APPLICATION FOR
JACKIE BURK MEMORIAL AWARD AND
ALLAN HOMES AWARD
FOR OUTSTANDING STUDENT VOLUNTEER FOR
SPECIAL OLYMPICS HOWARD COUNTY
(Please type or
print.)
NAME_________________________________________________________
ADDRESS
_____________________________________________________
CITY
______________________________ STATE
_______ ZIP_________
PHONE NRS
(HOME)___________________ (CELL)__________________
FATHER’S
NAME_______________________________________________
ADDRESS (if
different than student) ____________________________________
CITY_______________________________STATE_________ZIP
_________
MOTHER’S
NAME_______________________________________________
ADDRESS (if
different than student) ____________________________________
CITY_______________________________STATE_________ZIP
_________
HIGH SCHOOL
__________________________________________________
HIGH SCHOOL
ADDRESS:________________________________________
HIGH SCHOOL
PRINCIPAL: ______________________________________
DATE OF GRADUATION
______________________GPA _______________
POST-HIGH SCHOOL
EDUCATION PLANS: (include technical schools/colleges, etc. applied to/accepted to; major):
IF CURRENTLY IN
COLLEGE:
COLLEGE
____________________________________________________________
COLLEGE
ADDRESS__________________________________________________
ANTICIPATED
GRADUATION YEAR ___________________________________
MAJOR
__________________________________MINOR _____________________
SUMMARIZE INVOLVEMENT
WITH SOHO (include sports/events that you have volunteered with, number of
hours and years of involvement. Be specific.)
ESSAY: DESCRIBE (500
words or less) WHAT YOUR INVOLVEMENT IN SOHO HAS MEANT TO YOU AND WHAT IMPACT
IT HAS HAD ON YOUR LIFE.
ATTACH AT LEAST ONE
RECOMMENDATION LETTER FROM A SOHO COACH, MANAGEMENT TEAM MEMBER, AND/OR SPORTS
COORDINATOR.