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01/10/12 |
            
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BLAKE HARRISON MEMORIAL SCHOLARSHIP OF THE VIRGINIA STATE USBC
10440 Malone Court Fairfax, Virginia 22032
Dear Graduating Senior,
Enclosed you will find the application forms required for the Blake Harrison Memorial Scholarship of the Virginia State USBC. Last year two female scholarships ($800 and $600) and two male scholarships ($800 and $600) were awarded. These scholarships are renewable for an additional three years if the required GPA is met. The award amounts, renewals and the number of scholarships awarded each year are up to the discretion of the Board of Trustees.
The Board of Trustees of the scholarship will meet in June to evaluate the applications and select the recipients for the 2010 scholarships. You will be notified of the winners.
The application must be returned no later than March 15, 2010. Only complete applications will be considered.
Send your application to:
Kristen H. Robinson, Secretary Blake Harrison Memorial Scholarship 10440 Malone Court Fairfax, Virginia 22032
Should you have any questions concerning the application or about the scholarship, Please give me a call (703) 426-1625 or send me an email virmardistrict@aol.com.
Sincerely,
Kristen H. Robinson, Secretary Board of Trustees Blake Harrison Memorial Scholarship of the Virginia State USBC
BLAKE HARRISON MEMORIAL SCHOLARSHIP FUNDOF THE VIRGINIA STATE USBC
If the applicant has special circumstances, i.e. physically handicapped, mentally retarded, etc. please call the scholarship secretary for how to apply for special funds.
Step 1) Completely fill out page 1.
Step 2) Give pages 1 and 2 to your league coach and ask him/her to sign page 1 and fill out and sign page 2. Have them mail page 1 and 2 to: Kristen H. Robinson, Secretary, Blake Harrison Memorial Scholarship 10440 Malone Ct. Fairfax, VA 22032.
Step 3) Have your parent or guardian fill out page 4. Give pages 3 and 4 to a school official or counselor. Ask the school official or counselor to fill out page 3 and mail it along with your transcript (including grades for the first half of your senior year) by March 15th to: Kristen H. Robinson, Secretary, Blake Harrison Memorial Scholarship 10440 Malone Ct. Fairfax, VA 22032
Step 4) Have your parent or guardian fill out page 5. Mail this to the scholarship secretary with your essay by March 15th.
Step 5) Write an essay of at least 150 words describing why you wish to attend college/ trade school and your future goals. Mail your essay along with page 5 by March 15th to: Kristen H. Robinson, Secretary Blake Harrison Memorial Scholarship 10440 Malone Ct. Fairfax, VA 22032
Step 6) Check with the school official and coach by March 13th, to make sure the application papers and transcript have been mailed.
ELIGIBILITY REQUIREMENTS
Any graduating high school senior is eligible to apply for this scholarship providing the student:
A) Files and application furnished by the Scholarship Fund, giving complete information as required thereon, before March 15th, of any year with the Secretary of the Scholarship Fund Board of Trustees.
B) Must have unimpaired amateur standing in all athletics.
C) Must be a member of a league certified in the State of Virginia by the USBC and be in good standing for the current season. (This does not apply to college students that are applying for additional funds under Article I).
D) College students applying for additional funds (if available) under Article I, must have maintained the following grades: First year 2.5 GPA or better. Second and third year average 2.9 GPA or better.
-1-BLAKE HARRISON MEMORIAL SCHOLARSHIPOF THE VIRGINIA STATE USBCSCHOLARSHIP APPLICATION
NAME ____________________________________________________________ DATE ___________
ADDRESS ___________________________________________________________________________
_____________________________________________________________________________________ CITY STATE ZIP CODE
DATE OF BIRTH ________________________ PHONE NUMBER ___________________________
E-MAIL ADDRESS ___________________________________
SCHOOL YOU ARE NOW ATTENDING __________________________________________________
HOW LONG HAVE YOU BEEN IN THE USBC (YABA) PROGRAM? _________________YEARS
OFFICES HELD IN THE YOUTH LEAGUES (TEAM CAPTAIN, SECRETARY, ETC.)__________________________________________________________
ARE YOU ACTIVE IN THE LOCAL YOUTH ASSOCIATION WORK? ____________
ARE YOUACTIVE IN CLASS OR SCHOOL ORGANIZATIONS? ________________
TO WHAT ACCREDITED EDUCATIONAL FACILITY(S) WILL YOU APPLY A. COLLEGE _____ B. VOCATIONAL ______ C. TRADE ________ D. OTHER ________
TO WHAT EDUCATIONAL INSTITUTION(S) HAVE YOU SENT APPLICATIONS?
_____________________________________________________________________________
WHAT WILL BE YOUR COURSE OF STUDY? _______________________________________
DO YOU PLAN TO WORK WHILE FURTHERING YOUR EDUCATION? ____________
FATHER’S FULL NAME _____________________________________________
MOTHER’S FULL NAME ____________________________________________
ADDRESS OF BOTH IF NOT THE SAME AS ABOVE
___________________________________________ ________________________________________
TO MY KNOWLEDGE THE ABOVE STATEMENTS ARE CORRECT.
