CLCF Sports - Scholarship Application

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Castiglioni Award

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APPLICATION

form

– Step 1 of 6

Name *

Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

High School *

Please Indicate High School *

I participated in the following CLCF Sports/Activities

*Enter up to 10 CLCF Sports/Activities and the associated details. A minimum of one must be entered.

Sport/Activity 1 *

Enter the four digit year or range of years of the sport/activity (ex. 2015 or 2015-2019)

Years/Seasons 1 *

Enter the four digit year or range of years of the sport/activity (ex. 2015 or 2015-2019)

Coach (or other CLCF Personnel) Name 1 *

Enter the name(s) of your coach(es) or other CLCF volunteer(s) from your sport/activity

Add another CLCF Sport/Activity?

Sport/Activity 2

Enter the four digit year or range of years of the sport/activity (ex. 2015 or 2015-2019)

Years/Seasons 2

Enter the four digit year or range of years of the sport/activity (ex. 2015 or 2015-2019)

Coach (or other CLCF Personnel) Name 2

Enter the name(s) of your coach(es) or other CLCF volunteer(s) from your sport/activity

Add another CLCF Sport/Activity?

Sport/Activity 3

Enter the four digit year or range of years of the sport/activity (ex. 2015 or 2015-2019)

Years/Seasons 3

Enter the four digit year or range of years of the sport/activity (ex. 2015 or 2015-2019)

Coach (or other CLCF Personnel) Name 3

Enter the name(s) of your coach(es) or other CLCF volunteer(s) from your sport/activity

Add another CLCF Sport/Activity?

Sport/Activity 4

Enter the four digit year or range of years of the sport/activity (ex. 2015 or 2015-2019)

Years/Seasons 4

Enter the four digit year or range of years of the sport/activity (ex. 2015 or 2015-2019)

Coach (or other CLCF Personnel) Name 4

Enter the name(s) of your coach(es) or other CLCF volunteer(s) from your sport/activity

Add another CLCF Sport/Activity?

Sport/Activity 5

Enter the four digit year or range of years of the sport/activity (ex. 2015 or 2015-2019)

Years/Seasons 5

Enter the four digit year or range of years of the sport/activity (ex. 2015 or 2015-2019)

Coach (or other CLCF Personnel) Name 5

Enter the name(s) of your coach(es) or other CLCF volunteer(s) from your sport/activity

Add another CLCF Sports/Activity?

Sport/Activity 6

Enter the four digit year or range of years of the sport/activity (ex. 2015 or 2015-2019)

Years/Seasons 6

Enter the four digit year or range of years of the sport/activity (ex. 2015 or 2015-2019)

Coach (or other CLCF Personnel) Name 6

Enter the name(s) of your coach(es) or other CLCF volunteer(s) from your sport/activity

Add another CLCF Sport/Activity?

Sport/Activity 7

Enter the four digit year or range of years of the sport/activity (ex. 2015 or 2015-2019)

Years/Seasons 7

Enter the four digit year or range of years of the sport/activity (ex. 2015 or 2015-2019)

Coach (or other CLCF Personnel) Name 7

Enter the name(s) of your coach(es) or other CLCF volunteer(s) from your sport/activity

Add another CLCF Sport/Activity?

Sport/Activity 8

Enter the four digit year or range of years of the sport/activity (ex. 2015 or 2015-2019)

Years/Seasons 8

Enter the four digit year or range of years of the sport/activity (ex. 2015 or 2015-2019)

Coach (or other CLCF Personnel) Name 8

Enter the name(s) of your coach(es) or other CLCF volunteer(s) from your sport/activity

Add another CLCF Sport/Activity?

Sport/Activity 9

Enter the four digit year or range of years of the sport/activity (ex. 2015 or 2015-2019)

Years/Seasons 9

Enter the four digit year or range of years of the sport/activity (ex. 2015 or 2015-2019)

Coach (or other CLCF Personnel) Name 9

Enter the name(s) of your coach(es) or other CLCF volunteer(s) from your sport/activity

Add another CLCF Sport/Activity?

Sport/Activity 10

Enter the four digit year or range of years of the sport/activity (ex. 2015 or 2015-2019)

Years/Seasons 10

Enter the four digit year or range of years of the sport/activity (ex. 2015 or 2015-2019)

Coach (or other CLCF Personnel) Name 10

Enter the name(s) of your coach(es) or other CLCF volunteer(s) from your sport/activity

I participated in the following high school Sports/Activities

Enter up to 10 high school Sports/Activities and the associated details. A minimum of one must be entered.

