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PART A – PERSONAL INFORMATION (Entire form
to be completed by student)
Name:____________________________________________ Phone: ____________________
Parents Names:_____________________________________ Phone: ____________________
Address:__________________________________________ Email _____________________
City________________________ State_______________Zip _______________________
Date of Birth _______________________________ Place of Birth ____________________________
High School ________________________________ Phone _________________________________
Athletic Director _____________________________ Head Coach _____________________________
Grade Point Average:______________________ Grading Scale:_____________________________
Class Rank:______________________________ Class Size:________________________________
SAT: Reading:_________________ Math:_________________ Writing:______________
ACT: COMPOSITE:__________________
Scholarships Held/Academic Honors Received:
1. If you know what college you are going to attend please answer why you chose that college. If you do not
know where you are planning on attending then list the schools that you are interested in attending and why.
2. If you played in the Ada County AAU league, or any other organized league or travel team, please list some of your team names, coaches,
experiences, and what that time meant to you specifically.
The entire essay must be
hand written by the student/athlete. You may attach a separate page if needed.
Please describe your extracurricular activities, special interests, reason for applying for this scholarship,
your plans for the future, your basketball philosophy and anything else you want us to know.
Mail To: Dan Hemmer
11797 W. Radar Dr., Boise Idaho 83713
Must be postmarked by April 22nd
We want to thank you for taking the time and effort in submitting an
application for the
Bryan Dunn
Memorial Scholarship.
All winners will be notified by May 15th