APPLICATION This application will be considered for both the State and Section awards.

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2019 CIF SCHOLAR-ATHLETE OF THE YEAR APPLICATION PACKET ====================================================================== CIF State Office 4658 Duckhorn Drive, Sacramento, CA 95834 916.239.4477 ===================================================================== QUALIFICATIONS College-bound high school seniors whose academic and athletic careers have been truly exemplary and whose personal standards (i.e., integrity, honesty, etc.) and accomplishments are a positive model for others. Students must: 1. Possess no less than an unweighted cumulative (grades 9-12) grade point average of 3.50; 2. Have demonstrated athletic ability in at least two years of varsity play within California (must be participating in athletics as a senior); and 3. Most of all, have portrayed themselves as athletes of character displaying the Six Pillars of Character: trustworthiness, respect, responsibility, fairness, caring, and citizenship. APPLICATION This application will be considered for both the State and Section awards. Each application must be accompanied by: Student Application Forms (3), including signed verification of GPA by counselor or school site records clerk. Photograph is optional. Letters of recommendation from principal or counselor and athletic director, as well as sportsmanship statement signed by the coach. Most recent transcript of grades. Student essay (see below). STUDENT ESSAY To give us an idea of how well the students express themselves, we are asking that they write an essay about how they display character in their high school careers. An applicant shall show specifically how they have demonstrated the Six Pillars of Character: trustworthiness, respect, responsibility, fairness, caring and citizenship. The essay should be written in the 1

student's own words, with no outside help or influence. A maximum length of 500 words is recommended. The applicants might want to consider a few of the following concepts while formulating their thoughts: Examples of meaningful behavior in your high school experience; Lessons learned about the importance of character in your life; Opportunities coaches, cheerleaders, athletes and fans have to promote character in interscholastic athletics. Students are highly encouraged to express themselves on what they value most about their high school experience and how it will affect their lives and the lives of others. DEADLINES Students should deliver the completed applications to their counselor or principal for review and submission. It is the school's responsibility to notify students as to whether their packets were forwarded to the CIF State Office for further consideration. Schools may submit as many qualified applicants as they deem appropriate. APPLICATIONS MUST BE POSTMARKED NO LATER THAN MONDAY, FEBRUARY 11, 2019. Late or incomplete applications will not be considered. JUDGING Judging of applications will be conducted by committees selected by the CIF. Award recipients will be notified late April, 2019 by a telephone call and e-mail. AWARDS The two State winners - 1 boy and 1 girl will each receive a $5,000 scholarship. The 20 Section winners - 1 boy and 1 girl each per CIF Section - will receive a $1,000 scholarship. Actual presentation of all scholarship awards will be made at an event to be scheduled in the Spring. Recipients must be present at this event. NOTE: Be certain to use the checklist provided to insure that all contents are included in the application packet when returned to the CIF State Office postmarked no later than Monday, February 11, 2019. Mail to: CIF State Office Attn: CIF Scholar-Athlete of the Year 4658 Duckhorn Drive Sacramento, CA 95834 2

APPLICATION CHECKLIST PLEASE USE THIS CHECKLIST TO ENSURE YOUR APPLICATION IS IN ORDER AND THAT NO DOCUMENTS AND/OR SIGNATURES ARE MISSING. ALL CONTENTS ARE TO BE RETURNED IN ONE ENVELOPE. DO NOT STAPLE APPLICATION; USE A PAPER OR BINDER CLIP TO KEEP ALL CONTENTS TOGETHER. PLEASE MAKE SURE THAT YOUR APPLICATION IS IN THE FOLLOWING ORDER: 1. Student Application (pages 4-7). PLEASE PRINT. If space provided is not adequate, attach additional pages. Do not staple these pages together. Please make sure that the Counselor/Records Clerk signs his/her name on Page 4 of the student application. Please list the principal s first and last name on the application. Your application will be considered incomplete if the Counselor/Records Clerk s signature is missing on the application. 2. Student Essay. Make sure your name and high school are listed on the essay. 3. Recommendations. Please place recommendation letters in this order: Principal or Academic Counselor Athletic Director Signature of Coach on Page 10 Coach s recommendation letter (optional) 4. Transcript of Grades. If transcript of grades are sealed in an envelope, please leave sealed and attach envelope to the back of the application. 3

Student S T U D E N T A P P L I C A T I O N Cumulative GPA (grades 9-12) (3.50 unweighted minimum) Unweighted GPA ACT Total and/or SAT Total Total # of AP Courses offered Total # of Honors Courses offered ACT and/or SAT Score(s) (you will only receive points for one score) Total # of AP Courses taken Total # of Honors Courses taken Total # of Varsity Seasons Played (please note that the total number of varsity seasons played must match with the Varsity Season Total at the bottom of page 7) (Counselor/Records Clerk Signature of Verification) (Please print legibly all information and use only pen to complete application) Applicant High School Principal (First and Last Name) School Address City Zip School Telephone ( ) CIF Section (please circle section) Central Central Coast Los Angeles City North Coast Northern Oakland Sac-Joaquin San Diego San Francisco Southern I will attend (name of college or university) I have been accepted to (name of colleges and/or universities) 4

