Freeland Athletic Association Scholarship Form

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Freeland Athletic Association
Scholarship
Class of 2015 Application Due Date
Wednesday before Spring Break: March 25, 2015
Each year the Freeland Athletic Association offers several scholarships to Freeland High School
Seniors who have demonstrated exceptional performance in the areas of athletics, academics, and
community service.
Scholarship recipients will be selected by a Scholarship Committee which consists of:
(1) FAA Board Member, (1) FAA Concession Captain and (1) FAA representative and Freeland
High School's Athletic Director. Applicants will be evaluated according to the following
criteria:
40% Athletic Contribution
25% Family Involvement in Freeland Athletic Association Activities
25% Non Athletic Involvement and Letters of Recommendations
10% Essay
Scholarship applicants must be current Freeland High School seniors with a 2.5 GPA or higher
and be in good standing with the coaches and the school. Applicant must also participate in
Freeland Athletics. All information provided will be; viewed by only the selection committee
and held in strict CONFIDENCE. Please print or type your information on the application. If
you need more room on any of the pages please feel free to attach additional sheets.
This application will be evaluated solely on the contents of your application.
PART I: APPLICANT INFORMATION
Name:
Address:
City, State, Zip:
Phone:
Current GPA (End of 1st Semester - Senior Year):
1
PART II: ATHLETIC INFORMATION
Freshman Year: Team Activity, Achievements, etc......
Fall:
Winter:
Spring:
Summer:
Sophomore Year: Team Activity, Achievements, etc......
Fall:
Winter:
Spring:
Summer:
Junior Year: Team Activity, Achievements, etc......
Fall:
Winter:
Spring:
Summer:
Senior Year: Team Activity, Achievements, etc......
Fall:
Winter:
Spring:
Summer:
2
PART III: Family Involvement in the Freeland Athletic Association
Name of Parents/Guardians:
Names and Ages of other children in family:
Describe all family members’ involvement (including yourself) in the Freeland Athletic
Association in detail. We are looking for participation details that help our Athletic Association
run smoothly. For example: involvement in the Millionaire Party, Fish Fry, Concession Stand,
Ball Drop fundraiser, Field Maintenance/worker, attendance at FAA meetings, Team Parent,
FAA Board position, etc.
Freshman Year
Family Member Name
FAA Activity/Role
Approximate Hrs
Family Member Name
Sophomore Year
FAA Activity/Role
Approximate Hrs
Family Member Name
Junior Year
FAA Activity/Role
Approximate Hrs
Family Member Name
Senior Year
FAA Activity/Role
Approximate Hrs
3
PART IV: NON-ATHLETIC INVOLVEMENT - List extracurricular activities,
clubs, organizations, and/or positions held during high school. Also include any awards or
honors you have received.
Freshman Year
Activity, Offices held, etc
Participation/Involvement/Approximate Hrs.
Activity, Offices held, etc
Sophomore Year
Participation/Involvement/Approximate Hrs.
Activity, Offices held, etc
Junior Year
Participation/Involvement/Approximate Hrs.
Activity, Offices held, etc
Senior Year
Participation/Involvement/Approximate Hrs.
4
PART V: RECOMMENDATION LETTERS
Please submit TWO letters of recommendation. One must be by a coach and the second
from a non-family member. The TWO cannot be from the same teacher you are asking for
an evaluation from.
PART VI: TEACHER EVALUATION
Please ask two Freeland teachers from your Junior or Senior year to complete an attached
CONFIDENTIAL evaluation form. These will be turned into the FAA; not returned to the
applicant. Make sure you have each teachers sign the checklist below when you ask them
to fill out the evaluation form. This will be proof that you completed your part of the task.
PART VII: ESSAY (200 - 500 words typed)
What are your educational goals?
Application Checklist:
_____ Completed scholarship form
_____ Applicant and Parent signatures on application below
_____ Two letters of recommendations included
_____ Typed Essay attached
_____ Teacher's evaluations given to:
Print Teacher's name
Teacher's Signature
1. ______________________________________
__________________________________
2. ______________________________________
__________________________________
All the information on this form is true and complete to the best of my knowledge.
Signature of Applicant: ______________________________________ Date: ____________
Signature of Parent or Guardian: ______________________________ Date: ___________
If you receive the FAA scholarship would you be available to help at the Millionaire party
this year (held in June)? ____________________ June 21st (set up) and June 22nd (party)
5
FAA SCHOLARSHIP TEACHER EVALUATION
Name of Applicant: ______________________________________________________
1. How long have you known this applicant?
2. What course(s) have you taught this applicant?
3. Do you think the applicant has the ability and determination to complete his/her
educational goals?
4. Please rate this applicant in the categories indicated using the following scale:
1-Poor
2-Below Average
3-Average
4-Good
5-Excellent
_____ Class Participation
_____ Maturity
_____ Influence on peers
_____ Initiative in studies
_____ Responsibility
_____Integrity
_____Attendance/Promptness
_____Cooperation with school regulations
_____Respect for persons in authority
_____Treatment of classmates
Do you have any reason for believing that this applicant should not be granted a
scholarship? If so, please explain.
Please add any additional comments you feel would be helpful in evaluating this
applicant.
Signature of Reference
Printed Name of Reference
Date
Once complete, please secure in a sealed envelope and put this CONFIDENTIAL form in
the FAA mailbox in the main office (before Spring Break). Attention: FAA Scholarship
Committee
The above named applicant is applying for a Freeland Athletic Association Scholarship. Your evaluation
is needed as part of the application process. The applicant has authorized you to release any information
SCHOLARSHIP
TEACHER
EVALUATION
you feel would be helpfulFAA
in reviewing
his/her application.
All evaluations
are held in STRICT
CONFIDENCE and the information you provide will not be released to anyone outside of the committee.
6
FAA SCHOLARSHIP TEACHER EVALUATION
Name of Applicant: _____________________________________________________
1. How long have you known this applicant?
2. What course(s) have you taught this applicant?
3. Do you think the applicant has the ability and determination to complete his/her
educational goals?
4. Please rate this applicant in the categories indicated using the following scale:
1-Poor
2-Below Average
3-Average
4-Good
5-Excellent
_____ Class Participation
_____ Maturity
_____ Influence on peers
_____ Initiative in studies
_____ Responsibility
_____Integrity
_____Attendance/Promptness
_____Cooperation with school regulations
_____Respect for persons in authority
_____Treatment of classmates
Do you have any reason for believing that this applicant should not be granted a
scholarship? If so, please explain.
Please add any additional comments you feel would be helpful in evaluating this
applicant.
Signature of Reference
Printed Name of Reference
Date
Once complete, please secure in a sealed envelope and put this CONFIDENTIAL form in
the FAA mailbox in the main office (before Spring Break). Attention: FAA Scholarship
Committee
The above named applicant is applying for a Freeland Athletic Association Scholarship. Your evaluation
is needed as part of the application process. The applicant has authorized you to release any information
you feel would be helpful in reviewing his/her application. All evaluations are held in STRICT
CONFIDENCE and the information you provide will7not be released to anyone outside of the committee.
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