Triple-Impact Competitor Scholarship Application

Triple-Impact Competitors work to better themselves, their teammates and the
game. To apply, fill out the form below.

Once you begin your application you must complete the application at that time.
You will not be able to access your application once it's submitted.

**Application deadline: May 1, 2010**

If you prefer to apply on paper, click here.

*All fields are required

Student-Athlete Information Name:
Street Address:
City/State/Zip:
Phone:
Email:
HighSchool:
Graduation Year:
GPA (on a 4.0 scale):
Sports Played:
Parent/Guardian Name:

ExtraCurricular Activities School Activities:
(ex: band, student-government, debate, etc.)
(300 word limit) Community Activities:
(ex: volunteering, 4-H, rotary club, etc.)
(300 word limit) Employment:
(300 word limit)

Student-Athlete Statement What do you do to make yourself better?
(500 word limit) What do you do to make your teammates better? Tell a story of a specific time you helped a teammate improve.
(500 word limit) One of PCA's core principles is Honoring the Game (respecting the rules, opponents, officials, teammates, and self).

Tell a story about how you Honor the Game. This may be something you do every competition, or it may be a specific example of a time when you Honored the Game.
(500 word limit)