IHSSDHOF/INSKEEP SCHOLARSHIP
APPLICATION FORM
A valid application
should include the following:
·
A
completed application form
·
Official
Transcript
GENERAL
INFORMATION
Name
_____________________________________________________________________
Address
__________________________________________________________________
City (Zip)
__________________________________________________________________
High School
_______________________________________________________________
High School
Principal Name _________________________________________________
Parent/Guardian____________________________________________________________
Sport for which applying for scholarship:
______________________
List the sports and years the applicant participated
______________________________
__________________________________________________________________________
__________________________________________________________________________
List the letters received in each sport
__________________________________________
__________________________________________________________________________
__________________________________________________________________________
Would this award impact any other
financial award that you have already received?
____________________________________________________________________________
____________________________________________________________________________
College Preference and Area of Pursuit
__________________________________________
By
signing this form, I confirm the following:
1. I have remained substance free, and pledge to
remain substance free, throughout my high school career
2. I have never been ejected from a contest for
unsportsmanlike conduct
3. I have never violated my school’s code of
conduct
4. I confirm that the information listed above
is accurate
Student’s Name (print)_______________________________________
Student’s Signature
_________________________________________
Date _______________________
Parent’s Name (print)________________________________________
Parent’s Signature
__________________________________________
Date _______________________
IHSSDHOF/INSKEEP
SCHOLARSHIP
APPLICATION FORM
I. ACADEMICS (attach certified transcript)
High
School GPA (on a 4.00 scale) ________
Class Rank _____ out of a total enrollment
of _______.
Does the school offer advance placement or
honors classes?
(yes/no) _______________
Did the applicant enroll in these advance
placement or honors classes?
(yes/no) _______________
If yes, is the applicant’s GPA weighted?
(yes/no) ______________________________
SAT/ACT Scores _______________________
II. EXTRA-CURRICULAR
ACTIVITIES
Applicants: On
this form, list the most significant out-of-classroom activities
you have been involved in. Those
activities would include those which last through a sports season, semester, or
school year, as opposed to those activities which are conducted once a year on
a single day or weekend. When listing
awards, please list the most significant awards in the comments
area provided.
SCHOOL ACTIVITIES Grades Participated
9 10 11 12
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Awards/Leadership
Positions/Comments:
IHSSDHOF/INSKEEP
SCHOLARSHIP
APPLICATION FORM
COMMUNITY ACTIVITIES Grades Participated
9 10 11 12
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Awards/Leadership
Positions/Comments:
EMPLOYMENT Dates
of Employment
From To Comments
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III. ADMINISTRATOR RECOMMENDATION
The member school principal or designee must submit a
letter of recommendation for the student-athlete who is applying for the
IHSSDOF/INSKEEP Scholarship. Please
address the student’s character, sportsmanship, citizenship, leadership, and
work ethic giving as concrete examples when possible. This recommendation must be no longer than
two pages in length, and no less than a Times Roman 12 point font.
IV.
COACH RECOMMENDATION
The coach must submit a letter of recommendation for the
student-athlete who is applying for the IHSSDHOF/INSKEEP Scholarship. Please address the student’s character,
sportsmanship, citizenship, leadership, and work ethic giving as concrete
examples when possible. This
recommendation must be no longer than two pages in length, and no less than a
Times Roman 12 point font.
IHSSDHOF/INSKEEP SCHOLARSHIP
APPLICATION FORM
V.
Applicants must answer the following questions in the space
provided:
A. Why is sportsmanship important in interschool athletics?
B.
How has athletic participation contributed to your development as a
productive
member
of society?
C.
Briefly discuss a
challenge that you as an athlete or as a person have had to overcome
and how your
participation in athletics helped you overcome this challenge?
The deadline for member schools to submit
applications to the Hall of Fame Scholarship Chairperson is
March 31st.
The mailing address for the HOF Scholarship Chairperson
is:
Bev Arnold
P. Box 808