Brian Kozera Scholarship Application - Adult

The Spring Valley YMCA and the members of the Spring Valley Multisport Gators are dedicated to supporting and recognizing those who serve our community. Brian Kozera, former head coach of the SV Multisport Gators and Corporal in the Norristown Police Department, was devoted to serving his community, and passionate about the world of triathlon. Brian loved competing, coaching, teaching, and motivating others as a cancer survivor and multi-time Ironman Triathlete.
At the time of his passing, Brian was training for the Ironman World Championship in Kona Hawaii – a lifetime goal of his. This scholarship recognizes an individual with similar passions and the recipient receives a 1-year membership to the Spring Valley YMCA and membership to the Spring Valley Multisport Gators Team (total value = $1,000).

Scholarship Criteria

Community Service:

Thank you for applying for The Brian Kozera Scholarship! This program is designed to recognize individuals who are dedicated to making a positive impact in their communities through service, sacrifice and leadership. Please answer the following questions thoughtfully and thoroughly. Your responses will help us understand your contributions and commitment to community betterment. The selected recipient will receive a one-year membership to the Spring Valley YMCA and a one-year membership to the Spring Valley Multisport Gators Club.

Deadline Compliance:

All application materials must be submitted by the specified deadline of March 29, 2026.

Contact Info

Full Name

Town/City of Residence

Age

Phone Number

Questions

Write a brief personal statement describing who you are, your values, and how helping others has shaped your character and life path.

What types of events have you participated in that positively impacted your community or the people you served? Provide specific examples or outcomes if possible.

What inspired you to become involved in service? How do you stay motivated to continue giving back?

How do you plan to continue contributing to your community in the future?

How will receiving this scholarship help you?

Name or list your athletic hobbies/interests/achievements and explain how you will use the membership to the Spring Valley Multisport Gators Club.

Supporting Documents

Attach any supporting documents if desired (e.g. letters of recommendation, photos of service projects, certificates of achievement)

Acknowledgement

I certify that all the information provided in this application is true and accurate to the best of my knowledge. I understand that any falsification may result in disqualification.