The
Lone Star Wrestling Association
Larry Aust Scholarship Committee
5106 W. Pleasant
SCHOLARSHIP INFORMATION
THE DEADLINE
FOR SUBMITTING THIS APPLICATION
April 2, 2008
SUBMIT TO:
THE LONE STAR WRESTLING
ASSOCIATION
ATTN: LARRY AUST
SCHOLARSHIP COMMITTEE
5106 W. PLEASANT
$1,000.00 College Scholarship
Selection for
the Larry Aust Scholarships will be based upon academic record, school and
community involvement, and leadership.
The Committee
has established the following guidelines for this scholarship program:
Ø One male and one female wrestler graduating from a
In order for this application to be
considered:
Ø
Application must be postmarked by April 2,
2008.
Ø
All information must be completed.
Ø
Application must be signed.
Ø
High School transcript must be attached.
Ø
Essay must be attached.
Ø
Coach’s recommendation must be received.
ALL INFORMATION SUBMITTED SHALL BE CONSIDERED
CONFIDENTAL
If you have any questions about this application, please contact
Tony Brigmon – (972) 641-6615 or Tony@funmeetings.com
LARRY AUST SCHOLARSHIP APPLICATION
(May attach additional
page(s) as needed)
DEADLINE: POSTMARKED BY APRIL 2, 2008
SECTION A: PERSONAL
INFORMATION
Name
______________________________________________________Age_______________
Address
______________________________________Zip ____________Phone ____________
Other Phone
________________________ E-mail
Address ___________________________
Date of Birth ___________ Male or Female
(circle one)
Father’s or Guardian’s Name
______________________________________________________
Address/City
/Zip_______________________________________________________________
(If different from your address)
Mother's or Guardian’s
Name_____________________________________________________
Address/City /Zip
_______________________________________________________________
(If different from your address)
With whom do you live? _________________________________________________________
SECTION B: HIGH SCHOOL
ACADEMIC PROFILE
High School Attending
__________________________________________________________
SAT:
Verbal _________ Math
_________ Total __________ ACT: Composite ___________
Number of students in your class
________ Your class rank __________GPA
______________
Graduation Date
________________________________________________________________
Wrestling Coach’s Name ________________________________________________________
Coach’s Phone Number
_________________________________________________________
Attach High School
Transcript
THE LONE STAR WRESTLING ASSOCIATION
LARRY AUST SCHOLARSHIP APPLICATION - Page 2 Name
__________________________________
SECTION C: EDUCATION
PLANS
What are your
plans after high school graduation?
SECTION D: HIGH SCHOOL
ORGANIZATIONS
Please list
all high school (grades 9-12) organizations and activities in which you have
been involved. Include all offices held, honors and awards received.
SECTION E: GENERAL
INFORMATION
Please list
any work or volunteer experience, community or church activities, or hobbies
and other interests.
THE LONE STAR WRESTLING ASSOCIATION
LARRY AUST SCHOLARSHIP APPLICATION - Page 3 Name
__________________________________
SECTION F: ESSAY (Please
Attach to Application)
In one page
or less, discuss how the sport of wrestling has impacted your life.
VERIFICATION OF INFORMATION
I verify that
the information in this application is true and accurate to the best of my
knowledge.
Signature of Applicant
________________________________________Date ____________
Submit completed
application by mail to:
The Lone Star Wrestling Association
Attn: Larry Aust Scholarship Committee
5106 W. Pleasant
COACH’S RECOMMENDATION FOR
LARRY AUST SCHOLARSHIP
(Wrestler’s name)
Coach’s Name
______________________________
School ___________________________
Coach’s phone number(s)
________________________________________________________
MUST BE POSTMARKED BY APRIL 2, 2008
Wrestler: please ask your coach to fill this out and
mail directly to the Larry Aust Scholarship Committee at:
Wrestling Association of
Larry Aust Scholarship Committee
5106 W. Pleasant
Coach, please answer the following
questions:
Describe the wrestler’s off-mat contribution
to the team (e.g. leadership, attitude, etc.).
Is there any other information you feel the
scholarship committee should consider?