x-form-Middle Atlantic All Academic Award 2image.aausports.org/email/images/17/17ma_xformMiddleAtlanticAllAcademicAward17.pdfMiddle Atlantic All Academic Award Junior Middle Atlantic
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MiddleAtlanticAllAcademicAwardJuniorMiddleAtlanticAllAcademicAward
Requirements:•ParticipatedinMiddleAtlanticDistrictChampionship/Qualifierfor2016/2017•MustbeanAAUMemberintheMiddleAtlanticDistrict•GPAof3.8orbetterona4.0scaleforcurrentyear (othergradescalesaswellasweightedcourseswillbecalculated) (ifextenuatingcircumstances,explain)•Acopyofthefinalschoolyearreportcardwiththeschoolnameonitmustbeattached•FormfilledinandreceivedbyJuly10,2017Name:______________________________________________________________________________________________________AAUMembershipnumber:__________________________________YearofGraduationfromHS:20_________Address:____________________________________________________________________________________________________City_____________________________________State________ZIP___________ Phone:(____)_______________________E-mail:________________________________________Sport:____________________________________________________Club(ifapplicable):________________________________________________________________________________________2016/17MiddleAtlanticDistrictChampionship/Qualifierparticipatedin:____________________Location:_______________________________________DateofDistrictQualifier:________________________________YOURAcademicSchool:___________________________________________________________________________________SchoolAddress:______________________________________City:______________State:________Zip:___________ListanyAcademicAchievementspasttwoyears:ListanySportsAchievementspasttwoyears:AAUCoachSignature:_____________________________________________________________________________________PARENTSIGNATURE:_____________________________________________________________________________________Submitby:July10,2017to:
MiddleAtlanticAAU,POBox631,Ardmore,PA19003
AwardCertificatewillbesentbyAugust31,2017AwardWinnerswillbepostedontheMADwebsiteApplicantswillbeinformedbyemailoffinaldecision
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