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Name:
*
 Home Phone:
*
Address:
*
 School Phone:  
High School:   Principal:  
Coach:
*
 A.D.:  
E-mail:
*
      
No. of students
in senior class:		   Class Rank (#):  
Class Rank (%):        

Soccer honors received (high school)
   
Positions held (captain, class officer, etc)
   
Other school activities, with years
   
Community, volunteer, etc. activities, with years
   
Other honors/awards received (athletic, citizenship, etc)
   
A brief essay in 50 words describing how soccer has affected your life
   

Please mail in separately an official transcript, and a coach's recommendation, to:

NNJGSCA Scholarship
c/o Jamie McGroarty
47 Acadia Drive
Voorhees, NJ 08043

Application deadline: April 16, 2017.

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