Waxahachie Youth Baseball/Softball Scholarship Application Thank you for taking time to apply for a WYBA Scholarship! To ensure we have all the information needed, and in the order needed for evaluation, please complete this application in full and follow the instructions along the way. Application Due date is April 1 of year applying. Once completed, please submit all of the information to the Waxahachie Youth Baseball Association as follows: By Mail: WYBA ATTN: Scholarship Committee PO Box 411 Waxahachie Texas 75168 1. Applicant s Full Name: LAST NAME FIRST NAME MIDDLE INITIAL 2. Applicant s Complete Address: STREET ADDRESS STREET ADDRESS (SECOND LINE) CITY STATE/PROVINCE POSTAL CODE/ZIP CODE COUNTRY PHONE E-MAIL ADDRESS 3. Date to graduate from high school: 4. Date to enter college: 5. Name of college(s) applying to and proof of accreditation, or means to verify the accreditation of college: Page 1 of 5
6. Number of dual college credit hours completed (if any) and from where: 7. Number of years played in Waxahachie Youth Baseball / Softball Association? Team Year played Coach s Name 8. Indicate which scholarship category you are applying for: I am applying for a scholarship and attend a Waxahachie Independent School District school (only for current WISD students having played WYBA Baseball or Softball). Two $500 scholarships will be awarded, one male and one female recipient. If only one gender applies, then two awards can be given to the same gender. I am applying for a scholarship and attend an Out of District school (any student having played WYBA Baseball or Softball and graduating from Accredited High School not in WISD). Two $500 scholarships will be awarded, one male and one female recipient. If only one gender applies, then two awards can be given to the same gender. 9. Provide any test scores, such as your official SAT, ACT, or other academic measures. (Please send us a copy of your official scores as soon as you have them.) Test and Score Date Page 2 of 5
10. List your extracurricular activities (include any descriptions or details as attachments): 11. List the names of your references, limited to three (3) total. (Include actual reference letters as attachments, not to exceed 2 pages each, single-spaced): 12. You must submit a descriptive essay about how baseball and/or softball played a role in your life so far. (Include actual essay, not to exceed 2 pages, single-spaced, 12-point type; may be less, such as double-spaced, etc.) 13. What is the title of your personal essay? 14. Any general comments you wish to include? (You may also include them as an attachment, limited to one page.) 15. I have submitted a photograph to be used if I am selected as a scholarship winner: Yes / No Page 3 of 5
16. I have signed and submitted the attached "Assignment of Rights & Consent to Publish Scholarship Information": Yes / No 17. I have attached an official high school and/or dual credit college transcripts. Yes/ No Page 4 of 5
ASSIGNMENT OF RIGHTS & CONSENT TO PUBLISH SCHOLARSHIP INFORMATION KNOW ALL PERSONS BY THESE PRESENTS: THAT I, _, do hereby give Waxahachie Youth Baseball Association full rights to publish my name, where I live (city, state, and country only; actual street addresses and phone numbers will not be disclosed), my pertinent family information, college I am attending, photographs that I have provided, and college update information. I understand that by execution of this agreement, I am relinquishing my rights to any future compensation for reproduction, publication or use of the above information by Waxahachie Youth Baseball Association, in its print or electronic correspondence, catalog, or on its website. I hereby specifically waive my right to review or approve THE MODIFICATION of the above Information. (Modifications may be made to accommodate size or content restrictions. Modifications will not be made to distort or falsify any information provided.) I understand that this Agreement in no way obligates Waxahachie Youth Baseball Association to publish or use the above-described information. EXECUTED this date of. By: (Print Name) (Signature) If under 18, Parent or Legal Guardian: (Print Name) (Signature) Page 5 of 5