Address: ______________________________________
City:
_________________________________________
State:
_________________________________________
Zip
Code: ______________________________________
Home
Phone: ( )
_______________________________
Parents
Name: ___________________________________________________
Address:________________________________________________________
Phone:
(Home)__________________ (Work) _____________________
Years
of Participation at BYFL: ______to______
Cheerleader [] Football []
High school attended? ______________________ Years: ___________
Did you attend any other High Schools? [] Yes [] No Where? _________
G.P.A. Freshman _____ Sophomore ______ Junior _____ Senior _____
Sports
Participated in: Cheerleader
[] Football []
Basketball [] Track []
Baseball [] Soccer []
Volleyball [] Cross Country
[] Softball [] Other:______
Years of participation in each sport: ___________________________________
______________________________________________________________
______________________________________________________________
_______________________________________________________________
Clubs\Special Organizations you are a member of: _________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Special awards or honors received: _____________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
College/school
attending:____________________________________
Major:____________________
Degree desired:____________________
Have
you done any community service work? Yes []
No []
If yes, explain.
_________________________________________________________________
_________________________________________________________________
________________________________________________________________
Why should you receive this scholarship? _________________________________ _________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
Signature ________________________
If
you need more room, attach a separate sheet of paper.
Mail to: BYFL Scholarship PO Box 73072 Bellevue, Ky. 41073