(TO BE COMPLETED BY: APPLICANT
& SIGNED BY: ATHLETIC DIRECTOR)

CENTRAL COAST SECTION SCHOLAR-ATHLETE SCHOLARSHIP AWARD
STUDENT APPLICATION FORM (PART B)

ATHLETIC INFORMATION SHEET
Please list below the sports in which you have competed at a CCS-member school, the level of competition
(Frosh; Frosh-Soph; JV; Varsity) and any specific athletic awards and/or honors received.

SPORT LEVEL AWARDS / HONORS
(Individual and/or Team)
9TH GRADE

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10TH GRADE

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11TH GRADE

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12TH GRADE

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"I certify that this is a complete and accurate accounting of ______________________’s athletic participation at

___________________________ High School."     Athletic Director: ____________________________