General Scholarship Application

Phil Stineman LYTC Memorial Scholarship

2025 Application Form
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
E-mail*
Enter E-mail Here
Mobile Phone Number*

Area CodePhone Number
Home Address*

Street Address

Apt/Unit #

CityState

Zip Code
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Phone Number*

Area CodePhone Number
When will/did you graduate from high school?*
What high school did you graduate from?*
Current Cumulative (non-weighted) GPA*
College/University Information*
College/University where you've been accepted/plan to attend
Are you currently taking classes at this school?*
College/University Financial Aid Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student ID#*
(Leave blank if you do not yet have a student ID from your post secondary institution)
What years were you a member of Lincoln Youth Track Club?*
(Separate non-consecutive years with a comma)
Who was your primary coach(es)*
In what capacity? (Select all that apply)*

Track & Field AthleteCross Country AthleteVolunteer CoachOther
Did you participate in track & field and/or cross country for your high school? (Select all that apply)*

freshmansophomorejuniorseniornone
Were you a member of Lincoln Youth Track Club during high School? (Select all that apply)*

freshmansophomorejuniorseniornone
What events did you compete in? Select all that apply)*

sprints/hurdles/relaysmiddle/long distancejumpsthrowsmulti eventscross country
Briefly describe your plans for college?*
**Essay: How has your involvement in the Lincoln Youth Track Club impacted your life?*

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Date
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Phil Stineman LYTC Memorial Scholarship