STUDENT: (First Name)

(MI)

(Last Name)

ADDRESS: Street

City

State

SC

Zip Code

ACADEMICS: Overall GPA (UGS) ___________

EHS Guidance Counselor’s Signature

_____________________________________

ATHLETICS

Sport

Years of Participation

A.

B.

C.

D.

_________________________________________

Athletic Director’s Signature

SPECIAL AWARDS AND RECOGNITIONS

A.

B.

C.

D.

EXTRA-CURRICULAR ACTIVITIES (School, Work, Memberships, Community, Church):

A.

B.

C.

D.

EDUCATIONAL PLANS AFTER GRADUATION:

ESSAY: What influence has EHS Athletics made in your life and how would this scholarship benefit you? (250 words or less on a separate page - maybe typed or handwritten)