Gavin Breadon Scholarship The committee is looking for applicants with similar interests & leadership skills that are most like Gavin Breadon. Each person will receive one point for each year involved in sports, or leadership activities listed below. Please fill in the name of an advisor, coach, or supervisor that can verify your years on the team. Name:
Phone Number:
College Attending:
GPA:
Activities
Years & Grades you were involved in
Advisor/Coach Phone #
High School Football
Fresh.
Soph.
Jr.
Sr.
______________________
High School Wrestling
Fresh.
Soph.
Jr.
Sr.
______________________
High School Swim Team
Fresh.
Soph.
Jr.
Sr.
______________________
Points
YMCA Gator Swim Team ________________________________Year(s) Involved: ____________ Monroe Area Swim Team_________________________________Year(s) Involved: ____________ Volunteer for Mat Rats __________________________________Year(s) Involved: ____________ What did you do as a Mat Rat volunteer?________________________________________________ Participant in Mat Rats Year(s) Involved: ____________________
______________________
Coach for Mat Rats
Year(s) as Coach:____________________
______________________
A Lifeguard
Year(s) Involved: ____________________
______________________
Where did you lifeguard? ____________________________________________________________ Swim Team Coach
Year(s) as Coach:____________________
______________________
Where did you coach?_______________________________________________________________ Total Points ______
*Please attach a copy of your scholarship essay and experience list with this form