Scholarship Application

Applicant Information

Your Full Name*

Your Email*

Your Permanent Address*

Date of Birth (MM/DD/YYYY)*

Gender*
malefemale

Graduation Date (MM/DD/YYYY)*

Home Phone*

Mobile Phone*

High School*

Current GPA*

Class Rank*

Class Size*

Family Information

Father/Stepfather/Guardian Name*

Father/Stepfather/Guardian Address & Email

Mother/Stepmother/Guardian Name*

Mother/Stepmother/Guardian Address & Email

Check if Applicable:
father deceasedmother deceasedparents divorced

College/University Information

College/University You Plan to Attend*

While Attending College:
Full-time Student?yesno

Athletics & Activities

Please list all sports and extracurricular activities in which you have participated during the past four (4) years, how many years you participated in each sport or activity and any awards or accomplishments you've received in those sports or activities.

Your Involvement in Athletics

Your Involvement in Extracurricular Activities

Community Service

Please list all community service activities in which you have participated during the past four (4) years, and any awards/recognition you have received.

Your Community Service Involvement

Work Experience

Please list your paid work experience during the past four (4) years, including the employer, the nature of the work, dates of employment and average hours worked per week, beginning with your most recent position.

Your Work Experience

Essay

Please write a brief essay of 200-500 words entitled "How my high school sports experience helped prepare me for success in higher education". (You may submit this essay separately with the documents below if you prefer)

Certification

I hereby affirm that the information provided on this form is accurate and complete to the best of my knowledge.

This form must be submitted by April 1, 2017. You must also mail the following information and documentation to the address below:

• Two (2) letters of recommendation from those who have worked with you in student activities or community service programs, such as a coach, principal, guidance counselor, etc.;
• A copy of your cumulative transcripts including the most recent completed semester;
• Proof (note on school letterhead) from basketball coach that you have been or will be awarded a varsity letter in basketball.

Send to:
Scholarship Application
Classic Tournament, Inc.
P.O. Box 1887
Bloomington, IL 61702