L STREET RUNNING CLUB

2010 STUDENT GRANT APPLICATION

Please print:

Name_________________________________________________________

Street Address__________________________________________________

City, State ZIP CODE ____________________________________________

Home Telephone # ______________________________________________

High School Attended_____________________________________________

Graduation Date_________________________________________________

Years on Cross-Country or Track Team ______________________________

College or University you plan to attend____ __________________________

Essay:  Please state and support in two paragraphs (or more) the reasons why you should be awarded the L Street Student Grant.  Consider your financial status, academic record, athletic achievements and community service.

Essay (continued)

Signature of Guidance Counselor or Principal________________________________

Print Name and Title___________________________________________________

Date __________________

Mail the application to: 

LSRC 2010 Student Grant

c/o Mary Scherr, 12 Dixfield Street, So. Boston, MA  02127

Applications must be postmarked no later than April 2, 2010. 

Applicants will be notified by April 9, 2010, if they are grant recipients.