Suffolk County Soccer Coaches Association Inc.

                   Josh Butzke Memorial Scholarship 
                        Josh Butzke Memorial Foundation, Inc.

                                                      90 Barraud Drive Port Jefferson Station, New York  11776

                                                                               Email:  jbutzkememfound@gmail.com

  Suffolk County Varsity Soccer Mid-fielders

The 5th Annual Joshua Butzke Soccer Scholarship.

Nominee’s Name: ________________________________________

Varsity Coach’s Name: _____________________________________

School and League: _______________________________________

Season’s Stats: Goals ____________  Assists _________

Current GPA: _______

Anticipated College or University to be attended in September 2023 ______________________________.

The nominated player must be a 2022 varsity senior mid-fielder, 2023 graduate, who attends
any division College or University in the fall of 2023 to play soccer.

In a few words describe why this nominated player deserves the award and
how he makes the other players around him better:

______________________________________________________________________________________________________________________________________
 

The Joshua Butzke Memorial Foundation is a 501(c)(3) organization (82-4622156).  One hundred percent of all contributions received go to the organization and to serve the causes championed by Joshua.  Please visit us at www.rbbutzke11.wixsite.com/joshbutzkefoundation for more information.