Donald E. Simons Memorial Fund
Application
Name
School
Huron High School – Grade:
Birthdate
Parent or
Guardian’s
Name
Address
Phone
Email
Counselor’s
Name
GPA
Counselor’s
Email
A) Please list the following regarding your HS Athletic Participation:
Sport(s) played, Year(s) of participation, JV or Varsity, Honors
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Please see page two for additional instructions
Donald E. Simons Memorial Fund Application
Page 2
B) Please list any honors or recognitions received in Academics
C) Please list any hobbies or other interests:
D) Explain the circumstances (financial or otherwise) that prompted your application
E) Provide a short statement describing what personal character outcomes you hope to
gain through your athletic participation.
F) Briefly discuss future school and/or career plans.
*It is understood that on the date of submission and approval of your application, you
must be athletically eligible as determined by the Huron High School Athletic Department.
Signature____________________________________________Date_____________
Return this application to the Huron High School Athletic Office
For additional information or questions, please contact:
Roxy Diederich
Program Associate
AAPS Educational Foundation
734-794-3070
roxy@aapsef.org
Office Staff Note: ____________
Date Rcvd