2015 FAB Scholarship Application - Kettering

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Fairmont Athletic Boosters

3301 Shroyer Road, Kettering, OH 45429 | (937) 424-3322 (FFAB)

Dear Fairmont Senior Athlete, Attached is a packet containing the application for a Fairmont Athletic Booster Scholarship. Each year, the Fairmont Athletic Boosters award scholarships to graduating Fairmont High School seniors who have played a sport while attending Fairmont High School. This year, $10,000.00 is available and the intent is to award up to 10 scholarships, each worth $1,000.00. Winning students must be planning to attend a post-secondary school (trade, technical, college or university) after their graduation. The eligible students for this year’s scholarships must be graduating in May of 2015 and either the applicant or a member of his/her family must be a member of the Fairmont Athletic Boosters. Enclosed are the following forms: 1.

An instruction sheet and eligibility criteria.

2.

The scholarship application (application page, essay question and a coach/advisor evaluation).

Be sure to allow enough time for your coach/advisor to complete the evaluation. Applications must be turned in to the Fairmont Athletic Office by 3:30 p.m. on Friday, March 27, 2015. NO LATE APPLICATIONS WILL BE ACCEPTED. NO EXCEPTIONS. The scholarships will be awarded at the Spring Scholar-Athlete Awards Program on Monday, May 4, 2015 at the Presidential Banquet Center. Good Luck!

The Fairmont Athletic Boosters

Fairmont High School Athletic Booster Scholarship Award Program Purpose The Kettering Fairmont Athletic Boosters have established this award program to help finance the post-secondary education of graduating Fairmont athletes. Post secondary education can be defined as trade school, technical school, junior or community colleges or a four-year college or university. The intent of this program is to recognize outstanding athletic achievement, scholarship, citizenship, and leadership of senior student-athletes at Kettering Fairmont High School. This year, up to ten (10) one thousand dollar ($1,000.00) scholarships can be awarded. Scholarships will be awarded to seniors who have met the eligibility and selection requirements of the Boosters Selection Committee. Eligibility • Any graduating senior who has earned 1 (one) or more varsity letter awards in an interscholastic sport or in a related sports activity (such as cheerleaders, trainers, or managers). • All applicants must have participated in one (1) sports season during the senior year unless excused by a medical authority. If excused from senior year participation, the applicant must have participated in at least one (1) other interscholastic sports season during the junior year. • No applicant shall have been suspended from active participation in athletic or athletic support activities during the senior year. • Applicants must apply to and expect to attend a post-secondary educational institution (defined as trade school, technical school, community or junior college or a four-year college or university or other institution of higher education). Funds will be sent directly to the educational institution. • Applicants must complete an application and all required forms and submit them before the required date and time. • Applicant or a member of the applicant’s family must be a Fairmont Athletic Booster member. Booster memberships are available at a variety of levels of support. • Applicants are eligible for only one (1) Fairmont Athletic Booster scholarship per year. • In addition to the Coach or Advisor Evaluation included in this packet, the applicant must include at least one letter of recommendation from someone outside of the Fairmont Athletic Department (i.e. a principal, teacher, youth group leader, etc.) Note: Eligibility requirements may be waived or adjusted to accommodate special circumstances or special needs. A request for waiver of eligibility requirements (in the form of a short note or letter) must accompany the application. Selection Committee The scholarship selection committee will consist of five (5) members of the Kettering Fairmont Boosters including the committee chairperson. The committee members will be appointed by the President and presided over by a committee chairperson. An alternate may be appointed by the committee chairperson to replace a member who cannot complete his/her obligation. No member of the selection committee shall be a parent of a senior Fairmont student.

Selection Process • • • • • • •

Obtain an application package from the Athletic Office or download the application package at www.firebirdathletics.com. Complete the application (including essay) and turn in to the Athletic Office on or before the stated deadline. Early submittal is best. Applications will be verified by the Athletic Department. All eligible applications will be forwarded to the Selection Committee for further review. Selection committee members will grade the essay question along with the response to Section IV without knowledge of the name of the applicants. The results will be tabulated by the committee chairperson. Up to 10 applicants will be awarded the scholarships.

