Scholarship Application Personal InformationName First Last Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email PhoneDate of Birth MM slash DD slash YYYY FMC ArenaAuburnBrocktonBurlingtonCambridgeEast BostonEverettFall RiverFitchburgFranklinGardnerGreenfieldHolyokeHopedaleLynnMarlboroNatickNew BedfordNewburyportPlymouthRaynhamRevereSomervilleSpringfieldTauntonWest RoxburyWorcesterEducational BackgroundHigh School Attended High School Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Graduation Date MM slash DD slash YYYY Counselor's Name College you plan to attend Major / Area of study Required AttachmentsAny attachments that cannot be uploaded may be emailed to scholarships@fmcicesports.com or mailed to FMC Ice Sports, 100 Schoosett St., Bldg. 3, Pembroke, MA 02359, Attn: Scholarship Committee. Student resume of the past four years, including skating/hockey background, extracurricular activities (sports/clubs/jobs), community service, honors and awards (scholastic/athletic). Please note grade you were in during each activityMax. file size: 50 MB..docx files will NOT be accepted. Please submit .doc, .jpg, or PDF file types only.500 word essay describing a time when skating had a significant influence and impact on your life or personal developmentMax. file size: 50 MB..docx files will NOT be accepted. Please submit .doc, .jpg, or PDF file types only.Official high school transcriptMax. file size: 50 MB..docx files will NOT be accepted. Please submit .doc, .jpg, or PDF file types only.Letter of recommendation from a teacher or coachMax. file size: 50 MB..docx files will NOT be accepted. Please submit .doc, .jpg, or PDF file types only.SAT or ACT scoresMax. file size: 50 MB..docx files will NOT be accepted. Please submit .doc, .jpg, or PDF file types only. I certify that the information submitted in this application is true and accurate, to the best of my knowledge. I also agree to allow FMC Ice Sports to contact me to follow-up with my ice sports involvement in the future.