USA Racquetball Scholarship Application

Transcription

1 USA Racquetball Scholarship Application The USA Racquetball Scholarship is an annual scholarship program founded in 1990 following an initial donation from John and Rose Mooney. It is administered by the USA Racquetball Scholarship Committee, under the direction and guidance of the USA Racquetball Board of Directors. The committee has the responsibility for the overall operation of the program including application policies and procedures and will submit their evaluation and recommendations to the USA Racquetball Board of Directors. APPLYING FOR A SCHOLARSHIP: The scholarship application, all forms, and instructions for completing the application are included in this package. Applications are available beginning January 1 and the completed application with all enclosures must be returned to USA Racquetball by April 15. Only one application per student will be accepted. ELIGIBILITY AND RENEWAL: An applicant must be a USA Racquetball member at the time the initial application is submitted and must maintain USA Racquetball membership throughout the grant period. Applicants must be High School students graduating in the Spring OR currently enrolled in a college, university or vocational school. Applicants are encouraged to reapply if interested, regardless of past awards. Persons submitting applications for the renewal of scholarship grants must re-submit a complete application for consideration. Applicants that previously submitted an application and were not awarded a scholarship must also re-submit a new application for consideration. PAYMENT OF SCHOLARSHIP AWARDS: Scholarship checks will be made payable to both the student and the educational institution and will be sent directly to the student. Both parties must sign the check before it can be cashed. A form requesting confirmation of acceptance to an educational institution will be sent to the successful candidate prior to the disbursement of the funds. Checks will be mailed around September 15 th. Awards to recipients will be administered by the college, university, or vocational/technical institution in which the recipient is enrolled. In the event that the student completes only a portion of the scholarship year, the unused scholarship funds will be returned to USA Racquetball. Grant monies may be applied to payment of tuition, textbooks, instructional material, room/board, and other miscellaneous fees, directly related to the field of study. All applicants considered for scholarships will be advised in writing as to their selection or non-selection. USA Racquetball scholarships are not restricted by race, color, creed, sex, religion, or national origin.

2 INSTRUCTIONS The following is a checklist of required documents: 1. Scholarship application completed and signed. 2. Signed Applicant Release Form. 3. Three recommendations of the applicant from the following: a. Teacher of choice b. School guidance counselor or vocational director c. Applicants choice (coach, mentor, additional teacher, etc) 4. An autobiography of NO MORE THAN 500 words best describing yourself, any challenges you have overcome and your goals in life. Titled Autobiography 5. Answer the following in an essay of NO MORE THAN 500 words: What keeps you playing racquetball? Title the essay with the question. 6. A copy of your most recent high school or college transcripts. Must include first semester grades and current work in progress. Certification from guidance counselor of GPA, Honors/AP/College classes where appropriate. 7. A recent photo, 2 3/4 x 3 1/2", please send digital version to bbodor@usra.org 8. Explanation and Verification of any Volunteer/Community Service from the past 18 Months. 9. Additional information may include: resume, award certificates, academic awards, list of racquetball accomplishments, newspaper articles, other high school sport awards, or clubs. Mail completed applications postmarked by April 15 to: USA Racquetball- Scholarship Program 1685 W. Uintah Street, Suite 103 Colorado Springs, Colorado 80904

3 USA RACQUETBALL SCHOLARSHIP APPLICATION Date of Application / / (MO/DAY/YEAR) I. PERSONAL NAME ADDRESS CITY STATE ZIP BIRTH DATE TELEPHONE ( ) - II. EDUCATION/EXPERIENCE HIGH SCHOOL GRADUATE YEAR CITY STATE HONORS/AP/COLLEGE LEVEL CLASSES TAKEN, INCLUDING CURRENTLY ENROLLED *Must include verification from Guidance Counselor HAVE YOU BEEN ACCEPTED OR ARE YOU ENROLLED IN A DEGREE PROGRAM AT A COLLEGE, UNIVERSITY, OR VOCATIONAL/TECHNICAL SCHOOL? YES NO IF YES, NAME OF COLLEGE/UNIVERSITY/VOCATIONAL SCHOOL CITY STATE MAJOR SEMESTERS COMPLETED

