Scholarship Application Form

GREATER HARRISBURG UNITED STATES BOWLING CONGRESS
SCHOLARSHIP APPLICATION FORM


Section 1Personal Information
First Name _____________________________ Middle Initial  ____   
Last Name  ____________________________________________
Address  ______________________________________________
City __________________________________________________  
State _____________________________    Zip  _______________
Daytime Telephone  _____________________________________  
Evening Telephone  _____________________________________
Birth date  _________________


Section 2 Education and Academic Achievements
Current High School    ___________________________________              
Grade point average _______________________  
Expected Graduation Date   __________________
Scholastic Honors -
(examples: first place science competition, National Honor Society, etc.)
__________________________________________________________
__________________________________________________________
Extracurricular Activities -
(examples: School Clubs, sports, school volunteer work, etc.)  __________________________________________________________
__________________________________________________________


Section 3Community and/or other Activities
List Community Activities not connected to School
(examples: church, volunteer work at a hospital, etc)
___________________________________________________________
___________________________________________________________
Other activities
(examples: Boy Scout, Girl Scout, bowling offices held, etc)
___________________________________________________________
___________________________________________________________


Section 4 Bowling
Highest certified career Average  _________   
Highest certified career Series      _________    
Highest certified career Game      _________
List tournament participation  ____________________________________
___________________________________________________________
___________________________________________________________


I certify that all information on this application is correct to the best of my knowledge.

Applicant Signature  __________________________________________ 
Date  ___________________     

Parent/Guardian Signature  ____________________________________  
Date  ___________________