Greensboro Community Swim Association Annual College Scholarship

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Greensboro Community Swim Association Annual College Scholarship The Greensboro Community Swim Association (CSA) manages the Annual College Scholarship Program allocated by vote of the Board of Directors. The scholarships are awarded based upon the decision of the Scholarship Selection Committee, in accordance with the following criteria: Eligibility for Scholarship Scholarship applicants shall be current CSA swimmers who are in their final year of eligibility with CSA, have been on a CSA team for a minimum of 2 years and reside in Guilford County, NC. They must be accepted into an accredited institution of higher education. Term of Scholarship The scholarship is a single grant, NOT a recurring annual scholarship. It will be paid directly to the accredited institution of higher education to which the individual has been accepted. Amount of Scholarship The total amount available for all the annual scholarships will be determined by a vote of the CSA Board of Directors. Four girls and four boys will each be awarded $500.00 scholarships for 2012. Scholarship Selection Committee The Scholarship Selection Committee will consist of five members each of who are members of CSA pools. Of the five members, at minimum, one member will be from the CSA Board of Directors and one member will be from the CSA Executive Committee. The Scholarship Selection Committee will be appointed by the CSA Board of Directors to determine the eligibility and overall quality of the swimmers applications. NOTE - No Scholarship recipient can be related to any Scholarship Selection Committee member. Selection Criteria The following criteria will be used in determining the scholarship recipients percentage indicates weight of selection criteria toward final decision: 1. Personal Qualifications a. Years of membership in CSA - minimum of 2 years b. Graduating High School Senior residing in Guilford County, NC c. Minimum GPA of 2.5 on an unweighted scale 10% d. Community involvement 20% e. Future plans and goals 20% f. Essay 20% 2. CSA Summer Swim Coach recommendation 20% 3. Teacher/Mentor/Coach/Minister, etc. recommendation 10%

Greensboro Community Swim Association Annual College Scholarship 2012 Application Due Date Monday, June 25, 2012 Please type or print legibly Name: Gender: Last, first, middle Address: Telephone: E-mail: Parent/Guardian: For the below questions, please do not use your name to facilitate the Selection s Committee s anonymous selection of the recipients. For CSA use only CSA Scholarship Package Identifier:

High School: Home School? Yes/No Address: Unweighted GPA: CSA Team(s): Year(s)participated: Please list activities below with most current first and include years involved. 1. School activities and recognition received: 2. Sports participated in and recognition received: 3. Community activities and recognition received:

4. Employment: (summer Jobs, seminars, volunteer work, after school jobs, etc.). Include number of hours per week worked and year: 5. List institutions of higher learning to which you have been accepted: 6. State your intended educational objectives:

7. State your future plans and goals: 8. Essay - Write in 500 words or less on a separate sheet How has your involvement with swimming impacted your life?

Greensboro Community Swim Association Annual College Scholarship CSA Summer Swim Coach I recommend to be considered for The Greensboro Community Swim Association Annual College Scholarship based on the following (Please do not use the swimmer s name in the recommendation to facilitate the Selection s Committee s anonymous selection of the recipients): CSA Summer Swim Coach Name: please print CSA Summer Swim Coach s Signature Date

Greensboro Community Swim Association Annual College Scholarship Teacher/Mentor/Coach/Minister - not the same as the CSA Summer Swim Coach I recommend to be considered for The Greensboro Community Swim Association Annual College Scholarship based on the following (Please do not use the swimmer s name in the recommendation to facilitate the Selection s Committee s anonymous selection of the recipients): Teacher/Mentor/Coach/Minister Name: please print Number of years coaching this swimmer: Teacher/Mentor/Coach/Minister s Signature Date

Certification: In submitting this application, I certify that the information provided is complete and accurate to the best of my knowledge. If requested, I agree to give proof of the information I have provided in this application. Falsification of information may result in termination of any scholarship granted. This application becomes the property of the Greensboro Community Swim Association College Scholarship Committee. Successful applicants agree that the Greensboro Community Swim Association may use their name and essays in any future marketing or news releases informing appropriate sources of the scholarship awards. Applicant s Signature Date Parent/Legal Guardian Signature Date Mailing Requirements: Mail completed applications to: CSA Scholarship c/o Steve Snyder 4318 Windlestraw Lane Greensboro NC 27410 All applications must be postmarked on or before Saturday, June 23, 2012, or hand delivered to Steve Snyder on or before Monday, June 25, 2012 by 7 p.m. Late applications will NOT be considered. Do NOT hand off your application to others to deliver. This application is private and confidential.