Dave Bailey Memorial Scholarship Application Form
Dave Bailey Memorial Scholarship Application Form
NAME __________________________________________________________________________ STREET ADDRESS __________________________________________________________________ CITY / STATE / ZIP __________________________________________________________________ PHONE __________________________________________________________________________ EMAIL ___________________________________________________________________________ Seasons with West End: ____________________
Seasons playing rugby: ________________
High School Attended ______________________
High School GPA: _____________________
College/Post-High School Intentions: ___________________________________________________ __________________________________________________________________________________ Positions Played: ___ Prop
___ Hooker
___ Scrumhalf ___ Flyhalf
___ Lock
___ Flanker
___ 8-man
___ Center
___ Wing
___ Fullback
Extracurricular Activities (other than rugby): ______________________________________________ ____________________________________________________________________________________
Rugby Essay – You must submit a written essay about rugby and what it means for you along with this application form. Dave was a man of the written word, so your essay will help celebrate his legacy. Rugby must be the key theme of the essay, but beyond that you may write about anything you wish. The essay may be as long or short as you see fit. Application and essay are due to Coach Rupp by the deadline specified for the current season. You may submit in person, by email ([email protected]), or by postal mail (7302 Crestleigh Way, Alexandria VA 22315). Good luck!
NAME __________________________________________________________________________ STREET ADDRESS __________________________________________________________________ CITY / STATE / ZIP __________________________________________________________________ PHONE __________________________________________________________________________ EMAIL ___________________________________________________________________________ Seasons with West End: ____________________
Seasons playing rugby: ________________
High School Attended ______________________
High School GPA: _____________________
College/Post-High School Intentions: ___________________________________________________ __________________________________________________________________________________ Positions Played: ___ Prop
___ Hooker
___ Scrumhalf ___ Flyhalf
___ Lock
___ Flanker
___ 8-man
___ Center
___ Wing
___ Fullback
Extracurricular Activities (other than rugby): ______________________________________________ ____________________________________________________________________________________
Rugby Essay – You must submit a written essay about rugby and what it means for you along with this application form. Dave was a man of the written word, so your essay will help celebrate his legacy. Rugby must be the key theme of the essay, but beyond that you may write about anything you wish. The essay may be as long or short as you see fit. Application and essay are due to Coach Rupp by the deadline specified for the current season. You may submit in person, by email ([email protected]), or by postal mail (7302 Crestleigh Way, Alexandria VA 22315). Good luck!
