Georgiana Thomas Scholarship

UBO Representative:  Name __________________________________________Phone ______________
                                       Address ____________________________________________________________
                                        E-mail Address_______________________________________________________

    Sport/Band __________________________________

Directions: Please complete all sections below, and return on or before ____________, to the UBO Representative for your sport.

NAME ___________________________________________

ADDRESS __________________________________________________   ZIP ___________

PHONE ________________    E-MAIL ___________________________________________

PARENT/GUARDIAN'S NAME _________________________________________________

Involvement in high school clubs, activities, etc. - include any special awards, honors and offices held:___________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

 List all Sport(s)/marching band in which you participate during high school (include any athletic/band accomplishments and awards):
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

Volunteer/community service activities including any special awards, honors, and offices held while in high school: ______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

ALSO:  Please type a paragraph of no more than 200 words on a separate sheet of paper addressing the question.... What does school spirit mean to you and how do you feel your athletic/band experiences at North Allegheny have prepared you for the future?