Michigan Chapter of U.S. Lacrosse
Michigan College Scholarship -- 2016 Application
$1,000 (each) to Male and Female Lacrosse Scholar-Athletes, graduating high school in 2016. The number of scholarships will be determined by the committee based on number and quality of applications and availability of funds.*
Payment will be made to the student upon proof of college enrollment.
Application must be postmarked by May 13, 2016
Awards Announced About June 3, 2016
I.Personal Information
1. Gender: Male Female2. Date of Birth:
3. Name:
4. Address:
4a. Email address*
4b. Telephone
*Winners will be notified at this email address. If you don’t monitor it, you won’t know result.
5. High School:
6. Name of Parent or Legal Guardian:
7. Address of Parent or Legal Guardian:
8. Michigan College or University you will be attending in the fall of 2016:
(If awarded, payment of the scholarship will be made when you send us proof ofenrollment in [not just acceptance to] a Michigan College or University for fall, 2016. A $1,000 lump sum check is paid to each winner.)
II.Academic achievement is worth (25%): (Applicants must have a minimum GPA of 3.0 as of the end of their first semester senior year (on 4.0 scale, or equivalent on other scales), to be eligible for consideration. Applicants must have their school send an official transcript to the address at the end of this application, postmarked not later than 5.13.16, or you may include an official transcript in a sealed envelope with this application.)It is your responsibility to meet this deadline.
1.GPA: _____ out of ______
2.Transcript: _____ included _____ coming from school
* The Scholarship Committee reserves the right to modify the requirements at any time to further the purposes of the scholarship, without publication.
III.Lacrosse Involvement (Worth 25%)
1. U.S. Lacrosse Member since: ______Membership #: ______
(Applicant must be a U.S. Lacrosse member at the time of application)
2. High school team during the 2016 MHSAA Lacrosse season:
(Applicant must be active on his/her school’s team in the 2016 season to be eligible for consideration)
3. History of your involvement in Lacrosse. On a separate sheet of paper, detail your high school lacrosse experience as well as well as any other involvement in lacrosse such as coaching, refereeing, off season play, etc.
IV.References (Worth 25%)
Please supply two references, one coming from your 2016high school lacrossecoach or coach of a club you’ve played on, plus one other coming from a person who knows you personally (but not one of your 2016 lacrosse coaches and not a family member). Have your references send their letters to the address at the bottom of this application. References must be postmarked no later than 5.13.16. It is your responsibility to meet this deadline.
List the names, titles and contact information of your references below:
1. Contact:
2. Contact:
V.Personal Statement (between 300-700 words) (Worth 25%)
How has lacrosse prepared you for college? Please attach your answer.
VI.Checklist:
1. Mail(DO NOT E-MAIL OR FAX) this completed application with attachments to:
Michigan Lacrosse Scholarship
c/o Robert Stevenson
301 East Liberty Street, Suite 500
Ann Arbor, MI 48104
Attachments are:
- Your history in lacrosse (Item III. 3)
- How lacrosse prepared you for college (Item V.)
- Your Michigan college or university letter of acceptance, if available now (Item I.8.)
2. Have your high school forward an official transcript to the above address if you have not included a sealed transcript with your application. (Item II.2)
3. Ask each of your references to mail their letters to the same address (Item IV.)
4. No fax, no e-mail, no hand-delivery, ONLY U.S.MAIL OR FEDEX, ETC.NO EXCEPTIONS.
IT IS YOUR RESPONSIBILTY TO ASSURE THAT YOUR COMPLETE APPLICATION, TRANSCRIPT AND REFERENCES HAVE BEEN POSTMARKED BY 5.13.16.
*The Committee has final discretion in all matters pertaining to number of scholarships to be awarded and the factors applied in making awards. If applicant is awarded a scholarship, applicant agrees that USLM may include in public announcements, etc. the applicant's name and other information contained in the application. Applicant agrees to USLM's use of and access to all materials submitted with the application, and authorizes references, coaches, athletic directors and other school authorities, and USLM, to discuss applicant's qualifications, background and other relevant information.
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APPLICANT'S SIGNATUREDATE SIGNED
______
SIGNATURE OF PARENT OR GUARDIAN*DATE SIGNED
*IF APPLICANT IS NOT 18 YEARS OLD ON DATE OF SIGNING, PARENT, GUARDIAN, OR OTHER ADULT, AUTHORIZED TO CONTRACT ON BEHALF OF APPLICANT, MUST SIGN ON BEHALF OF APPLICANT.