APPLICATION FORM
A valid application
should include the following:
·
A
completed application form
·
Official
Transcript
GENERAL INFORMATION
Name
_____________________________________________________________________
Address __________________________________________________________________
City (Zip)
__________________________________________________________________
Home Email Address___________________________Home Phone:__________________
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 _______________________
p.
1
APPLICATION FORM
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:
p. 2
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 ICGSA
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 ICGSA member coach must submit a letter of
recommendation for the student-athlete who is applying for the ICGSA
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.
p.
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APPLICATION FORM
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?
p.
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