2. Photo for Publication (IMPORTANT â head & shoulders facing forward â no caps or bats, etc. ... ______Please c
Dixie Youth Baseball, Inc. 2017 APPLICATION FOR SCHOLARSHIP Due on or before February 1, 2017 Please PRINT clearly
NAME: ____________________________________________________________ DATE: ____________________
FIRST MIDDLE LAST
ADDRESS: CITY: STATE: ZIP: ___________ PHONE:( ) EMAIL ADDRESS: ____________________________________
PREFERRED NAME: ____________ NUMBER OF DEPENDENT CHILDREN IN FAMILY _____ AMOUNT OF OTHER SCHOLARSHIPS
AWARDED TO APPLICANT: $________ CITY AND STATE WHERE APPLICANT PLAYED DIXIE YOUTH ________________________
Applicant must be a senior in high school and must have participated in a DIXIE YOUTH BASEBALL program when twelve years old or younger. Applicant’s ability as an athlete will not be a factor in awarding scholarships. Please be aware – NCAA rules may prohibit acceptance of this scholarship if a student will be participating in an athletic program in college.
1
ALL the below required documents must be enclosed for an application to be considered complete.
Only completed applications will be considered. Do not send any materials other than the required items listed Do not fold or use staples
1. Signed Statement from a Dixie Youth local league official verifying the years the Applicant participated in a DIXIE YOUTH BASEBALL (years 12 and under) franchised league (contact the league where applicant played).
2. Photo for Publication (IMPORTANT ‐ head & shoulders facing forward – no caps or bats, etc. – plain background)
Photo Example:
______Please check here if you have emailed
[email protected] a photo – High Resolution Digital photos – only. Be sure to put the applicant’s full name in the Subject line when emailing photo.
Note: If an acceptable photo is not sent either by mail or email, your application will not be considered for the scholarship award.
3. ACT Score and/or SAT Score; Current Class Size and Rank (Example: Number 5 of 189); Grade Point Average ALL of #3 must be sent on School letterhead and signed by a school official (principal or counselor)
School letterhead – one page only
No Transcripts
4. Letter from the applicant stating desire for such aid; any jobs held; extra‐curricular activities; any other information xx that may assist the Scholarship Committee in evaluating the application – one page only.
5. Letter from parent or guardian outlining financial need and family circumstances – one page only.
The applicant is responsible for submitting all documents in 1‐5 above. Your application will NOT be considered if ALL documents are not received. This is a one‐time award of a $2,000 Scholarship made payable to the school of the winner’s choice. A minimum of 80 scholarships will be awarded. Follow the instructions to make sure your application is complete.
Send completed application to the address below postmarked by February 1: Johnny Berthelot, Chairman Scholarship Committee Dixie Youth Baseball, Inc. 110 South Bolivar St. Suite 207 __________________________________________ Marshall, TX 75670 Applicant’s Signature