Gregory P. Pentz Memorial Bursary 2010

Gregory P Pentz Memorial Bursary

2010 Application form

About you

Name ___________________________________________________________   M / F ? __________

Street Address _____________________________________________________________________

City _______________________________________________ Postal Code ____________________

Phone number ____________________________  Birthdate ________________________________

School _____________________________________   Student ID number _____________________

About your educational plans

What is your career objective? _________________________________________________________

What institution do you plan to attend? __________________________________________________

(Name the university, college, technical school, trade school, etc)

Have you been accepted yet?  _____________________ If so, include a copy of your letter of acceptance with your application.

If you have applied at more than one institution, give details on a separate sheet.

About your soccer career

When did you start playing soccer? ____________________________________________________

Tell us very briefly what you’ve done in soccer for the past 4 years.  Name the clubs** and the coaches you played for.  If you did not play, tell us what you did for soccer instead of playing. Use a separate sheet if necessary:

2009 - ___________________________________________________________________________

2008 - ___________________________________________________________________________

2007 - ___________________________________________________________________________

2006 - ___________________________________________________________________________

Are you a referee? __________________    If so, for how many years? ___________________

Have you coached or assisted a coach? __________     If so, give details on a separate sheet.

**  Suburban District clubs include Suburban FC, Scotia Soccer Club, Bedford Soccer Association, Sackville United Soccer Association, and East Hants Soccer Association.

Gregory P Pentz Memorial Bursary

2010 Application form

References

List 3 references (1 from your family, 1 from your school, and 1 from soccer) we can contact to discuss your application.  Give names and phone numbers.

1. (family) _________________________________________________________________________

                                                (a parent or other family member)

2. (school) ________________________________________________________________________

                                    (any teacher, counsellor, principal, etc who knows you)

3. (soccer) ________________________________________________________________________

                                    (any coach, referee, or club official who knows you)

Essay

Volunteers are involved in many capacities - as coaches, managers, referees, organizers, or members of club executives.  Some are former (or current) players who are giving something back to the game.  Many are parents who have little or no soccer experience and get involved for the first time when their children start playing.

In about 300 words, discuss how important volunteers have been in providing opportunities for you and your friends to play soccer, and what plans you have to remain involved with soccer in the future.  Attach your essay to this form.

Submit your application

Put your name on every sheet you submit.  Send your completed application to

Scholarship Committee

Suburban District Soccer Association
PO Box 44193
Bedford, Nova Scotia
B4A 3Z8

Application deadline

Your completed application must reach the above address before May 15 of the current school year to be considered.

In some circumstances, the selection committee may conduct personal interviews in making the final selection.

All applications become the property of Suburban District Soccer Association.  Decision of the Selection Committee is final.

Suburban District Soccer Association

c/o

Scholarship Committee

PO Box 44193
Bedford, Nova Scotia
B4A 3Z8

Gregory P Pentz Memorial Bursary

Greg Pentz played soccer for many years as a youth.  He became a referee as soon as he was old enough.  As a teenager he was both a player and a referee.  When circumstances made it difficult for him to continue playing, he continued refereeing.  In this way, he was giving something back to the game he loved.  He understood the importance of being involved, and thus became a role model for other players.  We remember him for his contribution, and want to raise an awareness in other players of the need to become involved in other capacities.

We are pleased to be able to remember him by offering the Gregory P Pentz Memorial Bursary.  We are offering four $500 awards annually to deserving students within the boundaries of the Suburban District and it’s member clubs.  In doing so, we hope more players will follow his lead, become involved in other capacities, and give something back to the game.

To be eligible, you:

1.         must be accepted at a post-secondary institution (university, college, technical school, trade school, etc) in a program leading to a degree/diploma, and

2.         for the last 4 years, either

                        a)         played for a Suburban District club(s), or

b)         was a coach or assistant coach for a Suburban District club(s) in seasons when you did not play, or

c)         was a referee within the Suburban District in seasons when you did not play,

Suburban Distrct clubs include Suburban FC, Scotia Soccer Club, Bedford Soccer Association, Sackville United Soccer Association, and East Hants Soccer Association

If 2b or 2c applies to you, give details in your application.

Winners will be announced at the school graduation ceremonies.