Application

LYSC Scholarship Application

Name: ___________________________________________________

Address: _________________________________________________

City: ____________________ State: ________ Zip: ________

Phone: ___________________ DOB: _________ Sex: _______

Application date: ___________________________________________

School graduating from: __________________________ GPA: _____

LYSC playing experience: ____________________________________

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Coach(es) name: ____________________________________________

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School playing experience: ____________________________________

Coach(es) name: ____________________________________________

Post high school plans: ________________________________________

School(s) applied to: __________________________________________

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School(s) accepted to: _________________________________________

List community service: _______________________________________

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