eBBOA COLLEGE SCHOLARSHIP PROGRAM

ONLINE APPLICATION

back to SCHOLARSHIP INFO

PERSONAL INFORMATIONN
 
First Name
Last Name
 
Middle Name
 
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Primary Phone

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Birthdate

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dd
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yyyy
EMAIL *
Gender
 Male 
 Femaile 
SCHOOL HISTORY
 
CURRENT SCHOOL  (submit a copy of most recent transcript from every high school you have attended)
   
 
Dates Attended ( Mo. / Yr. )     TO     
 
Expected Graduation ( Mo. / Yr. )
   
OTHER SCHOOL  ( IF APPLICABLE )
   
School Attended
Dates Attended ( Mo. / Yr. )     TO     
 
Years Played Basketball
ESSAY QUESTIONS
   
Please complete the following two essay quesitons.  Responses sould be typed, double spacked, and submitted online using the upload box below.  Begin your answers with RETYPING THE QUESTION. Please limit EACH OF YOUR RESPONSES to the length indicated  (300-500 WORDS). 

1. DESCRIBE HOW YOUR EXPERIENCE IN HIGH SCHOOL ATHLETICS HAS CONTRIBUTED TO YOUR PERSONAL DEVELOPMENT.

2. WHAT ARE THE THREE MOST IMPORTANT THINGS THAT YOU HOPE TO GAIN BY ATTENDING COLLEGE AND WHY?
   
ESSAY UPLOAD - Make sure you documents are in the SAME FOLDER prior to uploading. Additionally, if you have an "ELECTRONIC" version of your transcript, you can attach here.
   
 
   
APPLICATION  STATEMENT & SIGNATURE
 
All information in this application is true, accurate, and complete to the best of my knowledge. I have formulated and written all essay questions without assistance of any kind.  I understand and agree that misrepresentation or omission of facts in my application will justify elimination from consideration for a scholarship.  I HEREBY AUTHORIZE THE EBBOA COLLEGE SCHOLARSHIP SELECTION COMMITTEE TO VERIFY ANY INFORMATION I SUBMIT.
   
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 By checking this box, I am confirming usage of an ELECTRONIC SIGNATURE, agree with the "Application Statement & Signature" language,  and that all information entered on this form is true and correct. 
Electronic Signature *
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Contact EBBOA

Marcella Dobbs EBBOA Assigning Secretary
Phone: (510) 724-7972
Emergency: (510) 331-5559
Email: mdobbs@ebboa.org

Address: East Bay Basketball Officials Association
PO BOX 11183
Berkeley, CA 94712 - 2183