John Champe Athletic Booster Club Scholarship
Four student athletes to be selected for scholarships in the amount of $500 each (for a total of
$2000) to be awarded to qualifying senior athletes for the 2014-15 academic school year.
CRITERIA:
Candidate has successfully completed a minimum of one season of a VHSL sport at John
Champe High School at the varsity level.
Candidate’s family must be a current member of JCABC by May 1, 2015.
Candidate must be a graduating member of the senior class.
Candidate must have a 2.75 minimum GPA.
Candidate must complete the JCABC scholarship application and submit a short essay that
speaks to the question, “How has participating in the athletic program at John Champe High
School made an impact on me?”
Deadline:
May 1, 2015
Selection:
JCHS Guidance Department Scholarship Committee.
Applications are available on-line and in the JCHS Career Center.
John Champe Athletic Booster Club Scholarship: Application
The John Champe Athletic Booster Club (JCABC) is pleased to provide scholarships to
graduating senior athletes for the 2014-2015 school year based on academic and athletic merit.
Four student athletes will be selected for scholarships offered in the amount of a one-time award
of $500 each.
Applicant Name: _______________________________________________________________
Parent/Guardian: _______________________________________________________________
Address: ______________________________________________________________________
Phone: __________________________________ Cell: ________________________________
Student Email: _____________________Parent/Guardian: Email_________________________
Please submit the following items to:
Maria Porto, Career Center Specialist
Attention: Scholarship Committee
John Champe High School
41535 Scared Mountain Street
Aldie, VA 20105
Include in your packet:
_____This cover sheet including completed check list with your name and contact information.
_____A copy of your unofficial transcript.
_____Your completed chart of sports participation and/or extra-curricular activities during your
high school career.
_____Your essay which answers the question, “How has participating in the athletic program at
John Champe High School made an impact on me?” Your essay should be one page, doublespaced, size 12 font.
_____Two letters of recommendation. Can be submitted independently from this packet.
Letters of recommendation should be from non-relative adults. Only one can be from a John
Champe High School athletic coach or faculty member. Please list references below.
Letters of recommendation were requested from the following individuals:
1. Name: _________________________ Phone/email:_____________________________
2. Name:__________________________ Phone/email:_____________________________
Other Activities
Wrestling
Volleyball
Track & Field
Tennis
Swimming
Softball
Soccer
Lacrosse
Gymnastics
Golf
Football
Cross Country
Cheer
Basketball
Baseball
Name:
Year played
9
FR/JV/V
Year played
10
JV/V
Year played
11
JV/V
Year played
Athletic History
12
JV/V
and year(s) received
Letters/awards
John Champe Athletic Booster Club Scholarship: Essay
Name: ___________________________________________ Date: _______________________
“How has participating in the athletic program at John Champe High School made an impact on
me?” Your essay should be one page, double-spaced, size 12 font. You may use the space
below or write your essay on a separate piece of paper. Please make sure you attach to your
packet, and your name and the date is included on your essay.
John Champe Athletic Booster Club Scholarship: References
Letter of recommendation for: _________________________________ Date: ______________
Thank you for completing this form, and for writing and submitting a letter of reference for the
above named student for the John Champe Athletic Booster Club scholarship. The JCABC
scholarship is a one-time award of $500 offered to JCABC student athletes for the 2014-2015
school year. The JCABC will offer four such awards for the 2014-2015 school year. The
candidate you are recommending for one of those scholarships must be a graduating senior, with
a minimum 2.75 GPA who has successfully completed a minimum of one season of a VHSL
sport at John Champe High School at the varsity level. The recipient of the JCABC scholarship
will be selected by the JCHS Guidance Department Scholarship Committee.
Please submit this form and any attached documentation by May 1, 2015 to:
Maria Porto, Career Center Specialist
Attention: Scholarship Committee
John Champe High School
41535 Scared Mountain Street
Aldie, VA 20105
Below
Average
Average
Above
Average
Excellent
Outstanding
Don’t know
Academics
Leadership
Character
Maturity
Extracurricular
Activities
Other
Your name: ___________________________ Relationship to student: _____________________
Signature: _____________________________________________________________________
Phone: __________________________________ Email: ______________________________
John Champe Athletic Booster Club Scholarship: References
Letter of recommendation for: _________________________________ Date: ______________
Thank you for completing this form, and for writing and submitting a letter of reference for the
above named student for the John Champe Athletic Booster Club scholarship. The JCABC
scholarship is a one-time award of $500 offered to JCABC student athletes for the 2014-2015
school year. The JCABC will offer four such awards for the 2014-2015 school year. The
candidate you are recommending for one of those scholarships must be a graduating senior, with
a minimum 2.75 GPA who has successfully completed a minimum of one season of a VHSL
sport at John Champe High School at the varsity level. The recipient of the JCABC scholarship
will be selected by the JCHS Guidance Department Scholarship Committee.
Please submit this form and any attached documentation by May 1, 2015 to:
Maria Porto, Career Center Specialist
Attention: Scholarship Committee
John Champe High School
41535 Scared Mountain Street
Aldie, VA 20105
Below
Average
Average
Above
Average
Excellent
Outstanding
Don’t know
Academics
Leadership
Character
Maturity
Extracurricular
Activities
Other
Your name: ___________________________ Relationship to student: _____________________
Signature: _____________________________________________________________________
Phone: __________________________________ Email: ______________________________