Stone Bridge Booster Club 2016 Scholarship Application
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- Dorthy Bradley
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1 Stone Bridge Booster Club 2016 Scholarship Application Deadline: Monday, May 16, 2016 To be eligible for the SBBC Scholarship Program, a Student Athlete: 1. Must be a member, or have at least one parent or guardian who is a Stone Bridge Booster Club Member. 2. Must be a current, graduating senior at Stone Bridge High School in good academic standing. 3. Must have a minimum cumulative high school grade point average of 2.5 at the time of application. 4. Must have been accepted, or have made application to an accredited college, university, technical, vocational, or other educational institution. 5. Must have participated in at least one of a Virginia High School League ("VHSL") sport at the Varsity level at Stone Bridge High School for at least one season. Participation in club sports ("non-vhsl" sports) does not meet the eligibility criteria of this Program. Please fill in sections A and C of the application and turn in to Ms. Jolly in the Career Center for processing. Guidelines for completing this application: Part A Part B Part C To be completed by the Student Athlete. This section of the Application will be removed by the SBHS Counseling Center prior to submitting the Application to the SBBC Scholarship Committee. To be completed by the SBHS Counseling Center. This section will be submitted to the SBBC Scholarship Committee. To be completed by the Student Athlete. This section will be submitted to the SBBC Scholarship Committee.
2 PART A: PERSONAL INFORMATION (To be completed by the Student Athlete) Student Athlete Information Full Name: Address: Gender: Female Male Home Phone: Mobile Phone: Are you a member of the Stone Bridge Booster Club? Yes No Parent/Guardian Information Name(s): Home Phone: Mobile Phone: Do you have at least one of your parents or guardians a member of the Stone Bridge Booster Club? Yes No By signing below I certify that the information I am providing to the SBBC Scholarship Committee is true, accurate and complete. Signature of Student Athlete Date The SBBC Scholarship Committee will not receive Section A of this application. The SBBC Scholarship Committee will only receive Sections B and C of this application. The SBHS Career Center will assign each applicant an Applicant Number prior to sending the applications to the SBBC Scholarship Committee.
3 Applicant #: PART B: COUNSELING CENTER CERTIFICATION Date received: Applicant #: Gender: Male Female Is the Student Athlete or at least one of his/her parents or guardians a member of the Stone Bridge Booster Club? Yes No Is this Student Athlete a current, graduating senior at SBHS in good academic standing? Yes No Is the cumulative GPA listed in Section C of this application accurate? Yes No The SBBC Scholarship Committee will not receive Section A of this application. The SBBC Scholarship Committee will only receive Sections B and C of this application. The SBHS Career Center will assign each applicant an Applicant Number prior to sending the applications to the SBBC Scholarship Committee.
4 Applicant #: What is your cumulative GPA as of the end of the last quarter? Are you a graduating senior at SBHS in good academic standing? List all educational institutions to which you have been accepted. Circle the one you intend to attend. If you have not yet been accepted to an educational institution, list all to which you have applied. Section 2: Athletics Please use an "X" to indicate the Varsity sports in which you participated during your high school career, as well as leadership positions, awards and recognitions you received each year in which you played a Varsity sport. This section is for VHSL sports only. Non-VHSL sports are listed in the "Clubs" section of this application.
5 Freshman Sophomore Junior Senior Varsity Letter Captain Co-Captain MVP Conference Qualifier Regional Qualifier State Qualifier State Champion All Conference All State All Metro Conference Runner Up Regional Runner Up State Runner Up State Championship Years on Varsity Team Individual Awards Team Awards Fall Cheer Cross Country Football Golf Volleyball * Provide pertinent details of awards listed above. If you received individual or team awards or recognitions not listed above, please detail below.
6 Freshman Sophomore Junior Senior Varsity Letter Captain Co-Captain MVP Conference Qualifier Regional Qualifier State Qualifier State Champion All Conference All State All Metro Conference Runner Up Regional Runner Up State Runner Up State Championship Years on Varsity Team Individual Awards Team Awards Winter Basketball Cheer Gymnastics Swimming Wrestling * Provide pertinent details of awards listed above. If you received individual or team awards or recognitions not listed above, please detail below.
7 Freshman Sophomore Junior Senior Varsity Letter Captain Co-Captain MVP Conference Qualifier Regional Qualifier State Qualifier State Champion All Conference All State All Metro Conference Runner Up Regional Runner Up State Runner Up State Championship Years on Varsity Team Individual Awards Team Awards Spring Baseball/Softball Crew/Rowing Lacrosse Soccer Tennis Track & Field * Provide pertinent details of awards listed above. If you received individual or team awards or recognitions not listed above, please detail below.
8 Applicant #: Section 3: Extracurricular School Activities Please use an "X" to indicate the clubs and organizations in which you participated during your high school career, and note any leadership positions held each year. American Red Cross Club American Sign Language Club Amnesty International Apple Federal Credit Union Asian Dance Team (Bollywood Dance) Badminton Club Battle of the Books Bulldogs Understanding Differences in Students Bulldog Film Club aka Bulldog Studios CAMPUS Chess Club Chorus Computer Programming & Robotics Club Creative Writing Club Dance Team DECA Dedicated Men with a Vision (OMV) Educators Rising (formerly FEA) English National Honor Society Environmental Club Fellowship of Christian Athletes Field Hockey Club Fishing Club Forensics (Speech & Debate) French Club French Honor Society Future Business Leaders of America (FBLA) Gay Straight Alliance Girls Evolving Mentoring Serving (GEMS) German Club German Honor Society Hockey Club Inter Club Council Interact International Thespian Society
9 Applicant #: Jazz Lab Key Club Latin Honor Society Literary Magazine Marching Band Math Honor Society (Mu Alpha Theta) Meals that Heal Medical Club Model United Nations Morning Announcements Multicultural Club Muslim Student Association (MSA) National Art Honor Society National Honor Society (NHS) National Technical Honor Society Newspaper (The Bulldog Tribune) Orchestra Paws 4 People Club PEER Psychology Club Running Dog (Drama Club) Scholastic Bowl Science National Honor Society Show Choir (Mid-Stage Travelers) Social Sciences Honor Society Spanish Honor Society Stone Bridge Rowing Club Student Council Association (SCA) T.A.G. Library Council Technology Student Association (TSA) Tri-M Music Honor Society Varsity Club Wounded Warrior Project Yearbook (The Epic) Young Democrats Young Republicans Good Luck!
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