Scholarship Application

THE INDIANA FOOTBALL HALL OF FAME

2022 SCHOLAR-ATHLETE SCHOLARSHIP APPLICATION

Applications must be completed and postmarked (submitted) by March 1, 2022.

Minimum criteria for consideration: 3.5. GPA, full-time student-athlete, and extra-curricular achievements.

Scholarship Application

Personal Information

Name of Athlete

Name of Parent/Guardian

Home Address:

Home Address:

Street Address

Street Address

Street Address Cont.

Street Address Cont.

City

City

State/Province

State/Province

Zip/Postal

Zip/Postal

Home Phone #

Cell Phone #

Athlete’s Email

High School

Name of Coach

School Address:

School Address:

Street Address

Street Address

Street Address Cont.

Street Address Cont.

City

City

State/Province

State/Province

Zip/Postal

Zip/Postal

Coach's Email