_____________________________________ ___________________________________ SIGNATURE OF COACH SIGNATURE OF APPLICANT
Revised 9/2009
-2-
BLAKE HARRISON MEMORIAL SCHOLARSHIPOF THE VIRGINIA STATE USBCCOACH EVALUATION & DATA SHEET
APPLICANT’S NAME ______________________________________________ DATE __________
ADDRESS _________________________________________________________________________
NAME OF COACH ______________________________________________ PHONE _______________
ADDRESS ____________________________________________________________________________
NAME OF BOWLING CENTER IN WHICH APPLICANT BOWLS _____________________________
HOW MANY YEARS HAS APPLICANT BOWLED IN YOUTH LEAGUES? _____________________
NUMBER OF GAMES LEAGUE HAS BOWLED THROUGH FEBRUARY 15. ___________________
NUMBER OF GAMES BOWLED BY APPLICANT THROUGH FEBRUARY 15. __________________
AVERAGE AS OF FEBRUARY 15, (MINIMUM, TWO THIRDS OF LEAGUE GAMES) ___________
DID APPLICANT BOWL IN LAST CITY TOURNAMENT? YES ______ NO _______ IF NOT WAS ONE HELD? _____________
DID APPLICANT BOWL IN LAST STATE TOURNAMENT? YES _______ NO _______
ATTITUDE:
IF YES, EXPLAIN _________________________________________ B. IS APPLICANT HELPFUL TO COACH? YES ______ NO _______ IF YES, EXPLAIN _________________________________________ C. LANE COURTESY VERY GOOD _________ GOOD ________ FAIR _______ D. SPORTSMANSHIP VERY GOOD _________ GOOD ________ FAIR _______ E. DOES APPLICANT ABIDE BY THE USBC YOUTH CODE? YES _____ NO ______
COACH’S COMMENTS: (USE SEPARATE SHEET IF NECESSARY): PLEASE WRITE ADDITIONAL REMARKS THAT YOU THINK WOULD BE HELPFUL IN EVALUATING THIS BOWLER.
______________________________ SIGNATURE OF COACH Revised 9/2009
-3- BLAKE HARRISON MEMORIAL SCHOLARSHIPOF THE VIRGINIA STATE USBCCOUNSELOR OR TEACHER EVALUATION & DATA SHEET
APPLICANT’S NAME __________________________________________________ DATE _________
ADDRESS ____________________________________________________________________________
NAME OF COUNSELOR OR TEACHER ___________________________________________________
SCHOOL ADDRESS _______________________________________________PHONE ______________
COUNSELOR OR TEACHER: Please complete this sheet to enable this student to apply for a scholarship from the Virginia State USBC Youth Scholarship Fund. All information will be confidential. Please mail page 3 (Counselor or Teacher Evaluation and Data Sheet) and a transcript of the applicant’s grades including the first semester of the senior year by March 15th to:
Kristen H. Robinson, Secretary Blake Harrison Memorial Scholarship 10440 Malone Ct.
ACTIVITIES IN SCHOOL BESIDES CLASSROOM WORK __________________________________ ______________________________________________________________________________________
ANY ADDITIONAL REMARKS THAT YOU THINK WOULD BE HELPFUL IN EVALUATING THIS STUDENT.
_____________________________________ COUNSELOR OR TEACHER SIGNATURE
______________________________________ POSITION
Revised 9/2009 -4-BLAKE HARRISON MEMORIAL SCHOLARSHIPOF THE VIRGINIA STATE USBC
RELEASE FORM FOR STUDENT’S GRADES
TO WHOM IT MAY CONCERN:
WE, THE UNDERSIGNED, HEREBY CONSENT TO HAVE __________________________________
SCHOOL RELEASE THE GRADES AND OTHER NECESSARY INFORMATION TO THE VIRGINIA
STATE USBC YOUTH IN ORDER FOR SENIOR STUDENT,
_______________________________________________, TO APPLY FOR THE SCHOLARSHIP
BEING OFFERED.
______________________________________________ SENIOR STUDENT APPLICANT
______________________________________________ PARENT/GUARDIAN
Revised 9/2009
-5-BLAKE HARRISON MEMORIAL SCHOLARSHIPOF THE VIRGINIA STATE USBCPARENT OR GUARDIAN APPLICATION
ON THIS FORM EXPLAIN ANY INFORMATION RELEVANT TO THE APPLICANT’S NEED FOR THIS SCHOLARSHIP. INCLUDE FACTORS THAT SHOULD BE BROUGHT TO THE ATTENTION OF THIS SELECTION COMMITTEE. THIS INFORMATION IS ONLY FOR THE INTENDED USE OF THE SELECTION COMMITTEE.
___________________________________ PARENT OR GUARDIAN SIGNATURE
Revised 9/2009 |
This site was last updated 11/01/10