The committee is authorized to award up to 10 scholarships, if appropriate, but total expenditure cannot exceed $10,000.00. Award Distribution A letter and plaque will be presented to the scholarship recipients at the Scholar-Athlete Awards program usually held in May of each year. Disbursements of funds will be paid directly to the post-secondary institution. It is each recipient’s responsibility to present written proof of matriculation in a post-secondary educational institution to the Athletic Booster Treasurer. Photocopies of required tuition and/or other expenses will suffice as proof of matriculation. Deadline for awards collection is October 1 of the year of graduation from Fairmont High School. After this date, all unused funds will be returned to the Booster General Scholarship Fund.

Application#____________

FAIRMONT ATHLETIC BOOSTER SCHOLARSHIP APPLICATION INSTRUCTIONS Provide complete, concise answers to all questions. All answers to sections I-IV must be HANDWRITTEN IN BLUE or BLACK INK using only the space provided. Section I: PERSONAL DATA Name

______________________________________________________________________________ Last First Middle Initial

Address ______________________________________________________________________________ Street City Zip Code Telephone Number (____) ______________________

Date of Birth _____/_____/_____

Number of Children in Your Family _____ Number under age 21 ____ Number in College Sport(s) and Year(s) Played with a Varsity Letter Earned: __________________

q Freshman q Sophomore q Junior q Senior

__________________

q Freshman q Sophomore q Junior q Senior

__________________

q Freshman q Sophomore q Junior q Senior

__________________

q Freshman q Sophomore q Junior q Senior

Section II: EDUCATIONAL BACKGROUND Your Counselor’s Name ________________________________

Your Unit & Advisory _________

Number of Unexcused Absences During Your Senior Year ________

Section III: YOUR PLANS TO FURTHER YOUR EDUCATION What post-secondary school do you plan to attend (as best you know at the present time)? Name of Institution: ________________________

Address (City, State): ________________________

Planned Field of Study: __________________________________________________________________ How do you plan to finance your education? _________________________________________________ _____________________________________________________________________________________ Have you been awarded a full academic or athletic scholarship at a post-secondary school? q Yes q No

Application#____________

What are your educational objectives and long-range goals? ____________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________

Section IV: ACTIVITIES (NON-ATHLETICS) Fill in the following table, indicating all other school-sponsored clubs and activities that you participated in while attending high school. CLUB OR ACTIVITY

Leadership, Awards and Honors

Freshman

Sophomore

Junior

Senior

_______________________________________________________________

____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ Community Service ___________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ Special Activities Not Mentioned Above

_________________________________________________________

____________________________________________________________________________________________ ____________________________________________________________________________________________

APPLICATION VERIFICATION STATEMENT I meet all eligibility criteria and the information provided in this application is true and correct. I agree that any disputes which may arise with respect to eligibility of applicants, amounts of scholarships, and any other matters, including any issues of law or fact, are to be settled by the Selection Committee, whose judgment in all cases will be finally determinative. I have not missed any athletic activities during this, my senior year, due to school authority or coach suspension. Date Submitted: _____/_____/_____ Applicant’s signature:______________________________________ This application and accompanying essay must be submitted to the Athletic Office no later than 3:30 p.m. on Friday, March 27, 2015.