4 DO YOU PARTICIPATE IN OTHER ORGANIZED ATHLETIC ACTIVITIES? SPORT YEAR SPORT YEAR SPORT YEAR SPORT YEAR HAVE YOU PARTICIPATED IN ANY EXTRACURRICULAR ACTIVITIES THAT WERE NOT SPORT RELATED DURING THE LAST TWO YEARS? IF YES THEN PLEASE LIST SEPARATELY: ACTIVITY YEAR Hours/Week ACTIVITY YEAR Hours/Week ACTIVITY. YEAR Hours/week COMMUNITY SERVICE/VOLUNTEER EFFORTS: What community service projects have you been involved in over the last 2 years? Include dates, project, supervisor and supervisor s . 1) 2) 3) WORK EXPERIENCE (most recent job first): JOB YEAR(S) Hours/week JOB YEAR(S) Hours/week JOB YEAR(S) Hours/week ANY ADDITIONAL CURRENT CERTIFICATIONS (CPR, Lifeguard, etc) Date of

5 expiration? HAVE YOU BEEN HONORED AND RECEIVED A SPECIAL AWARD FOR NON- RACQUETBALL ACCOMPLISHMENTS? (Local service, Rotary, etc) IF YES, INDICATE DATE AND LIST EACH AWARD SEPARATELY. PLEASE INCLUDE SUPPORTING DOCUMENTS 1. YEAR 2. YEAR 3. YEAR 4. YEAR 5. YEAR III. RACQUETBALL ACCOMPLISHMENTS 1. How long have you been a USA Racquetball Member? 2. How many years have you been playing racquetball? 3. What is your current Home Club 4. How many hours/week do you devote to racquetball? 5. How many USA Racquetball National Championships have you competed in, please specify years competed: -National High School -National Singles -US Open -National Doubles -Juniors Olympics -National Intercollegiate

6 6. Last 3 local/regional tournaments have you competed at (most recent first)? Date(s) Name Location Date(s) Name Location Date(s) Name Location 7. What is your current USA Racquetball World Ranking? 8. What is your current USA Racquetball Ranking in your age Division? 9. What is your current USA Racquetball Ranking in your state? 10. Are you a current National Champion in your Skill Division? 11. Are you a current national Champion in your Age Division? 12. Are you currently ranked in top 10 in any Division. Specify? 13. Are you a past National Champion in any Division? Specify Division and time period. 14. Have you been awarded any Awards for Sportsmanship or any other recognition related to racquetball?

7 15. Are you a present or past member of U.S. National Team? Specify Team and dates active. 16. Are you currently playing Collegiate Racquetball or will you do so if not yet enrolled in a college or university? 17. Are you a USA Racquetball Certified Referee? 18. Are you a USA Racquetball Certified Instructor/Coach? If yes, what is your level of certification? (Indicate below) (M) - MEMBER (I) - INSTRUCTOR (A) - ADVANCED (P) - PROFESSIONAL 19. How will you promote racquetball while attending college? Attach additional paper if needed. VI. CERTIFICATION. I CERTIFY THAT THE ABOVE INFORMATION IS CORRECT. I WILL PROMPTLY NOTIFY THE SCHOLARSHIP COMMITTEE OF ANY ADDRESS CHANGE, OR CHANGE IN COLLEGE/SCHOOL DESIGNATED HEREIN, OR OTHER CHANGES IN MY EDUCATIONAL PLANS WHICH WOULD IMPACT ANY SCHOLARSHIP GRANT AWARDED.

