SOUTH
CAROLINA YOUTH SOCCER
Please complete and
return to:
Bonnie Epperson, Center
Office Administrator, SCYSA, 7436 Broad River Road, Suite 211., Irmo, SC 29063 or email: scysa@scysa.org
Name: _____________________________ College/University: _________________________
Year in school: ________ Major field of study: _______________
GPA: __________________
School address: ________________________________________________________________
Home address: _________________________________________________________________
Phone: Cell phone: ____________________ Home Phone: _____________________________
Email: _____________________________ Birth date: _________________________________
Have you previously interned anywhere, and if so where?
_______________________________
What extra-curricular activities/clubs are you involved with?_____________________________
Are you available on weekends?
___________________________________________________
References: (please list 2 people & their phone numbers
who are not relatives)
1)
___________________________________________________________________________
2) ___________________________________________________________________________
Please return this completed form, two letters of
recommendation from a previous employer or professor, your requirements for
internship credit and a one page essay on what you hope to gain from an
internship with South Carolina Youth Soccer Association, A Nonprofit
Association.
