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					                          GRSC/CARQUEST Auto Parts
                           2011 Evening of Champions
                            Scholar Athlete of the Year

The Greater Raleigh Sports Council, a program of the Greater Raleigh Chamber of Commerce, and
CARQUEST Auto Parts have teamed together to present two educational scholarships to current
Triangle High School student-athletes who have excelled academically, athletically, and are active in
community service. One male and one female athlete will be selected as the GRSC/CARQUEST
Scholar Athletes of the Year. Each winner will receive a $1,250 scholarship to be used at an institution
of higher learning. Winners will also be special guests at the 2010 Evening of Champions event to be
held February 23, 2010 at the Embassy Suites in Cary. The Evening of Champions event is hosted by
the Greater Raleigh Sports Council and recognizes the Triangle area’s outstanding individuals in
sports.

Please complete the attached application. You may keep this page for your information. Applications
must be received in the Greater Raleigh Sports Council office on or before December 11, 2009.
Applications can be mailed to the office at PO Box 2978, Raleigh, NC 27602-2978 or hand-delivered
to the Greater Raleigh Chamber of Commerce office, located at 800 S. Salisbury St., Raleigh.

The enclosed application must include at least one letter of recommendation. Other supporting
materials are accepted; however, please do not send large attachments or video tapes. Please submit
two collated copies of your application, letter(s) of recommendation, and supporting materials.
Incomplete applications will not be considered.

The Greater Raleigh Sports Council Evening of Champions Awards Committee will consider
presentation when reviewing the applications. Applications must be typed. Handwritten applications
will not be considered. If your responses to the questions cannot be expressed in the space given, you
may attach additional pages with your complete answers. Please call 919.664.7070 if you need
additional information, or if you would like an electronic copy of the application e-mailed to you.

Eligibility Requirements
All applicants must be a current Triangle area high school student-athlete, currently have a minimum
3.5 GPA, a senior attending a high school in Wake, Durham, or Orange County, and planning to attend
an institution of higher learning. Scholarship recipients must use the funds within one year.




                                             Presented By
                             GRSC/CARQUEST Auto Parts
                                Evening of Champions
                              Scholar Athlete of the Year

   Name:

   Address:



   City:                                        State: N.C.        Zip:

   Phone: (        )                           Birthdate:

   High School:

   Year of Graduation:                       (must be high school senior)

   University/College you are planning to attend (please note if you have or have not been officially
   accepted):



   High School Sport(s):

   Current Cumulative GPA Weighted:                         (minimum 3.5 required)

   Current Cumulative GPA Unweighted:

   Will you be able to attend the Evening of Champions on February 23 at the Embassy Suites in Cary?

                       Yes                                  No

1. Please list any school activities and organizations in which you have participated.




2. Please list any community activities and organizations in which you have participated.
3. What have been your most noteworthy achievements in the above mentioned activities?




4. Other than a family member, what individual has had the greatest influence on your life and why?




5. How has participation in athletics influenced your attitudes and achievements at school?




6. What have you learned from participating in athletics that you will be able to apply to your life?




7. List other scholarships you have applied for or received (both athletic and academic).



In requesting consideration for a Greater Raleigh Sports Council Scholar Athlete of the Year educational
scholarship, I hereby signify my intention to continue my education beyond a high school degree, as a student in
some form of higher education. If I should be awarded the scholarship, the funds will be paid directly to my
chosen school. I hereby authorize the selection committee to release to others any information contained in
these nomination forms for the purpose of processing my application for this scholarship and for any public
purposes in connection with this scholarship program.

I hereby certify that the information contained in this application is truthful. I understand that the scholarship
funds must be used within one year of the award announcements.


Signature of Applicant: ______________________________________________________

You must submit two collated copies of this application and at least one recommendation letter on or before
December 11, 2009 to:

                  Greater Raleigh Sports Council, PO Box 2978, Raleigh, NC 27602-2978

				
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posted:12/4/2011
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