2009-2010 Siusbc Youth Scholarship Application

!"#"$%&'!(#%)&*!+,&#!!-,'#"'-%&& .-*"/&!,/-(#0!/'1&10-20#3&4&566745686! ! $('2'+'('".&0*($!&!

!"#$%#&'()*+,)!-.-'$)/%0.$()1!*2)3%%#45.-5#$)

Any Staten Island USBC Association Youth Member is eligible to receive a scholarship providing the applicant meets the following requirements: A.

Is a member of a Staten Island USBC Association Youth sanctioned league and is in good standing for the current year.

B.

Files an application furnished by the Scholarship Committee, giving complete information required, postmarked by 39:;<&8. Application is to be sent to the Chairperson of the Scholarship Committee.

"#! $%%&'()*+!,-.+!(-//0*+&1!20!'*!3'45!6(577&!89/):0.!;<=>?!7/!)++0*:'*4!"7&&040#! ! SCHOLARSHIP AWARDS A minimum of two [2] awards may be granted [non-gender]. Awards are granted at the discretion of the Scholarship Committee. If an existing scholarship at any time is refused, rejected or the grantee becomes ineligible, the Scholarship Committee may award the scholarship to another eligible applicant. Scholarship money will be paid directly to any accredited postsecondary school (College, University, Vocational or Technical) to be credited to the recipient's account. Direct Reimbursement is also available; recipients will be provided with complete details upon request. Scholarship money will be held for the recipient for six [6] years from the date of high school graduation. Any requests for extensions must be filed in writing with the Chairperson of the Scholarship Committee. All unclaimed monies will revert to the SI USBC Smart Scholarship Account.

APPLICATION PROCEDURE – PLEASE TYPE OR PRINT CLEARLY IN DARK INK Step #1

Applicant must complete Page 1 and obtain the signature of the League Official.

Step #2

League Official must complete and sign Page 2.

Step #3

Applicant and School Official must complete Page 3. Applicant must also provide at =>9?@&AB>C& DE@&BA&FA:>&@<9B&@<:>>&letters of recommendation GB&9HHG@GAB&to League Official on page 2.

Step #4

Applicant must prepare an essay -

IN YOUR OWN WORDS TELL US ABOUT AN EVENT OR TIME IN YOUR LIFE WHEN BOWLING HAS IMPACTED YOUR LIFE” Essays should be a MINIMUM OF 100&IA:H?&and should be typewritten or printed clearly.

Step #5

All completed applications, recommendations, transcripts, average sheets and essays must be forwarded to the Scholarship Chairman postmarked no later than March 1.

SI USBC ASSOCIATION SCHOLARSHIP COMMITTEE C/O MICHELE SAVINI, CHAIRPERSON 58 BERRY AVENUE STATEN ISLAND, NY 10312

STATEN ISLAND USBC ASSOCIATION YOUTH SCHOLARSHIP APPLICATION – 2009 – 2010 ----PAGE 1 ! Applicant!s Name ________________________________________________________________________ LAST

FIRST

MIDDLE

PHONE NUMBER

Address ________________________________________________________________________________ STREET

Age: _______

CITY

Date of Birth: __________________________

ZIP CODE

Grade Level _________

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

!

-.$*%/$'&0$$1&'+231%)3)3/'+2%+04&'3%5$67023$'3859$*':2*'10$'%92.$'#$%/8$;&<58&1'9$' %11%+0$=>'?????@%)#8*$'12'+257#A'B)##'=)&C8%#):A'%77#)+%31>?????'

League Offices (Team Captain/Officer) Applicant has held and the number of years in each office;

! current year = 1. (3) __________________________________________________________________________ Is Applicant a member of the Staten Island USBC Youth Leader Organization? (4) _________________________ List Offices held in Local and/or State USBC Youth Leaders. (5) _______________________________________

! DEFGHIJ'

KEIELM'

-IN'

-F-LNM>'

List

below;

do

not

attach

a

separate

sheet.

List YABA/USBC Honor Scores (298/300 Games; Male 800/Female 700 Series EIGO) (6A) _____________ List Specials (11 in a Row/Triplicate/7-10/Big 4/All Spare/Dutch 200 EIGO) (6B) __________________

! List League and Tournament Awards and/or bowling honors received. Please use reverse or attach a separate sheet. (7) To my knowledge, the above statements are correct.

! ........................................!.......................................! (99'&:%45;,!=&G4%58*+!NQ+R8&*+)E!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!S%5+!!

!

!!!!!T+%G8+!I22&:&%';,!=&G4%58*+!NQ+R8&*+)E!!!!!!!!!!!!!!!!!!!!!!!S%5+!!

! COMPLETED APPLICATIONS, PERSONAL RECOMMENDATIONS, AVERAGE SHEETS AND THE ESSAY (“In

your own words tell us about an event or time in your life when bowling has impacted your life”; MINIMUM LENGTH OF 100 WORDS) MUST BE SENT TO THE SCHOLARSHIP CHAIRPERSON POSTMARKED BY P%*+0'Q>''

?????HI(EP"GRSR'-IN6EL'TIMHJIRN'-""GH(-SHEIM'FHGG'DR'NHMUT-GH@HRN?????!

