Name:
Address:
Home Phone:
List seasons played for KPSA and coach's name for each season:
| Season | Coach |
|---|---|
| 1 | |
| 2 | |
| 3 | |
| 4 | |
| 5 | |
| 6 | |
| 7 | |
| 8 |
List the community service or organizational activities that you participated in per the instructions listed with the scholarship criteria:
If you have limited community service or activity participation due to
after school employment, list the employment:
On a separate sheet of paper, provide a description of how you
contributed to the community service or activity. Be specific about the
leadership traits you used or developed. Explain how you made the
service or activity better, or how it made you a better student and
citizen.
If your application is based on your work experience, explain how you contributed to make the experience better. Explain how the experience has better prepared you for college.
On the separate sheet, put your name and address on the top of the page. Keep your write up to one page typed.