Gordon_Loucks_Scholarship

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Purpose:
To provide a one thousand dollar scholarship to a worthy female basketball
player from the Greater Houston Area.
Eligibility:
1. Any senior basketball player who has competed at the varsity level.
2. The basketball player nominated must not have received a basketball
scholarship.
3. If the recipient receives a basketball scholarship after she is selected
for the Gordon Loucks scholarship, she must forfeit the Gordon
Loucks scholarship.
4. The applicant’s basketball coach must be a member of the GHAGBA.
Criteria:
Every applicant will complete a questionnaire and return it to Barbara Leon
at the address listed at the bottom of this application. Scholarship
application must be received no later than February 15, 2008. The
questionnaire must have the applicant’s official transcript in a sealed
envelope. A letter of recommendation from the applicant’s basketball coach
and high school counselor must be submitted with the application.
Scholarship:
The Greater Houston Area Girls Basketball Association and its appointed
Scholarship Committee will determine the winner of the $1,000 scholarship.
Submit Scholarship Application to:
Barbara Leon
Pasadena Memorial High School
4410 Crenshaw Dr.
Pasadena, TX 77504
To the Applicant: All information will be kept strictly confidential within the Scholarship
Committee. A copy of your official transcript and letters of recommendation from your
basketball coach and high school counselor is required as part of this application. A picture
is optional. PLEASE PRINT or TYPE information.
Date:_________________________
Full Name: _________________________ _________________________ _____________
Last
First
Middle Initial
Address: ______________________________________________________________________
Street
City
Zip
Home Phone:______________________ Email Address: ______________________________
Date of Birth: _____________________ Social Security No.: __________________________
Father/Guardian:____________________________ Work Phone: ______________________
Mother/Guardian: ___________________________ Work Phone: ______________________
COLLEGE PLANS
College you will attend or hope to attend: __________________________________________
College to which you have applied:
_________________________________________
_________________________________________
_________________________________________
Accepted?
__________________________
__________________________
__________________________
Have you applied for, are you waiting for, or received a scholarship from any other source?
Source: _______________________________________ Amount:_________________________
Source: _______________________________________ Amount: _________________________
Source: _______________________________________ Amount: _________________________
What is your intended major or field of study? ______________________________________
ACADEMIC INFORMATION
SAT Score: _________________________
ACT Score: ____________________________
GPA: ______________________________
Class Rank: __________/____________
Academic Awards: _____________________________________________________________
______________________________________________________________________________
LEADERSHIP / COMMUNITY INVOLVEMENT:
List all school activities, organizations, clubs and community groups in which you have
participated. For each, list any offices held and the class year in which you participated
and /or held office.
Example: Mu Alpha Theta; Member 11th & 12th grade; President 12th grade.
Activity/Organization
__________________________
__________________________
__________________________
__________________________
Years Participated
__________________
__________________
__________________
__________________
Office Held/Yr.
__________________
__________________
__________________
__________________
List any non-athletic school or community awards you have received and the class year in
which you received them:
Award Received
Year Received
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
______________________
______________________
______________________
______________________
______________________
Describe any community work in which you have participated. Please include the class
year and number of hours spent at that activity.
Example: Volunteered at home for elderly – 1 hour per week – junior & senior year.
Activity
_________________________
Est. Hours
Year Participated
BASKETBALL ACCOMPLISHMENTS
How many years on Varsity team? __________________
How many years in basketball program? _______________
List the individual basketball accomplishments you have received and the year.
Example: First Team All District – Junior year. TABC First Team All Region – Junior .
Accomplishment
_________________________________________
_________________________________________
_________________________________________
_________________________________________
_________________________________________
_________________________________________
Year(s)
___________________
___________________
___________________
___________________
___________________
___________________
List the team accomplishment while you were on the Varsity Team and the year.
Example: District Champions – 2006, Region Semifinalist – 2006
Accomplishment
Year(s)
_________________________________________
________________________________________
Applicant’s Signature
________________________
Date
________________________________________
Head Basketball Coach’s Signature
________________________
Date
Please attach a copy of your official transcript and a letter of recommendation from your
head basketball coach and high school counselor.
DEADLINE FOR APPLICATION IS FEBRUARY 15, 2008
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