Sport/Activity 1 *

Enter the name of the sport/activity

Years/Seasons 1 *

Enter the four digit year or range of years of the sport/activity (ex. 2015 or 2015-2019)

Coach or Advisor Name 1 *

Enter the name(s) of your coach(es) or other CLCF volunteer(s) from your sport/activity

Add another High School Sport/Activity?

Sport/Activity 2

Enter the name of the sport/activity

Years/Seasons 2

Enter the four digit year or range of years of the sport/activity (ex. 2015 or 2015-2019)

Coach or Advisor Name 2

Enter the name(s) of your coach(es) or other CLCF volunteer(s) from your sport/activity

Add another High School Sport/Activity?

Sport/Activity 3

Enter the name of the sport/activity

Years/Seasons 3

Enter the four digit year or range of years of the sport/activity (ex. 2015 or 2015-2019)

Coach or Advisor Name 3

Enter the name(s) of your coach(es) or other CLCF volunteer(s) from your sport/activity

Add another High School Sport/Activity?

Sport/Activity 4

Enter the name of the sport/activity

Years/Seasons 4

Enter the four digit year or range of years of the sport/activity (ex. 2015 or 2015-2019)

Coach or Advisor Name 4

Enter the name(s) of your coach(es) or other CLCF volunteer(s) from your sport/activity

Add another High School Sport/Activity?

Sport/Activity 5

Enter the name of the sport/activity

Years/Seasons 5

Enter the four digit year or range of years of the sport/activity (ex. 2015 or 2015-2019)

Coach or Advisor Name 5

Enter the name(s) of your coach(es) or other CLCF volunteer(s) from your sport/activity

Add another High School Sport/Activity?

Sport/Activity 6

Enter the name of the sport/activity

Years/Seasons 6

Enter the four digit year or range of years of the sport/activity (ex. 2015 or 2015-2019)

Coach or Advisor Name 6

Enter the name(s) of your coach(es) or other CLCF volunteer(s) from your sport/activity

Add another High School Sport/Activity?

Sport/Activity 7

Enter the name of the sport/activity

Years/Seasons 7

Enter the four digit year or range of years of the sport/activity (ex. 2015 or 2015-2019)

Coach or Advisor Name 7

Enter the name(s) of your coach(es) or other CLCF volunteer(s) from your sport/activity

Add another High School Sport/Activity?

Sport/Activity 8

Enter the name of the sport/activity

Years/Seasons 8

Enter the four digit year or range of years of the sport/activity (ex. 2015 or 2015-2019)

Coach or Advisor Name 8

Enter the name(s) of your coach(es) or other CLCF volunteer(s) from your sport/activity

Add another High School Sport/Activity?

Sport/Activity 9

Enter the name of the sport/activity

Years/Seasons 9

Enter the four digit year or range of years of the sport/activity (ex. 2015 or 2015-2019)

Coach or Advisor Name 9

Enter the name(s) of your coach(es) or other CLCF volunteer(s) from your sport/activity

Add another High School Sport/Activity?

Sport/Activity 10

Enter the name of the sport/activity

Years/Seasons 10

Enter the four digit year or range of years of the sport/activity (ex. 2015 or 2015-2019)

Coach or Advisor Name 10

Enter the name(s) of your coach(es) or other CLCF volunteer(s) from your sport/activity

I have demonstrated personal leadership in these high school sports and in other activities both in school and outside of school

Enter up to 10 high school Sports/Activities Leadership Positions and the associated details. A minimum of one must be entered.

