials in single envelope by deadline date.

•Applicants must have participated in KHS Soccer program

Deadlines

All scholarship applications and requested materials must be received at Kaukauna High School office by May1stof scholarship year.

KHS Soccer Booster Club will not acknowledge receipt of applications

Notification to Recipients

All scholarship recipients will be notified at the Senior Awards night. We cannot send out lists of recipients to those who do not receive a scholarship. We only notify recipients, no notification means the student did not receive the scholarship.

Required Materials

The following items are required to complete the application process. These items must be submitted in a single envelope in the order listed. All items received separately will be discarded. Any additional items will be discarded.

• Application - must be on the original form, typed/legibly written and signed

• Statement/essay of purpose stating how your soccer experience will help you achieve your goals. (1 page maximum)

• 2 Letters of recommendation from teachers, coaches, supervisors, or school officials.

• High School transcript. Transcript must be from school, but not in an official sealed envelope.

• GPA stated on application must be verifiable from transcript.

Student Information

Student’s Name:

Address:

City: State Zip

Phone: E-mail

College or University Information (the student will be attending)

School Name:

Degree Pursuing:

Anticipated date of graduation from degree program:

Total credits required for degree program:

Estimated total credits to be taken during the current academic year:

Current Information

Cumulative GPA (as described on information sheet): /4.0 scale

Please answer the following questions - attachments will be accepted.

Soccer Experience

Number of years you played at each level of high school soccer:

Junior Varsity Team: Varsity Team:

Total number of years you have played soccer:

Total number of years you have played Wisconsin Youth Soccer Association affiliated soccer (ie. Electric City Soccer):

Wisconsin Youth Soccer Association clubs you have played for:

Other soccer related activities (Refereeing, Soccer Camps, Coaching, and Club volunteering):

Extracurricular/ Community Involvement

List Honors/Awards received:

List community volunteer activities:

List extracurricular activities (include jobs held):

Personal statement/essay (1 page maximum)

How will you utilize your soccer experience/knowledge in achieving your goals?

Signature: ______Date: ______