The Lone Star Wrestling Association
Barry Boustead Scholarship Committee
5106 W. Pleasant
SCHOLARSHIP INFORMATION
THE DEADLINE
FOR SUBMITTING THIS APPLICATION
March 3, 2008
SUBMIT TO:
THE LONE STAR WRESTLING
ASSOCIATION
ATTN: BARRY BOUSTEAD
SCHOLARSHIP COMMITTEE
5106 W. PLEASANT
Selection for
the Barry Boustead Scholarships will be based upon academic record, school and
community involvement, and leadership. The number of scholarships available
will be determined by the funds available after all expenses of the Lone Star
Duals have been paid.
The Committee
has established the following guidelines for this scholarship program:
Ø Wrestlers graduating from a Texas High School involved in
supporting the Lone Star Duals and graduating before August 1, 2008. Anyone
involved in working the event makes their school eligible for participation in
this scholarship program.
In order for this application to be
considered:
Ø
Application must be postmarked by March 3, 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
BARRY BOUSTEAD SCHOLARSHIP APPLICATION
(May attach additional
page(s) as needed)
DEADLINE: POSTMARKED BY MARCH 3, 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
BARRY BOUSTEAD 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
BARRY BOUSTEAD 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: Barry Boustead Scholarship Committee
5106 W. Pleasant
COACH’S RECOMMENDATION FOR
BARRY BOUSTEAD SCHOLARSHIP
(Wrestler’s name)
Coach’s Name
______________________________
School
___________________________
Coach’s phone number(s) ________________________________________________________
MUST BE POSTMARKED BY MARCH 3, 2008
Wrestler: please ask your coach to fill this out and
mail directly to the Barry Boustead Scholarship Committee at:
Lone Star Wrestling Association
Barry Boustead 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?