Sport/Activity 1 *

Enter the name of the sport/activity

Leadership Position 1 *

Enter the leadership position of the sport/activity

Coach or Advisor Name 1 *

Enter the name of your coach or advisor from your sport/activity

Add another High School Sport/Activities Leadership Position

Sport/Activity 2

Enter the name of the sport/activity

Leadership Position 2

Enter the leadership position of the sport/activity

Coach or Advisor Name 2

Enter the name of your coach or advisor from your sport/activity

Add another High School Sport/Activities Leadership Position

Sport/Activity 3

Enter the name of the sport/activity

Leadership Position 3

Enter the leadership position of the sport/activity

Coach or Advisor Name 3

Enter the name of your coach or advisor from your sport/activity

Add another High School Sport/Activities Leadership Position

Sport/Activity 4

Enter the name of the sport/activity

Leadership Position 4

Enter the leadership position of the sport/activity

Coach or Advisor Name 4

Enter the name of your coach or advisor from your sport/activity

Add another High School Sport/Activities Leadership Position

Sport/Activity 5

Enter the name of the sport/activity

Leadership Position 5

Enter the leadership position of the sport/activity

Coach or Advisor Name 5

Enter the name of your coach or advisor from your sport/activity

Add another High School Sport/Activities Leadership Position

Sport/Activity 6

Enter the name of the sport/activity

Leadership Position 6

Enter the leadership position of the sport/activity

Coach or Advisor Name 6

Enter the name of your coach or advisor from your sport/activity

Add another High School Sport/Activities Leadership Position

Sport/Activity 7

Enter the name of the sport/activity

Leadership Position 7

Enter the leadership position of the sport/activity

Coach or Advisor Name 7

Enter the name of your coach or advisor from your sport/activity

Add another High School Sport/Activities Leadership Position

Sport/Activity 8

Enter the name of the sport/activity

Leadership Position 8

Enter the leadership position of the sport/activity

Coach or Advisor Name 8

Enter the name of your coach or advisor from your sport/activity

Add another High School Sport/Activities Leadership Position

Sport/Activity 9

Enter the name of the sport/activity

Leadership Position 9

Enter the leadership position of the sport/activity

Coach or Advisor Name 9

Enter the name of your coach or advisor from your sport/activity

Add another High School Sport/Activities Leadership Position

Sport/Activity 10

Enter the name of the sport/activity

Leadership Position 10

Enter the leadership position of the sport/activity

Coach or Advisor Name 10

Enter the name of your coach or advisor from your sport/activity

I have been involved in the following Community Service Programs

Enter up to 10 Community Service Programs you were part of and the associated details. A minimum of one must be entered.

Program/Organization 1 *

Enter the name of the program or organization

Years and Hours 1 *

Enter the year and number of hours you volunteered

Supervisor or Person in Charge 1 *

Enter the name of your Supervisor or Person in Charge

Add another Community Service Program

Program/Organization 2

Enter the name of the program or organization

Years and Hours 2

Enter the year and number of hours you volunteered

Supervisor or Person in Charge 2

Enter the name of your Supervisor or Person in Charge

Add another Community Service Program

Program/Organization 3

Enter the name of the program or organization

Years and Hours 3

Enter the year and number of hours you volunteered

Supervisor or Person in Charge 3

Enter the name of your Supervisor or Person in Charge

Add another Community Service Program

Program/Organization 4

Enter the name of the program or organization

Years and Hours 4

Enter the year and number of hours you volunteered

Supervisor or Person in Charge 4

Enter the name of your Supervisor or Person in Charge

Add another Community Service Program

Program/Organization 5

Enter the name of the program or organization

Years and Hours 5

Enter the year and number of hours you volunteered

Supervisor or Person in Charge 5

Enter the name of your Supervisor or Person in Charge

Add another Community Service Program

Program/Organization 6

Enter the name of the program or organization

Years and Hours 6

Enter the year and number of hours you volunteered

Supervisor or Person in Charge 6

Enter the name of your Supervisor or Person in Charge

Add another Community Service Program

Program/Organization 7

Enter the name of the program or organization

Years and Hours 7

Enter the year and number of hours you volunteered

Supervisor or Person in Charge 7

Enter the name of your Supervisor or Person in Charge

Add another Community Service Program

Program/Organization 8

Enter the name of the program or organization

Years and Hours 8

Enter the year and number of hours you volunteered

Supervisor or Person in Charge 8

Enter the name of your Supervisor or Person in Charge

Add another Community Service Program

Program/Organization 9

Enter the name of the program or organization

Years and Hours 9

Enter the year and number of hours you volunteered

Supervisor or Person in Charge 9

Enter the name of your Supervisor or Person in Charge

Add another Community Service Program

Program/Organization 10

Enter the name of the program or organization

Years and Hours 10

Enter the year and number of hours you volunteered

Supervisor or Person in Charge 10

Enter the name of your Supervisor or Person in Charge

Closing Statement

In approximately 250 words, explain the impact that CLCF programs, coaches and instructors had on you and, in particular, any influence CLCF may have had on developing your leadership skills and an interest in community service. Also, tell us something about yourself not addressed elsewhere in the application that you would like the Castiglioni Award Selection Committee to consider.

Closing Statement *

Acknowledgement *

The information provided in this application is true and accurate.

Application deadline is March 31, 2026

Question?

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ADDRESS970 PONTIAC AVE,
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ADDRESS970 PONTIAC AVE,
CRANSTON, RI 02920

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