Scholarship Application

The Kingston Youth Soccer Association will present three Scholar Athlete awards in the amount of $500.00 to students (one male, one female, one youth referee) who have demonstrated outstanding academic and athletic levels throughout their four years of high school.

AWARD REQUIREMENTS:

- Applicant must be a resident of Kingston
- Applicant must be graduating from high school in good standing (guidance sign off required, see below)
- Applicant must have played for KYSA a minimum of 4 years
- Applicant must have been accepted, with intent to attend, a two or four year undergraduate program in a college or university

First Name

Last Name

Address

City

State/Province

Zip/Postal

High School Presently Attending

College Accepted to With Intent to Attend

Number of Years Played With Kingston Youth Soccer

Are you still playing with KYSA?

Essays

What impact has the game of soccer had on your life?

What is the most valuable lesson you have learned from playing/refereeing soccer?

I certify that the information contained in this application is accurate and understand any false statements either intentional or accidental would disqualify this application. Kingston Youth Soccer will not be liable in any way. Furthermore, I accept all decisions of the Kingston Youth Soccer and /or its agents regarding this application as final.

Signature

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