Scholarship ADULT TIGER CLUB SCHOLARSHIP. Dollar Amount: $ Telephone: Ext Deadline for Submitting: Requirements:

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Scholarship ADULT TIGER CLUB SCHOLARSHIP Dollar Amount: $300.00 Return completed application to: WCHS Guidance Office Contact Person: Guidance Office at WCHS Telephone: 574-371-5099 Ext. 2319 Applications available at: www.indianacollegecosts.org Deadline for Submitting: April 1st Requirements: Warsaw Community High School Senior athlete. One scholarship will be given for each sport. Adult Tiger Club Scholarship Application Form. Transcript of grades. Comments: List all participated sports on one application.

WCHS Adult Tiger Club, Inc. Scholarship Application Due Date: April 1 st Location: Guidance Office Name Sex Address City/State/Zip Phone Date of Birth Parent/Guardians Occupations Siblings/Ages ATHLETIC ACHIEVEMENTS List all varsity sports participated in during senior year List level achieved in each sport participated in during your career at WCHS. Varsity recognition (list each Varsity sport and mark which years completed) Junior Varsity recognition (list each JV sport and mark which years completed)

Freshman recognition (list each Freshman sports) Have you been suspended from any sport for a violation of the athletic code of conduct? Yes No If yes, please explain: ACADEMIC ACHIEVEMENTS Rank in class of GPA Honor/AP Classes? Yes No College/University/Trade School you plan to attend Have you been accepted? Yes No Career Choice Why did you choose this school and career? List all extracurricular activities/achievements during your academic career at WCHS

PERSONAL STATEMENT/REFERENCES Why should you be selected for this scholarship? List three adult character references coach, teacher, friend, mentor, etc. Name Relationship Address Phone RELEASE My signature indicates that I grant the WCHS Adult Tiger Club, Inc., scholarship committee permission to contact any/all of my references. My signature indicates my permission to release all personal and academic record to the WCHS Adult Tiger Club, Inc., scholarship committee. My signature indicates that I understand that, if awarded a scholarship from the WCHS Adult Tiger Club, Inc., I will be obligated to attend an accredited college/university/trade school; otherwise, I will forfeit the scholarship. Student Signature Date Parent/Guardian Signature Date (if under 18 years old) Revised 10/2006

WCHS Adult Tiger Club, Inc. Scholarship Guidelines Purpose The purpose of the WCHS Adult Tiger Club, Inc. scholarship is to recognize WCHS varsity athletes who have excelled in their athletic endeavors during their career at WCHS. Selection Committee A scholarship selection committee will consist of four members (one third) of the board of directors. Committee members will be appointed by the President of the Board of Directors. Application Applications will be made available in the WCHS Guidance Office. To be considered for a scholarship, the completed form must be returned to the Guidance Office by April 1st, of the student athlete s senior year. Eligibility Any student athlete who has been a member of an IHSAA recognized varsity sport offered at WCHS, and/or member of the cheerleading squad, and/or participated as a student trainer are eligible to apply. If a student athlete is the child of a WCHS Adult Tiger Club Inc., Board of Directors, that child will be given the same consideration as other applications. There is no guarantee they would be selected to receive a scholarship. Term of Scholarship The scholarship is a one time, flat $300.00, for each student athlete recipient. Number of Scholarships One scholarship will be awarded to a senior in each of the IHSAA recognized varsity sports offered at WCHS, as well as a senior cheerleader and a senior trainer. If there are no seniors involved in a sport, then no scholarship will be given in that sport for that year. Use of Scholarship The student athlete awarded a scholarship is required to attend an accredited college, university or trade school. If not, her/she will forfeit the scholarship.

Selection Criteria As the scholarship is in recognition of the student athlete s participation in interscholastic sports, the main consideration will be at the varsity level competition. The selection committee s criteria will include, but is not limited to, the following: 1. Senior: Applicant must be a senior and graduate from WCHS. 2. Varsity Competition: This is the highest level of priority in making a selection in any of the scholarships. Consideration is based on the number of varsity letters earned. 3. Honors Received: These will include, but are not limited to, MVP, MIP, All-Area, All- Conference or All-State type honors. 4. Junior Varsity Competition: Consideration will be given for junior varsity letters earned. 5. Athletic Code Violations: Any athlete that has been suspended form interscholastic competition for any two (2) violations of Group A, or any (1) violation of Group B according to the athletic code of conduct will be ineligible for consideration. 6. Class Standing/GPA: If two or more candidates have like qualifications, the selection committee will consider each candidates academic standing. 7. Extracurricular Activities: Consideration will be given to the amount of time and effort a student athlete has been to areas outside of athletics.