COTUIT ATHLETIC ASSOCIATION - Manuel Robello Scholarship Application 

Name:____________________________________________________________________________________

Street Address:
_________________________________________________________________________________________

P.O. Box:______ Town:________________________   Telephone:________________________

Email:_______________________________________________________   Sex: M____F____  

DOB:______________ Marital Status:   _________________

HIGH SCHOOL: ___________________________________________________________________________

GPA:___________  Graduation date:_____________

Guidance Counselor: ____________________________________________________________________

COLLEGES (accepted or pending):    _________________________________________________________________________________________

_________________________________________________________________________________________

                Anticipated start date of Freshman semester  ___________________

        Anticipated Field of Study ______________________________

        Full Time ____ Part Time_____  

        Anticipated Graduation Date: _______

On a separate page please provide the following information:

  1. Discuss your ultimate career goals and/or academic areas of interest.

  2. Describe personal contributions you have made to the betterment of your school and your community.

  3. Describe your participation in extra-curricular school activities -- i.e., clubs, sports, organizations.

All applications must be received by March 1 and mailed to:

Cotuit Athletic Association, P.O. Box 411, Cotuit, MA 02635

Questions:  Kelly Enos 508 428 4021, kjenos@comcast.net