Scholarship Application – Coventry Lake Community Rowing

Application deadlines are due within 7 days of the official start date of that given season. Applications received after this date will need to be resubmitted for the next season (Spring, Summer, Fall).
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Grade*
Email
Phone
Single Parent Household?*
- Yes
- No
Parent/Guardian Name(s)*
First Last
Parent/Guardian Address if different from rower/applicant
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Parent/Guardian Email*
Parent/Guardian Phone*
Parent/Guardian 1 Place of Employment and Job Title*
Parent/Guardian 2 Place of Employment and Job Title
Number of Siblings*
- 1
- 2
- 3
- 4 or more
Age(s) of siblings*
Are any siblings enrolled in an undergraduate program?*
- Yes
- No
If yes, how many semesters remain?
Briefly explain your rowing experiences to date and your current interest in rowing.*