Please mail completed applications to:
Julie Weber
7781 Butterfly St.
Concord, OH 44077
Deadline: Sunday, May 1, 2017
22nd
Northeast Running Club
Annual Scholarship Nominations
Nominee’s name: ______________________________________
o male
o female
Nominee’s address: ________________________________________________________
Phone number: _________________ e-mail:_____________________________________
School: __________________________________________________________________
Coach: ____________________________________________ Phone number: _____________________
e-mail: ______________________________________________Best time to call: ___________
GPA
College
acceptance
Academic
Achievements
Required: A letter of recommendation written by a teacher or coach
must accompany this application.
Leadership qualities:
School Activities
Community Activities
Contributions to cross country and/or track team:
Year
Event
Accomplishment