Legacy Athletics & Leadership Academy 
The Mary Lois Kesler Promise Scholarship Application 2022-2023 
Email *
First Name *
Last Name *
Street Address *
City, State & Zip Code *
Telephone (home) *
Telephone (cell) *
E-mail *
Gender *
Date of Birth (DOB) *
MM
/
DD
/
YYYY
Parent/Guardian Names *
Parent Contact # *
Parent E-mail *
Attending High School (Scholarship Nominee) *
List all school sports for which a varsity letter was received in the following format: Sport/Grade/Year *
Anticipated Date of Graduation *
Weighted GPA (Four decimal Spaces) *
School Counselor's Name *
School Counselor's E-mail *
School Counselor's Contact Number *
School, community, church, or organizational activities participated in.
Honors, awards & other achievements *
Colleges accepted to (Top five) *
College you plan to attend *
Address of College (Street #, City, State, Zip) *
Expected Major *
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