DUE DATE: DECEMBER 31, 2011

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EDUCATION ASSISTANCE FUND APPLICATION

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The Golden Gate Summer Shootout is proud to make available educational financial assistance to selected Shootout participants who will be entering their senior year in September 2011. The assistance provided will be $500 annually for up to four consecutive years to be applied toward your educational expenses after high school graduation.

To apply, simply furnish the Golden Gate Summer Shootout with the following information. Applications can also be downloaded from our Web site: www.ggss.org. All applications and supporting information will be kept confidential.

I. EAF APPLICANT PERSONAL INFORMATION

Name: _____________________________________________________________

School: ____________________________________________________________

Tell us about yourself and your post-high school educational goals (attach additional sheets if needed):

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II. HEAD COACH RECOMMENDATION

Head Coach's Name: _________________________________________________

Tell us about the applicant's skill, effort, dedication, and academic and athletic prospects (attach additional sheets if needed):

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III. ATHLETIC DIRECTOR, TEACHER, or COUNSELOR RECOMMENDATION

Recommender's Name and Title: ________________________________________

Tell us about the applicant's skill, effort, dedication, and academic and athletic prospects (attach additional sheets if needed):

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IV. CONTACT INFORMATION

Applicant's Signature: ________________________________________________

Applicant's Mail Address: _____________________________________________

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Email:____________________________________________________________

Phone Number:_____________________________________________________

Coach's Signature: _________________________________________________

Phone Number: ____________________________________________________

Mail Address:_____________________________________________________

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Email:___________________________________________________________

AD's/Teacher's/Counselor's Signature: __________________________________

Phone Number: ____________________________________________________

Mail Address:______________________________________________________

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Email:___________________________________________________________

Please mail your completed Application no later than December 31, 2011 to:

All selections shall be made exclusively by the GGSS EAF Committee and/or GGSS Advisory Board at its sole discretion.