AYSO Region 137 Scholarship Application Student Information First Name
Last Name
Date of Birth
AYSO ID(if known)
Street Address
City
Zip
Email
Home Phone
Cell Phone
Current High School
High School GPA
Weighted
☐
Accredited University, College, or Trade School you plan on attending
Unweighted ☐ Applied ☐
Accepted
☐
Gender
Desired area of study(if known)
Scholarship Qualification Information Beginning with the most recent, list all years and seasons played in AYSO Region 137: (i.e. Fall 2015, Spring and Fall 2014, etc.)
Beginning with the most recent, list all AYSO Region 137 Volunteer Positions held and the respective dates: (i.e. 2012 – 2014 Reg. Referee, 2014 U8 Asst. Coach)
List all AYSO training certifications you have earned:
List all school activities involved in: (Sports, ASB/Student Government, Clubs, etc.)
Describe your involvement in your community: (Volunteering, Civic Organizations, etc.)
Essay Requirement Using components of AYSO’s six philosophies, please answer the following questions on a separate piece of paper. Each question should be at least a paragraph in length. 1. How has your AYSO experience enriched your life as a volunteer or player? 2. What have you learned through AYSO that has prepared you for your future? 3. If you could change one aspect of the game of soccer, what would you change and why?