8 SIGNATURE OF APPLICANT DATE

9 APPLICANT RELEASE FORM In consideration of a USAR Scholarship Grant, I, (name) of (address) City State Zip Legal dependent of: hereby warrant that I am years of age, and hereby assign to the USA Racquetball Scholarship Committee, Colorado Springs, Colorado, and/or its legal representatives, the right to use the photograph with right to reproduce same, together with right to copyright said photograph and/or reproductions thereof: and I hereby agree to protect and hold harmless the USAR and its legal representatives in the use of said photograph and/or reproductions thereof in conjunction with the Scholarship Program. Signature of Applicant

10 APPLICANT RECCOMENDATION #1 Name of Applicant (First) (Last) City State The student whose name appears above is applying for a scholarship from USA Racquetball. Your candid opinion will help the Scholarship Committee in making the award selection. Please return this completed form no later than April 15. It may be returned to the student applicant or submitted directly to USA Racquetball at the address on page 2 of this form. Thank you! 1. How long have you known the student? 2. In what areas have you interacted with the applicant (classroom, coach, mentor, etc) 3. Please evaluate the student in the following areas: Character ( ) Questionable ( ) Good Effort ( ) Below average ( ) Above average Follow Through on tasks ( ) Poor ( ) Inconsistent ( ) Good Page 1 of 2

11 Applicants Name Teamwork, ability to work with others ( ) Below Average ( ) Above average 4. Please share any outstanding accomplishments by the applicant including specific challenges this student has overcome. Your comments are extremely valuable and will be given a high level of regard relative to the students selection for a USA Racquetball Scholarship. Please use additional paper if needed. 6. How does this applicant compare to other student-athletes you have interacted with? ( ) Below Average ( ) Very good ( ) One of the top Your Name Signature Date Position/Title School/Organization Return to: USA Racquetball Scholarship Program 1685 W. Uintah St. Colorado Springs, CO Page 2 of 2

12 APPLICANT RECCOMENDATION #2 Name of Applicant (First) (Last) City State The student whose name appears above is applying for a scholarship from USA Racquetball. Your candid opinion will help the Scholarship Committee in making the award selection. Please return this completed form no later than April 15. It may be returned to the student applicant or submitted directly to USA Racquetball at the address on page 2 of this form. Your reply is greatly appreciated. Thank you! 1. How long have you known the student? 2. In what areas have you interacted with the applicant (classroom, coach, mentor, etc) 3. Please evaluate the student in the following areas. Character ( ) Questionable ( ) Good Effort ( ) Below average ( ) Above average Follow Through on tasks ( ) Poor ( ) Inconsistent ( ) Good Page 1 of 2

13 Applicants Name 4. Please describe the student in terms of intellectual traits: ( ) Truly exceptional ( ) Well above average ( ) Below average ( ) Above average 5. If you would like to call our attention to any outstanding accomplishments, unusual circumstances, or other information regarding this student then please note below. 6. How does this applicant compare to other student-athletes you have interacted with? ( ) Below Average ( ) Very good ( ) One of the top Your Name Signature Date Position/Title: School/Organization Return to: USA Racquetball Scholarship Program 1685 W. Uintah St. Colorado Springs, CO Page 2 of 2

14 APPLICANT RECCOMENDATION #3 Name of Applicant (First) (Last) City State The student whose name appears above is applying for a scholarship from USA Racquetball. Your candid opinion will help the Scholarship Committee in making the award selection. Please return this completed form no later than April 15. It may be returned to the student applicant or submitted directly to USA Racquetball at the address on page 2 of this form. Your reply is greatly appreciated. Thank you! 1. How long have you known the student? 2. In what areas have you interacted with the applicant (classroom, coach, mentor, etc) 3. Please evaluate the student in the following areas. Character ( ) Questionable ( ) Good Effort ( ) Below average ( ) Above average Follow Through on tasks ( ) Poor ( ) Inconsistent ( ) Good Page 1 of 2

15 Applicants Name 4. Please describe the student in terms of intellectual traits: ( ) Truly exceptional ( ) Well above average ( ) Below average ( ) Above average 5. If you would like to call our attention to any outstanding accomplishments, unusual circumstances, or other information regarding this student then please note below. 6. How does this applicant compare to other student-athletes you have interacted with? ( ) Below Average ( ) Very good ( ) One of the top Your Name Signature Date Position/Title: School/Organization Return to: USA Racquetball Scholarship Program 1685 W. Uintah St. Colorado Springs, CO Page 2 of 2