STATEN ISLAND USBC ASSOCIATION YOUTH SCHOLARSHIP APPLICATION – 2009 – 2010 ----PAGE 2 TO BE COMPLETED BY LEAGUE OFFICIAL WHO IS A COACH/INSTRUCTOR IN A LEAGUE IN WHICH APPLICANT CURRENTLY PARTICIPATES Applicant!s Name_________________________________________________________________________ Applicant!s Coach/League Official!s Name____________________________ Title______________________ Official!s Address ____________________________________________ Phone _______________________ Official!s Bowling Center _______________________________ Applicant!s K)/0$&1'(8**$31'-.$*%/$'(8) ____________ for ______________ games.

T&,5!(99'&:%45;,!(%*$$*'K)/0'J%5$'...............!(%*$$*'K)/0'M$*)$&'....................!!

?????-77#)+%314&'+8**$31'%.$*%/$'&0$$1'58&1'9$'%11%+0$=>'' @%)#8*$'12'+257#A'B)##'=)&C8%#):A'%77#)+%31>?????! # of times Applicant has bowled in Staten Island Association Tournament. (9)_____________________________ # of times Applicant has bowled in NYS USBC Youth Team Championship Sectionals. (10) _______________ # of times Applicant has entered Pepsi Tournament. (11) _________________________________ # of times Applicant has entered NY State Bowling Council Scholarship Tournament. (12) ________________ Additional remarks you think would be helpful in evaluating this Applicant:

?????"GR-MR'-VEHN'TMHIJ'-""GH(-IS4M'I-PR?????'' (13) ______________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ _____________________________________________________

!

League Coach/Official!s Signature (Required)

___________________ Date

?????HI(EP"GRSR'-IN6EL'TIMHJIRN'-""GH(-SHEIM'FHGG'DR'NHMUT-GH@HRN>?????!! COMPLETED APPLICATIONS, PERSONAL RECOMMENDATIONS, AVERAGE SHEETS AND THE ESSAY MUST BE SENT TO THE SCHOLARSHIP CHAIRPERSON POSTMARKED BY March 1>''

! PH(KRGR'M-VHIHW'MHTMD(-'M(KEG-LMKH"'(K-HL"RLMEI' XY'DRLLO'-VRITR' MS-SRI'HMG-INW'IO''QZ[Q\'

STATEN ISLAND USBC ASSOCIATION YOUTH SCHOLARSHIP APPLICATION – 2009 – 2010 ----PAGE 3 ' Applicant!s Name _________________________________________________________________________ Address ________________________________________________________________________________ List Extracurricular Activities (School, Community, Civic) and the number of years in each. A separate sheet may be attached. NE'IES'include bowling activities listed on Page 1. (1) ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ To which school(s) of higher education has Applicant applied (or attends)?_____________________________ _________________________________________________________________________________________ Proposed Course of Study:_________________________________________________________________

?????-""GH(-ISM'PTMS'-GME'"LEVHNR'GRSSRLM'E@'LR(EPPRIN-SHEI'@LEP'SR-(KRLMW' RP"GEORLMW'(GRLJOW'RS(>'?????;M$$'M1$7']['23'H3&1*8+1)23'M0$$1<' SCHOOL OFFICIAL/COUNSELOR: Please complete the following to enable the above student to apply for a Staten Island USBC Scholarship. All answers will be kept confidential. Completed forms and transcripts must be sent to the Scholarship Chairman "EMSP-L^RN'IE'G-SRL'SK-I'P%*+0'Q. Name and Title of Official:___________________________________________________________________ School Name/Address __________________________________________ Phone_____________________

A CURRENT TRANSCRIPT OF GRADES FOR A MINIMUM OF THE PAST THREE YEARS MUST BE ATTACHED. ?????@-HGTLR'SE'(EP"GO'FHGG'NHMUT-GH@O'-""GH(-IS?????

Applicant!s Current Cumulative Grade Point Average: (2) Weighted ___________ Unweighted ___________ Applicant's Class Ranking. (3) ________________________ _________________________________________________

=&G4%58*+!12!=:A11'!I22&:&%'!!!

_____________________

S%5+!

' ?????HI(EP"GRSR'-IN6EL'TIMHJIRN'-""GH(-SHEIM'FHGG'DR'NHMUT-GH@HRN?????'' ! SEND COMPLETED APPLICATION, TRANSCRIPT, RECOMMENDATIONS AND THE ESSAY TO: ' PH(KRGR'M-VHIHW'MHTMD(-'M(KEG-LMKH"'(K-HL"RLMEI' XY'DRLLO'-VRITR' MS-SRI'HMG-INW'IO''QZ[Q\'