Student S T U D E N T A P P L I C A T I O N Please evaluate the prerequisites and qualifications for this award on the previous pages. If you meet the requirements, carefully complete this application. The entire packet, including formal application, recommendations, transcript of grades, and your essay must be returned to your counselor or principal for review and submission. Incomplete applications and those postmarked after MONDAY, FEBRUARY 11, 2019, will not be considered. (Please print legibly all information and use only pen to complete application) Applicant Home Phone ( ) Cell Phone ( ) Home Address Age City Zip Gender E-mail Address I hope to play (name sport) on the college level. Please complete the following: Community Service Dates (length of time of service) Work Experience Dates (length of time of work experience) If space provided is not adequate, attach additional pages. 5

School Activities Awards (non-sports) National Merit Career Interest(s) College Major(s) 6

Student S T U D E N T A P P L I C A T I O N Please list below the sports in which you participated, the level (Freshman, Sophomore, Junior Varsity, Varsity) of participation in each sport, and any athletic awards or honors received. BE SPECIFIC; IDENTIFY AWARDS BY LEAGUE, SECTION, STATE, ETC. Freshman Year Name of Sport Level Awards/Honors Received (Individual and Team) Sophomore Year Name of Sport Level Awards/Honors Received (Individual and Team) Junior Year Name of Sport Level Awards/Honors Received (Individual and Team) Senior Year Name of Sport Level Awards/Honors Received (Individual and Team) What is your Varsity Season Total: 7

S T U D E N T R E C O M M E N D A T I O N Principal or Counselor Student's Name The above-named student is applying for the CIF/FARMERS Scholar-Athlete of the Year. To expedite selection of the award winners to be selected from applicants throughout the State of California, we are requesting that you give us your personal thoughts about the applicant. Would you please take a few moments to describe the candidate's personal attributes -- those qualities, in addition to the academic and athletic, which make him/her special? Particularly emphasize the character of the applicant. Does the candidate exemplify the Six Pillars of Character: trustworthiness, respect, responsibility, fairness, caring and citizenship? Please use a separate sheet of paper for your remarks and include the date and your signature. Please keep in mind that we are seeking those scholar-athletes who are truly superior individuals; do not eliminate from consideration those students who are recipients of other awards, either academic or athletic. Thank you for your cooperation. THE ORIGINAL LETTER OF RECOMMENDATION MUST BE RETURNED TO THE CIF STATE OFFICE WITH THE TOTAL APPLICATION PACKET POSTMARKED NO LATER THAN MONDAY, FEBRUARY 11, 2019. APPLICATIONS WILL NOT BE RETURNED. 8

S T U D E N T R E C O M M E N D A T I O N Athletic Director Student's Name The above-named student is applying for the CIF/FARMERS Scholar-Athlete of the Year. To expedite selection of the award winners to be selected from applicants throughout the State of California, we are requesting that you give us your personal thoughts about the applicant. Would you please take a few moments to describe the candidate's personal attributes -- those qualities, in addition to the academic and athletic, which make him/her special? Particularly emphasize the character of the applicant. Does the candidate exemplify the Six Pillars of Character: trustworthiness, respect, responsibility, fairness, caring and citizenship? Please use a separate sheet of paper for your remarks and include the date and your signature. Please keep in mind that we are seeking those scholar-athletes who are truly superior individuals; do not eliminate from consideration those students who are recipients of other awards, either academic or athletic. Thank you for your cooperation. THE ORIGINAL LETTER OF RECOMMENDATION MUST BE RETURNED TO THE CIF STATE OFFICE WITH THE TOTAL APPLICATION PACKET POSTMARKED NO LATER THAN MONDAY, FEBRUARY 11, 2019. APPLICATIONS WILL NOT BE RETURNED. 9

S T U D E N T R E C O M M E N D A T I O N Coach Student's Name The above-named student is applying for the CIF/FARMERS Scholar-Athlete of the Year. To expedite selection of the award winners to be selected from applicants throughout the state of California, we are requesting that you carefully consider and sign this recommendation. "I certify that demonstrates integrity, fair play, and good sportsmanship both on and off the playing field; that he/she is an honest individual, well thought of by others, and is an outstanding student role model on our campus. I believe that he/she exemplifies the Six Pillars of Character: trustworthiness, respect, responsibility, fairness, caring and citizenship. Signature, Coach Print Name Date If the applicant possesses special personal qualities of which we should be aware, please tell us about them on a separate sheet of paper. THIS COMPLETED FORM (AND LETTER OF RECOMMENDATION, IF DESIRED) MUST BE RETURNED TO THE CIF STATE OFFICE WITH THE TOTAL APPLICATION PACKET POSTMARKED NO LATER THAN MONDAY, FEBRUARY 11, 2019. APPLICATIONS WILL NOT BE RETURNED. 10