Sponsored By: NEW JERSEY AMERICAN YOUTH FOOTBALL s1

2015 – NJAYF Community Scholarship - 2015 SPONSORED BY: NEW JERSEY AMERICAN YOUTH FOOTBALL SCHOLARSHIP APPLICATION THIS FORM CAN BE DOWNLOADED AT WWW.JSAYF.ORG PART 1: PERSONAL INFORMATION NAME AGE BIRTHDATE SOCIAL SECURITY NO.

ADDRESS EMAIL ADDRESS ZIP CODE

PHONE NO:

PART 2: PRELIMINARY SCHOOL INFORMATION NAME OF CURRENT HIGH SCHOOL: GRADUATING YEAR

FULL SCHOOL ADDRESS: NAME OF GUIDANCE COUNSELOR SCHOOL PHONE# NAME OF COLLEGE/ UNIVERSITY YOU PLAN TO ATTEND

PART 3: NJAYF VERIFICATION NAME OF NJAYF/PW ORGANIZATION THAT YOU PARTICI- FOOTBALL CHEER PATED IN PRIOR TO HIGH SCHOOL # YEARS IN NJAYF # YEARS IN NJAYF

DID YOU CONTINUE PARTICIPATING IN NJAYF WHILE IN # YRS AS A # OF VOLUNTEER HIGH SCHOOL, AS A VOLUNTEER? YES NO VOLUNTEER? HRS PER WK.

I hereby certify that the information given re- VERY IMPORTANT garding any NJAYF involvement, to be true, to YOU MUST OBTAIN THE VERIFI- the best of my knowledge and belief and in ac- CATION OF CURRENT NJAYF OF- cordance with Franchise records. (must be signed by current NJAYF President where FICIALS AS TO THE INFORMA- you played/volunteered TION CONTAINED IN THIS SEC- TION ...... Signature: X______. PRINT NAME:______Title: ______

PART 4: EXPLANATION OF SPECIAL NEEDS, OR CIRCUMSTANCES

PLEASE ATTACH SEPARATE SHEET OF PAPER TYPE ANY SPECIAL NEEDS OR CIRCUMSTANCES

ATTACH SEPARATE TYPED SHEET WITH ADDITIONAL AWARDS, HONORS, COMMUNITY SERVICE

. . PART 5 :FOOTBALL OR CHEER HONORS & AWARDS. ACADEMIC HONORS, VOLUN- TEERING, COMMUNITY NJAYF Grade level in Approx. # of Verification “HS DEMONSTRATOR” year hrs. Positions held, or by VOLUNTEER of participation spent per week Honors won 9 10 11 & NJAYF Offi- 12 # of wks. in- cial volved

HONORS & AWARDS 9 10 11 1 Verification IN HS 2 by FOOTBALL School Offi- CHEER ONLY cials

INDIVIDUAL ACA- 9 10 11 1 Verification DEMIC 2 by HONORS & AWARDS School offi- cials

MAIL COMPLETED APPLICATION TO: NJAYF SCHOLARSHIP c/o Lou Montanaro 2114 Orien Road, Toms River, NJ 08755. DEADLINE FOR SUBMISSION: APRIL 1 2015 FOR QUESTIONS, CALL Lou Montanaro (732) 637-7231 OR [email protected] . ALL APPLICANTS MUST BE FORMER JSPWFL/NJAYF PARTICIPANTS SCHOOL COMMIT- 9 1 1 1 Approx. # of Verification TEES, 0 1 2 hrs. by spent per week CLUBS, ORGANIZA- & School offi- TIONS # of wks. in- cials volved

OTHER COMMUNITY 9 1 1 1 Approx. # of Verification ACTIVITIES 0 1 2 hrs. by spent per week & School offi- # of wks. in- cials volved

. . WORK EXPERIENCE 9 1 1 1 Approx. # of 0 1 2 hrs. worked per week & # of wks worked

PART 6: ESSAY

Each applicant MUST submit a minimum of 150 word essay on the topic: “ What impact did YOUTH FOOTBALL/CHEER Have On My Life?”

***Please Attach a Type Written Essay To This Application***

***HAND WRITTEN ESSAYS WILL NOT BE ACCEPTED*** ****OFFICIAL HIGH SCHOOL TRANSCRIPT MUST BE SUBMITED WITH THIS APPLICATION****

By way of subscribing our signatures below, we hereby certify, individually and collective- ly that all of the information contained in this application is true, correct and complete in all of its particulars to the best of our know-ledge and belief. We understand that this application is being filed jointly by all signatories. We agree to give proof of the information provided on this application and realize that if said proofs are not provided, that the applicant (student) can be denied any scholarship funding. Scholarship funding will be sent directly to college or school by NJAYF. Finally, I the applicant agree to return all money re- ceived if I do not attend college or school.

DATE: SIGNATURE OF HIGH SCHOOL OFFICIAL: X

DATE: SIGNATURE OF STUDENT: X

DATE: SIGNATURE OF PARENT: X

MAIL COMPLETED APPLICATION TO: NJAYF SCHOLARSHIP c/o Lou Montanaro 2114 Orien Road, Toms River, NJ 08755. DEADLINE FOR SUBMISSION: APRIL 1 2015 FOR QUESTIONS, CALL Lou Montanaro (732) 637-7231 OR [email protected] . ALL APPLICANTS MUST BE FORMER JSPWFL/NJAYF PARTICIPANTS Mail completed application to: NJAYF c/o Lou Montanaro 2114 Orien Road, Toms River, N.J. 08755

Deadline for submission is APRIL 1, 2015. Please call Lou Montanaro at (732) 637-7231 with questions.

Application Checklist: For application to be considered VALID all 7 parts MUST be filled out correctly.

Part 1 – Personal info printed/typed and legible Part 2 - School Info Completed Part 3 - MUST be signed by current NJAYF President where you played/volunteered. Failure to do so will result in disqualification. Part 4 – Special needs? Part 5 – Each Activity/Award or Honors MUST be verified by School Official. Failure to do so will result in disqualification. Part 6 - Type essay on separate sheet. Minimum of 150 words. (Will be counted) Part 7 – High School Official, student, parent signatures. Failure to do so will result in disqualification ***OFFICIAL HIGH SCHOOL TRANSCRIPT MUST BE SUBMITED WITH THIS APPLICATION***