Middle Atlantic All Academic Award Junior Middle Atlantic All Academic Award Requirements: • Participated in Middle Atlantic District Championship/Qualifier for 2016/2017 • Must be an AAU Member in the Middle Atlantic District • GPA of 3.8 or better on a 4.0 scale for current year (other grade scales as well as weighted courses will be calculated) (if extenuating circumstances, explain) • A copy of the final school year report card with the school name on it must be attached • Form filled in and received by July 10, 2017 Name: ______________________________________________________________________________________________________ AAU Membership number: __________________________________Year of Graduation from HS: 20_________ Address: ____________________________________________________________________________________________________ City_____________________________________State________ZIP___________ Phone: (____)_______________________ E-mail:________________________________________ Sport: ____________________________________________________ Club (if applicable): ________________________________________________________________________________________ 2016/17 Middle Atlantic District Championship/Qualifier participated in: ____________________ Location: _______________________________________Date of District Qualifier: ________________________________ YOUR Academic School: ___________________________________________________________________________________ School Address: ______________________________________City: ______________ State: ________ Zip: ___________ List any Academic Achievements past two years: List any Sports Achievements past two years: AAU Coach Signature: _____________________________________________________________________________________ PARENT SIGNATURE: _____________________________________________________________________________________ Submit by: July 10, 2017 to: Middle Atlantic AAU, PO Box 631, Ardmore, PA 19003 Award Certificate will be sent by August 31, 2017 Award Winners will be posted on the MAD web site Applicants will be informed by email of final decision

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Page 1: x-form-Middle Atlantic All Academic Award 2image.aausports.org/email/images/17/17ma_xformMiddleAtlanticAllAcademicAward17.pdfMiddle Atlantic All Academic Award Junior Middle Atlantic

MiddleAtlanticAllAcademicAwardJuniorMiddleAtlanticAllAcademicAward

Requirements:•ParticipatedinMiddleAtlanticDistrictChampionship/Qualifierfor2016/2017•MustbeanAAUMemberintheMiddleAtlanticDistrict•GPAof3.8orbetterona4.0scaleforcurrentyear (othergradescalesaswellasweightedcourseswillbecalculated) (ifextenuatingcircumstances,explain)•Acopyofthefinalschoolyearreportcardwiththeschoolnameonitmustbeattached•FormfilledinandreceivedbyJuly10,2017Name:______________________________________________________________________________________________________AAUMembershipnumber:__________________________________YearofGraduationfromHS:20_________Address:____________________________________________________________________________________________________City_____________________________________State________ZIP___________ Phone:(____)_______________________E-mail:________________________________________Sport:____________________________________________________Club(ifapplicable):________________________________________________________________________________________2016/17MiddleAtlanticDistrictChampionship/Qualifierparticipatedin:____________________Location:_______________________________________DateofDistrictQualifier:________________________________YOURAcademicSchool:___________________________________________________________________________________SchoolAddress:______________________________________City:______________State:________Zip:___________ListanyAcademicAchievementspasttwoyears:ListanySportsAchievementspasttwoyears:AAUCoachSignature:_____________________________________________________________________________________PARENTSIGNATURE:_____________________________________________________________________________________Submitby:July10,2017to:

MiddleAtlanticAAU,POBox631,Ardmore,PA19003

AwardCertificatewillbesentbyAugust31,2017AwardWinnerswillbepostedontheMADwebsiteApplicantswillbeinformedbyemailoffinaldecision