Boselli Award Of Excellence Scholarship Application 2009

Boselli Award of Excellence Scholarship APPLICATION PART I Please type application or print clearly in blue or black ink. Send all application materials in one packet to:

Complete application packet includes the following: Application Form (3 parts) Autobiographical Essay – must be typed Complete School Transcript Reference Forms from Guidance Counselor, Minister and Coach

• • • •

Boselli Award of Excellence Gator Bowl Association One Gator Bowl Boulevard Jacksonville, FL 32202

APPLICATION TO BE RECEIVED BY NOVEMBER 25, 2009

NAME

DATE OF BIRTH Last

First

/

Middle

/

Mo./Day/Year

ADDRESS Street or P.O. Box (Apt. Number)

City

State

Zip

HOME TELEPHONE (Area Code) Number

PARENT(S)/GUARDIAN(S) NAME Father’s Name

Mother’s Name

SCHOOL NAME

DATE OF GRADUATION (Anticipated)

/ Mo. / Year

SCHOOL ADDRESS Street Number

GPA

SAT (Unweighted)

City

/

/

State

Zip

ACT

(Verbal / Math / Composite)

List any AP (Advanced Placement) or IB (International Baccalaureate) courses you are taking (or have taken):

At what college/university do you hope to use this Scholarship?

First College Choice

Applied? Yes or Not Yet

Alternate Choice

Applied? Yes or Not Yet

Minister or spiritual director who will recommend you for Scholarship First & Last Name

Church/Christian Organization

Telephone Number

On my honor, I certify that this application has been completed as accurately as possible and that I will notify the Gator Bowl Association if there are any significant changes.

Applicant’s Signature

Date

Boselli Award of Excellence Scholarship APPLICATION PART II SPORTS / ATHLETIC ACTIVITIES List sports in which you have participated during high school and check the year(s) you have participated. List varsity and junior varsity sports and other athletic endeavors that incorporate a high level of skill, athleticism and time commitment (i.e. dance, gymnastics, hockey, tae kwon do, etc.) Sport

th

9

th

10

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12

Position Played/Accomplishment

EXTRACURRICULAR ACTIVITIES List school-related activities in which you have participated during high school. Include class offices, clubs, debates, music, plays, publications, special awards, student government, etc. Check the year(s) of participation for each activity and tell any leadership role you served or what significance the activity had for you. Extracurricular Activity

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9

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11

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12

Leadership Role/Personal Significance

ADDITIONAL COMMUNITY INVOLVEMENT (for the betterment of your community) List additional community activities which have not yet been mentioned, the years of participation and any major accomplishments/personal significance. These are activities in which you have participated outside school and church (i.e. community arts, Boy or Girl Scouts, special interest clubs, volunteer groups, etc. Community Service

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9

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Leadership Role/Personal Significance

Boselli Award of Excellence • Gator Bowl Association • One Gator Bowl Blvd. • Jacksonville, FL 32202 • 904-798-1700

Boselli Award of Excellence Scholarship APPLICATION PART III WORK EXPERIENCE List below any jobs you have held on an ongoing basis (i.e. babysitting, cashier, wait staff, yard work, etc.) Job

From

To

(Mo./Yr.)

(Mo./Yr.)

Employer (Name & Phone Number)

AUTOBIOGRAPHICAL ESSAY: Submit typed with this application This 500-750 word essay should be a personal statement resulting from soul-searching and deep deliberation. As you begin to brainstorm ideas for your essay, consider the following four questions: Who am I? What person or experience has made the most impact on my life? How do I maintain and enhance my physical, mental and spiritual development? What are my present aspirations and how do I envision them in relation to my future?

PLEDGE TO REMAIN DRUG-FREE, ALCOHOL-FREE AND TOBACCO-FREE On my honor, I hereby pledge that I do not currently use any controlled substances. I further pledge to abstain from any and all use of alcohol, tobacco products and illegal drugs. I understand that if I am found to be a user or under the influence of any of these substances I will be ineligible to receive this scholarship.

Applicant’s Signature

Date

SCHOLARSHIP CONDITIONS AND POLICIES I understand and agree that if I am selected as a recipient of the Boselli Award of Excellence, the scholarship will be awarded contingent upon the following conditions being met: • • • • •

I must maintain at least a 3.0 GPA during my senior year of high school and graduate from my high school I must comply with my high school’s regulations, rules and codes of conduct I must refrain from the use of controlled substances I must gain acceptance to a university or community college for the summer or fall term immediately following my graduation I must agree to comply with all university regulations, rules and codes of conduct governing students on campus

Applicant’s Signature

Date

Boselli Award of Excellence • Gator Bowl Association • One Gator Bowl Blvd. • Jacksonville, FL 32202 • 904-798-1700

Boselli Award of Excellence Scholarship Reference Form – Guidance Counselor To be completed by applicant’s School Guidance Counselor

Name of Applicant High School Attended

Name of Guidance Counselor To the best of your knowledge and with records available through the end of the first semester of the current year, the Boselli Award of Excellence Scholarship Committee would appreciate your assessment of the applicant’s standing, record and capabilities in the following areas: 1. W hat is the student’s grade point average (on an unweighted 4.0 scale)? out of

Where do you rank the student among fellow classmates? individual standing

2. SAT Score: Verbal ACT Score: English

Math Math

total students in class

Composite Reading

Science

Comp.

3. Honors/Advanced Courses taken: 4. Below (or on a separate sheet, if needed) share your observations of this student including leadership qualities, good citizenship, communication skills, involvement in school and extracurricular activities, honors and awards received, etc.

5. Please use the space below to share any additional information regarding the applicant:

Signature:

_

Date:

Boselli Award of Excellence • Gator Bowl Association • One Gator Bowl Blvd. • Jacksonville, FL 32202 • 904-798-1700

Boselli Award of Excellence Scholarship Reference Form – Coach/Athletic Trainer To be completed by applicant’s Coach or Athletic Trainer

Name of Applicant High School

Guidance Counselor

To the best of your knowledge of the above-named student up to this point in time, the Boselli Award of Excellence Scholarship Committee would greatly appreciate your assessment and/or knowledge of the applicant in the following areas: 1. How long have you known the applicant?

2. Please share what you can about this student’s attitude when facing a challenge:

3. Please share what you can about this student’s sportsmanship:

4. Do you consider this student to be a role model for peers? W hy or why not?

5. Please share any additional comments, reflections or recommendations regarding this athlete:

Signature:

Date: Please return form to applicant or applicant’s school guidance counselor.

Boselli Award of Excellence • Gator Bowl Association • One Gator Bowl Blvd. • Jacksonville, FL 32202 • 904-798-1700

Boselli Award of Excellence Scholarship Reference Form – Minister/Spiritual Advisor To be completed by applicant’s Minister or Spiritual Advisor

Name of Applicant High School

Guidance Counselor

To the best of your knowledge of the above-named student up to this point in time, the Boselli Award of Excellence Scholarship Committee would greatly appreciate your assessment and/or knowledge of the applicant in the following areas: 1. How long have you known the applicant?

2. Please share what you know about the applicant’s spiritual outlook:

_

3. Please share what you can about the applicant’s activities, community involvement and relationships:

4. Please share any additional comments, reflections or recommendations regarding the applicant:

Signature:

Date: Please return form to applicant or applicant’s school guidance counselor.

Boselli Award of Excellence • Gator Bowl Association • One Gator Bowl Blvd. • Jacksonville, FL 32202 • 904-798-1700