ZACHARY M. TOMPKINS MEMORIAL FUND
Scholarships
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Print Application Here
Athletic Scholarship Application
Personal Information
*
Indicates required field
Full Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Number
*
(xxx) xxx-xxxx
Date of Birth
*
mm/dd/yyyy
Email
*
Academic Information
How would you like to send in your High School Transcript?
*
By this form
By email
By mail
If "By mail" was chosen, please mail transcript to "P.O. Box 323 Hudson, NH 03051"
If "By email" was chosen, please email transcript to "scholarship@zacharytompkins.org"
If "By this form" was chosen, please use the upload box below.
All transcript submissions must be received no later than seven days after application submission. Please contact your school counselor/administrator for transcripts.
Transcript Upload
*
Max file size: 20MB
Only required if "on this form" was answered for the above question.
Name of High School
*
Athletic Information
List all of the sports you have participated in at your current high school.
*
College/University Information
What college/university do you plan on attending?
*
To be eligible for this scholarship, you must have a college/university selected.
Selected Major
*
If undecided, please respond "undecided".
Have you received any other scholarships? Please list the name and amounts below.
*
We ask this for legal issues.
Personal References
Reference #1
Name
*
First
Last
Phone Number
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Relationship
*
Reference #2
Name
*
First
Last
Phone Number
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Relationship
*
Personal Response
How has being a member of a varsity team impacted your life?
Response
*
The essay may be as long or short as you feel fit.
Terms and Conditions/Rules and Regulations can be found
HERE
I agree that all information submitted here is true and factual.
*
Yes
I have read and agree to the Terms and Conditions/Rules and Regulations of this contest.
*
Yes
I agree to receiving marketing and promotional materials
*
Submit Application
Scholarships
ABOUT ZACH
EVENTS
STADIUM PROGRESS
MEDIA
News Articles
Photos
Web Links
DONATE
VOLUNTEER
Contact