Local Scholarship Application Form

Coach & Marilyn Smith Wrestling Scholarship & Scott R. Smith Memorial Wrestling Scholarship

The information provided on this form will be used by the scholarship committee to select recipients for scholarships. It is important that you give complete details concerning your college/career plans, activities and financial information.
BASIC INFORMATION
Student's Full / Legal Name*

First NameLast Name
Student Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Student Phone Number*
Student E-mail*
Student Birth Date

MonthDayYear
Gender
Academics
Name of High School*
Rank and Size of Graduating Class*
Transcript of Student's High School Courses and Grades*

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Schools to which you are applying
School 1*
School 2
School 3
Do You Plan to Attend College Full Time?*
Wrestling Support
Will You Participate in Your School's Wrestling Program?*
How Will You Will Demonstrate Outstanding Support of Wrestling After High School?*
REFERENCES:

Please provide one letter of recommendation from your wrestling coach (or a person who knows best of your support of wrestling), and two letters of recommendation from those involved in your life or formal education (teachers or community members).
Wrestling Recommendation

From your coach or person who knows best of your support of wrestling.
Name and Position of Wrestling Reference*
Upload Letter of Recommendation*

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Other Recommendations

From those involved in your life or formal education.
Reference 2 Name*
Upload Letter of Recommendation*

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Reference 3 Name*
Upload Letter of Recommendation*

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LETTER FROM STUDENT

Please provide a short letter discussing your future plans and how this scholarship would benefit you.
Upload Your Letter*

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Coach & Marilyn Smith Wrestling Scholarship & Scott R. Smith Memorial Wrestling Scholarship

BASIC INFORMATION

Academics

Schools to which you are applying

Wrestling Support

REFERENCES:

Wrestling Recommendation

Other Recommendations

LETTER FROM STUDENT