College Scholarship Application
Applicant Name
*
First Name
Last Name
Applicant Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Applicant Email
*
example@example.com
Applicant Social Security Number
*
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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High School Information
High School Currently Attending
*
High School Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Lead Counselor Name
*
First Name
Last Name
Lead Counselor Phone Number
*
-
Area Code
Phone Number
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College Information
College Attending
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Will you enroll in a minimum of 12 credit hours per semester for the upcoming academic year?
*
Yes
No
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Soccer Experience
How many seasons have you played for Broken Arrow Soccer Club?
*
List below your participation in the Broken Arrow Soccer Club. All information must be filled in accurately or it will not be considered a season. (Click the "+" button to add additional seasons.)
*
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Activities / Awards
List below any academic awards received (such as National Merit Scholarship Finalist; National Honor Society; Oklahoma Honor Society; School Honor Roll, etc.):
*
List membership in student government; school activity clubs; civic and church clubs; and any other good citizenship awards:
*
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Required Documents
Attach a certified copy of your high school transcript in PDF format.
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Attach a copy of your ACT results in PDF format.
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You may also attach any additional information substantiating your qualifications.
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By clicking the box below, I agree that the information provided on this form is true and acknowledge that if any information is found to be untruthful and result in your application being disqualified.
*
I agree and acknowledge
Applicant Signature
*
Parent Signature
*
Submit
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