ANDY STONE Scholarship

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ANDY STONE Scholarship 2017 South Texas Youth Soccer Date received at state office: Date received at region office:

SCHOLARSHIP OVERVIEW The Andy Stone Scholarship was set up by Region III to honor the dedication and commitment of Andy Stone, former Region III Chair. Andy passed away suddenly in 1998. Any active high school senior member of Region III may apply for the scholarship as per the guidelines listed below. Andy Stone Scholarship 1. PERPETUAL: Funds will be invested and open for continued contributions. 2. ELIGIBILITY: a. No member of a State or Regional staff is eligible b. Is available for all registered youth players, coaches and/or referees. Will be judged on: - Years and depth of involvement - Academics - Needs - Citizenship - Extra-curricular activities 3. AMOUNT: Four $1,500 Scholarships, (one boy and one girl from 2 states), will be granted for one year with an initial payment of $1,000 to each and then a secondary payment of $500 each, which will be provided upon receipt of a transcript revealing at least a C average for the first grading period after the initial award. Documents should be sent to the Regional Office. The Regional Treasurer and the State Associations will coordinate where the scholarship checks will be sent, either to the recipient directly or the State Association for presentation by such association. 4. SCHOLARSHIP ROTATION: The scholarship will be offered to the states of Region III, two states at a time, beginning in 2017 with South Texas and Alabama. The first award was in 1999 to Mississippi, Andy s home state. The succession shall rotate alphabetically as they appear in the US Youth Soccer telephone directory as follows: 2017 South Texas Alabama 2018 Arkansas Florida 2019 Georgia Louisiana 2020 Mississippi North Carolina 2021 Oklahoma South Carolina 2022 Tennessee North Texas Then Repeat 5. SELECTION: The State Associations will determine the winner of the scholarships based on the attached application form. Applications are to be submitted to the State Association (STYSA) by June 2, 2017. 6. PRESENTATION: The State Associations to determine the time and place for the presentation of the award.

ANDY STONE SCHOLARSHIP APPLICATION DUE JUNE 2, 2017 Please email your completed application to Hannah Roberts at hannahr@stxsoccer.org or mail to Attn: Andy Stone Scholarship 15209 US Hwy 290 E Manor, TX 78653 Full name: Address: City: State: Zip: Home phone number: Cell Phone number: Email Address: Father s name: Mother s name: I. Years and Depth of Involvement in USYS, and soccer in general. Use this section to describe your activities in soccer. Are you a player, coach, or referee? What other ways are you involved in the game. You may include two letters of recommendation. Print or type legibly. Use additional pages if necessary. II. Academics. Attach a certified copy of all high school transcripts and SAT and/or ACT scores. Note any academic awards that you may have won. Detail any other scholastic achievements. You may include letters of recommendation from your school s administrator or counselor. Use additional pages if necessary.

III. Needs. Provide the financial information requested below. All financial information will remain confidential. 1. Average Household income from all sources: per year 2. Total number of persons living at home: 3. Number of siblings living at home: 4. Number of siblings attending college or trade schools: 5. Projected college or trade school expenses for the first year: 6. Will you be living at home or on campus? 7. How many hours of classes will you be taking each semester? 8. Will you be working part time during school? 9. Include any additional information that will justify your needs for this scholarship. Print or type legibly. Use additional pages if necessary. IV. Citizenship. Describe any activities that you are involved in within your state or local community that demonstrates good citizenship. You may include two letters of recommendation. Use additional pages if necessary. V. Extra-curricular activities. Describe or list other activities outside of school and soccer. You may include two letters of recommendation. Use additional pages if necessary.