Application#__________

FAIRMONT ATHLETIC BOOSTERS SHORT ESSAYS Answer the following essay question. Your one to two page essay may be handwritten or computer generated. If you type your essay, please double space using a basic font such as Times New Roman, Arial or Calibri. You may utilize the space provided or attach your essay to the back of this application. Suggestion: Develop your answers with a rough draft BEFORE committing to the final essay form. Remember, committee members judge your essay using the following criteria: content, quality, following directions, grammar and spelling. FAIRMONT ATHLETIC BOOSTERS SHORT ESSAY ‘Firebird Pride’ is a defining element of the Fairmont Athletic Program and Fairmont High School has a rich athletic legacy due to the contributions and pride of the many outstanding Firebird athletes that preceded you. What experience (athletic, academic or other) gave you that true sense of ‘Firebird Pride’ and what do you feel is your legacy or major contribution to the Fairmont Firebird Athletic Tradition? ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________

Application#__________ FAIRMONT ATHLETIC BOOSTERS SHORT ESSAY page 2 ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ REMINDER: Completed application and essays are due in the Athletic Office by 3:30 p.m. on Friday, March 27, 2015. NO EXCEPTIONS.

Application#________

FAIRMONT ATHLETIC BOOSTER SCHOLARSHIP ADVISOR OR COACH EVALUATION Student’s Name _______________________________________________________________________ Sport__________________________

Date___/___/___

1. EFFORT: Effort expended in games and practices, both on and off the field, court or course. q Outstanding

q Above Average

q Below Average

q Well Below Average

2. SPORTSMANSHIP: Demonstrated sportsmanship towards officials, opponents, and support staff. q Outstanding

q Above Average

q Below Average

q Well Below Average

3. PLAYER/COACH RELATIONSHIP: Ability to work and communicate effectively with the coaching staff. q Outstanding

q Above Average

q Below Average

q Well Below Average

4. PLAYER/PLAYER RELATIONSHIP: Ability to work and communicate with all teammates. q Outstanding

q Above Average

q Below Average

q Well Below Average

5. RESPONSIBILITY AND COMMITMENT: Ability to follow through on responsibilities, commitments, and assignments. Manner in which the student completes the things that are expected. Includes, but not limited to, conditioning, meeting attendance, paperwork, etc. q Outstanding

q Above Average

q Below Average

q Well Below Average

6. LEADERSHIP: Evidence of instilling enthusiasm, incentive, and better understanding and tolerance to fellow athletes. q Outstanding

q Above Average

q Below Average

q Well Below Average

7. CITIZENSHIP: Manner in which the student conducts him/herself off the field – in school and in the community. Would include, but not be limited to, participation in volunteer groups, committees, etc. q Outstanding

q Above Average

q Below Average

q Well Below Average

8. OVERALL: My overall impression of this student-athlete. q Outstanding

q Above Average

q Below Average

q Well Below Average

I have coached this student-athlete for _______seasons and he/she has received at least one varsity letter. Coach’s Signature ______________________________________

Date ____/____/____

Note to coach/advisor: If you wish, you may return this evaluation directly to the Athletic Office in a sealed envelope marked to the attention of the Booster Scholarship Committee. It must be received no later than 3:30 p.m. on Friday, March 27, 2015. NO EXCEPTIONS. Mark the student’s name on the outside of the envelope. Also, please notify the student that you returned their evaluation. If you have additional comments, please feel free to write them on the back of this evaluation. Thank you! The Fairmont Athletic Booster Scholarship Selection Committee

Application#________

FAIRMONT ATHLETIC BOOSTERS LETTER OF REFERENCE Student’s Name _______________________________________________________________ Date___/___/___ Dear FAB Scholarship Selection Committee: _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________   _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________   _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________   _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________   _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________  

  Sincerely,     ____________________________________________  

 

Cell  Number  _________________________________  

  Note to reference: If you wish, you may return this letter directly to the Athletic Office in a sealed envelope marked to the attention of the Booster Scholarship Committee. It must be received no later than 3:30 p.m. on Friday, March 27, 2015. NO EXCEPTIONS. Mark the student’s name on the outside of the envelope. Also, please notify the student that you returned a letter of reference. If you have additional comments, please feel free to write them on the back of this evaluation. Please  include  your  name  and  a  cell  number  in  case  the  Selection  Committee  has  a   question.