Rick Jeffers Memorial Scholarship

Naperville Central Athletic Booster Club

For a 2015 Senior Student

The Naperville Central High School Athletic Booster Club is please to offer a

scholarship in conjunction with the Rick Jeffers Redhawk Fund. It is established

to assist students as they continue their education.

Current NCHS seniors, who have been involved in the athletic program are encouraged to apply. An essay must accompany eachapplication addressing the question, “How have you faced an obstacle in your life and become a stronger person as a result?” Items that the selection committee will

consider are years of enrollment in athletic programs or years of support to athletic

programs, diversity (how many and various sports), community service, and most of all, their essay.

A $1,000 scholarship will be awarded and the recipient named at the Senior

Athletic Awards banquet on Sunday, April 19, 2015 (5-7 pm.). All applicants are expected to be present at the banquet.

Application must be completedand returned to the Athletic Department office no later than Monday, April 6, 2015 (NOON). Applications can be obtained

in the Athletic Department office or on line at

This scholarship is made possible through the Rick Jeffers Redhawk Fund. Rick

Jeffers was a parent and active Booster Club member who passed away on March

11, 2008 after a battle with colon cancer. Rick’s three children, Blake ’03, Kara

’05 and Katlyn, ’07 were all athletes at NCHS. Rick was their biggest fan and

supporter.

Rick Jeffers Memorial Scholarship Application

PLEASE read all the instructions and complete all parts of the application.

Errors in the application process may result in the rejection of the application.

Submit all parts of this application complete with cover sheet, to Mr. Andy

Lutzenkirchen, Athletic Director.

THE DEADLINE FOR SUBMITTING THE COMPLETED

APPLICATION IS MONDAY, APRIL 6 (NOON)

Please print or type all information on this page.

Student Name ______

ID #: ______

Student Address______

City______Zip ______

Home Phone______Mobile Phone______

Email______

Student Signature ______

Parent Signature ______

Date of Application Submittal ______

Student School ID # ______

Please provide the following information.

List the sports you have participated/supported (ie , athletic training staff) while enrolled at NCHS.

Sport / Years participated (p)/supported (s) Specific years

______1__2__3__4__ Fr__So__Jr__Sr__

______1__2__3__4__ Fr__So__Jr__Sr__

______1__2__3__4__ Fr__So__Jr__Sr__

______1__2__3__4__ Fr__So__Jr__Sr__

______1__2__3__4__ Fr__So__Jr__Sr__

______1__2__3__4__ Fr__So__Jr__Sr__

List any academic or athletic awards or recognition you received during your high

school career.

______

______

______

______

______

Briefly describe any community service (in or outside of school) you have been involved in during your high school years.

______

______

______

Student School ID # ______

Please write an essay of 500 words describing “How you faced an obstacle in your

life (i.e. as an individual, student, family member, or athlete) and became a

stronger person as a result.”

Please note that proper grammar, punctuation, spelling and neatness are expected.

You may attach a word-processed essay to this application or you may hand write

it in the space below. Attach additional sheets as needed.

Student ID # : ______

Post High School Graduation Plans:

List college/vocational schools to which you have applied to for admission. If you

have been accepted and have made a decision, list that school first.

College/Vocational School ______

City ______State ______

Major ______Minor ______

Applied ______Accepted ______

College/Vocational School ______

City ______State ______

Major ______Minor ______

Applied ______Accepted ______

Parent/Guardian & Applicant Signatures

I authorize the review of this application by the aforementioned Scholarship

Committee of Naperville Central Athletic Booster Club, for the sole purpose of

consideration for this scholarship award. Futhermore, I acknowledge that the

information provided here is true and correct.

Parent/Legal Guardian Signature ______Date ______

Applicant Signature ______Date ______

Rick Jeffers Memorial Scholarship

Teacher/Coach Recommendation

Applicant: Please fill in your name and ID# below and remove this sheet from the

application. Give it to a teacher/coach who knows you well enough to make this

recommendation.

Student Name ______

Student ID # ______

In what capacity do you know this student?

Please comment on this student’s performance in your class, outside the classroom,

And/or on your team, and why you believe they are deserving of the Rick Jeffers Scholarship.

Teacher/Coach Signature ______Date ______

TEACHER/COACH:

Upon completion of this form, please return to The Athletic Dept. Office no later

than Monday, April 6 , 2015 (noon)