Steve Willett Scholarship SMA Lacrosse & Field Hockey 2012 The St. Mary’s Annapolis Lacrosse & Field Hockey Scholarships are made available through an endowment by the St. Mary’s Annapolis Lacrosse & Field Hockey Association., a non profit corporation committed to providing opportunity, education, and enjoyment of girl’s lacrosse and field hockey. These scholarship awards offer female high school seniors an opportunity to pay for a portion of their expenses in college for one year. The scholarship(s) will be awarded annually to one or more high schools seniors who have participated in the St. Mary’s Annapolis Lacrosse & Field Hockey program. They may have participated in one or both sports to qualify. Successful candidates will have achieved distinction in academics, leadership and extracurricular activities. Scholars select their own institutions, field of study, and extracurricular activities. The scholarship money will be used, as they deem necessary. It is an award for their excellent achievements throughout their high school years. St. Mary’s Annapolis Lacrosse & Field Hockey Association Steve Willett Scholarship Application Student Full Name:______________________________________ Date of Birth:_____________________________ Home Address:____________________________________________________________________________________ __________________________________________________________________________________________________ Home Phone:_________________ Cell Phone:___________________ Email:________________________________ Mother’s Name:__________________________________ Mother’s Phone:________________________________ Mother’s Address:_________________________________________________________________________________ __________________________________________________________________________________________________ Mother’s Occupation:_____________________________ Mother’s Work Phone:__________________________ Father’s Name:__________________________________ Father’s Phone:_________________________________ Father’s Address:__________________________________________________________________________________ __________________________________________________________________________________________________ Father’s Occupation:______________________________ Father’s Work Phone:___________________________ High School:___________________________________ School Contact:________________________________ School Address:___________________________________________________________________________________ School Phone Number:_________________________ School Website:________________________________ Guidance Counselor:____________________________ Counselor’s Phone:______________________________ St. Mary’s Recreation League Sport(s), year(s), and coaches:_____________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ Sports Played in High School, year, level, and coaches:__________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ Community Service Involvement:____________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ GPA:_________ Class Rank:________ ACT:_____SAT V:________ M:________ W:________ Total:_______ Honors:__________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ Colleges you are Applying to:________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ Academic Program Desired in College:_______________________________________________________________ Athletic Level and Interest in College:__________________________________________________________________________________________ Applicant’s Signature:______________________________________ Application Date:_______________________ Along with this application please submit the following: Curriculum Vita or Resume Official High School Transcripts Recent Photo 3 References Typed Essay(approximately 500 words, topic below) How has your experience in sports had an impact in your life and how will it assist you in the future? High school seniors interested in this Scholarship may apply during their senior year using the application form. Forms are available from the Athletic Director and/or Coach at their High School. Additionally, the application can be accessed from our web site at: www.stmaryslax.org. Students should submit the application form and individual Curriculum Vita or Resume, along with an official copy of the high school transcript. Include with the application, a typed essay (approximately 500 words) on the topic stated below and attach a recent photo with the essay. Each applicant should request three individuals to serve as their references. References should complete a Letter of Recommendation supporting the student’s accomplishments in any of the areas in which the student has been involved. Applicants must meet the basic requirements specified in the NCAA Div I eligibility rules (www.ncaa.org/eligibility/cbsa/academic.html). Applications, transcripts, and reference recommendations are due to the Scholarship Committee no later than March 1, 2009 at: St. Mary’s Annapolis Lacrosse & Field Hockey, Assoc. Scholarship Committee P.O. Box 4021 Annapolis, MD 21403 The St. Mary’s Annapolis Lacrosse & Field Hockey Scholarship Committee will make a preliminary screening of all applicants in March and the successful applicant will be notified by mail of their selection. The award typically will be presented as part of the St. Mary’s Annapolis Girls Lacrosse Blue/White Day Celebration at the beginning of the lacrosse season.
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