FOOTBALL ALBERTA

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					                  FOOTBALL ALBERTA SCHOLARSHIP PROGRAM
ELIGIBILITY & PROCEDURES

      Applications will only be received from Alberta tackle football high school programs that are
       confirmed paid members of Football Alberta in the year of received application.

      The applicant must be a graduating Grade 12 player having played tackle high school within
       the Alberta Schools Athletic Association (ASAA) system.

      The recipient must be registered in full time (as stipulated by the institution) attendance at an
       accredited Alberta post-secondary institution all year or both semesters. Program study must
       be a minimum two (2) years in duration.

      The Applicant must be participating on a post-secondary Alberta football team of their choice
       during the year of application while attending the 2 year post-secondary program.




WHAT IS AVAILABLE/REGIONS
   Five (6) scholarships valued at $1,800 each are available for the 2009/2010 academic year.

      6 x Scholarship/Award regions with each demographically equal region having the capability
       of receiving at least one award winner each year. Regions will be Northern Alberta, Edmonton,
       Central Alberta, Calgary (2) and Southern Alberta based on approximately the same number of
       teams in each region.

Please send completed application to:                *Deadline: June 5, 2009
Football Alberta                      *Must be received in the office by 5:00 pm on or before
Percy Page Centre                     June 5th, not postmarked.
11759 Groat Road
Edmonton AB T5M 3K6 or Fax: 780-427-0424 or email: admin@footballalberta.ab.ca

Further information contact Football Alberta at 780-427-8108 B. Email: bfryer@telus.net
FOOTBALL ALBERTA SCHOLARSHIP APPLICATION FORM
Deadline: A complete application and supporting letter of reference MUST BE RECEIVED by Football Alberta
by: June 5th , 2009., not postmarked.

PLEASE PRINT OR TYPE CLEARLY:

Full Name:(Last Name)__________________________________(First)______________________(Middle Initial)______

Home Address:_________________________________________City_________________________PC:______________

Home Phone:(_______)______________________________ Birthdate (dd/mm/yy)________________________________

Current High School Attending:_____________________________________Head Coach:__________________________

Post-Secondary Institution Attending:_____________________________________________________________________

           Program of Study:_____________________________________________________________________________

Potential Football Teams Attending: (Team A)___________________________(Team B)___________________________


__________________________________________                                                  Dated:__________________________2006
SIGNATURE – APPLICANT
By signing this application you verify that all of the information is complete and correct and that you authorize Football Alberta to contact the registrar’s
office of the post-secondary school of their choice to confirm their full-time registration in both fall and winter terms. Personal information is protected
under the Alberta Freedom of Information and Protection of Privacy Act and will be kept confidential.


Activity Summary
Please outline in point form the football related activities and accomplishments, which you believe make you a candidate worthy of the award. List only
those activities in which you have participated in the last three years. Include dates and do not include extra pages.




Career Objectives/Citizenship
Briefly describe your career objectives (education and/or football objective). What other activities and leadership roles have you taken on in the school
and community.
FOOTBALL ALBERTA SCHOLARSHIP APPLICATION FORM
Letter of Reference/Support – (To be completed by reference person)
Must accompany the scholarship application. This student-athlete is applying for the Football Alberta Post-Secondary School Scholarship Award available
through the Provincial Sport governing body, Football Alberta. These awards are based on athletic prowess in tackle football, the ability to excel at a post-
secondary tackle football program of there choice within the Province of Alberta, while remaining a full-time registered student in a post-secondary school
of their choice within Alberta. The applicant has chosen you as a reference because of your direct knowledge of his abilities, skills and future potential in
tackle football. You are encouraged to be frank in describing why the applicant is worthy of this award. Your comments will be treated as confidential.
A separate sheet or letterhead may be attached.

Please provide the information below so we may verify information about this applicant if necessary.

__________________________________________________________________________________
Name of Applicant


__________________________________________________________________________________
Name of Reference Person                                    Position                                              E-Mail Address

__________________________________________________________________________________
Address                                                                                               Phone (B)               (H)

__________________________________________________________________________________
Relationship to the Applicant                                                  Signature                                      Date


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