Designation Form

NATIONAL FOOTBALL FOUNDATION SUFFOLK COUNTY CHAPTER

148 Richard Place, Massapequa Park, New York 11762 // 516-993-6990
SCHOLAR ATHLETE DESIGNATING FORM
You as the Head Coach select the Scholar Athlete from your school. Feel free to communicate this distinction to your student-athlete and advise that a formal notification letter will be forthcoming. All Scholar Athletes will be our guest at our Scholar Athlete Brunch, which is being held on Sunday, April 23, 2023 at 10:00 a.m. Note that students DO NOT pay to attend. From the group of honorees as selcted by the coaches, the National Football Foundation, in conjunction with the Coaches Association, will then select a Golden Eleven and Top Scholar Athlete.

Please complete and return to Len Genova at: nffsuffolk@gmail.com

Honoree should be a senior, a contributor on the Varsity team and the most talented athlete/student on your team. (If no senior meets the criteria, you may then choose an underclassman)
High School
Head Coach
Scholar Athlete Name
Scholar Athlete Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Scholar Athlete Cell Number
Please enter a valid phone number.
Scholar Athlete E-mail
example@example.com
Parent Name
Parent Cell Number
Please enter a valid phone number.
Parent E-mail
example@example.com
GPA
Weighted GPA
SAT Score (Reading/Writing, Math, & Essay if taken)
ACT Score
Football Honors (Varsity Honors Only)
Extracurricular Activities
Volunteer/Community Service
PLEASE INCLUDE A COPY OF THE STUDENT'S TRANSCRIPT SO THE COMMITTEE CAN UTILIZE FOR PURPOSES OF SELECTING THE GOLDEN ELEVEN AND TOP SCHOLAR.
Should be Empty:

NATIONAL FOOTBALL FOUNDATION SUFFOLK COUNTY CHAPTER

SCHOLAR ATHLETE DESIGNATING FORM