Summit Athletic Booster Club Academic Athlete Scholarship Application
One nonrenewable scholarship will be awarded to a graduating female and male student; the amount of each
scholarship is $1000.00
Criteria:
 Minimum 3.0 cumulative grade point average
 Must have attended Summit North High School for a minimum of 3 years
 Must have completed 3 sports seasons / 2 of which must be at the Varsity level (one of which must be
the Senior year, only exception would be due to an injury)
 3 letters of recommendation; letters are to be placed in sealed envelopes and seals must be stamped
or signed prior to giving to the student
 One letter from a Summit North High School Coach
 One letter from a Summit North High School Teacher
 One letter from someone outside of the school setting (cannot be a relative)
 Applicant must be accepted to a post-secondary institution at the time of the award
 Check will be written to post-secondary institution and student must provide invoice
 Parent/guardian must sign waiver for review of disciplinary and academic log for candidate to be
eligible for scholarship
Essay Requirements:
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Essay must be typed, size 12 font, double-spaced
Essay must be between 500 and 1000 words
Pages must be stapled together. DO NOT PUT NAME ON THE ESSAY.
Essay and all required documents will be turned into the office and essays will be numbered by the
office staff
 Essay must be turned into the HS office NO later than May 1st
Essay Topic:
 How has participating in sports, prepared you for the next chapter in your life?
Scholarship winners will be determined as follows:
 Essays will be graded by teacher of the Summit Academy North English Department
 A committee will be formed which may consist of Booster Club Board members, Athletic Director, Coaches and
school staff members. This committee will review application for accuracy and score based on attached rubric
 In the event of a tie, essays will be reviewed by committee for relevance of the topic. If a committee member
has a student that will be effected by this vote that member must abstain from voting
SCHOLARSHIP WINNERS WILL BE ANNOUNCED AT THE HONORS CEREMONIES
Summit Athletic Booster Club Academic Athletic Scholarship Application
Last Name_____________________________ First Name___________________________________________
Gender M/F_________ Phone #_________________________ Secondary Phone#_______________________
Current mailing address______________________________________________________________________
Phone #_______________ Date of Birth___________ How many years attending Summit_________________
List of sports you have participated in. Specify level (Varsity, Junior Varsity, and freshman) and coach’s name
Freshman Year______________________________________________________________________________
Sophomore Year____________________________________________________________________________
Junior Year_________________________________________________________________________________
Senior Year_________________________________________________________________________________
A. SPORTS PARTICIPATION
Describe your participation in SAHS athletics including manager, equipment person, & volunteering.
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
B. NON-SPORTS PARTICIPATION
Describe your participation in volunteering outside of sports, including clubs, and extra-curricular
activities, community service that you were NOT given a grade for. Community service hours will be
obtained from the High School office records.
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
C. LIST ANY ACADEMIC OR ATHLETIC HONORS, AWARDS OR SCHOLASTIC ACHIEVEMENTS
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
D. NAME OF POST-SECONDARY INSTITUTION YOU PLAN ON ATTENDING
____________________________________________________________________________________
____________________________________________________________________________________
Have you submitted an application and/or been accepted Y/N?_________
E. ACADEMIC AND BEHAVIORAL RELEASE AUTHORIZATION
I _______________________________________/ ______________________________(RELATIONSHIP
TO STUDENT) authorize release of ___________________________________________ (NAME OF
STUDENT) academic and behavioral records during his/her attendance at Summit Academy North High
School. This information may only be used for the purpose of review for the Summit Academy Athletic
Booster Scholarship.
F. STATEMENT OF UNDERSTANDING
 By signing below I certify that all information in this application is correct. If any information is
found to be false, this application will be ineligible for selection.
 I understand that the scholarship money will be disbursed to the post-secondary institution only.
 I also understand that if I withdraw and do not attend a post-secondary institution I will forfeit
scholarship funds.
 I have read this application and agree that all information is correct.
__________________________________________________________________
Applicant signature
Date
__________________________________________________________________
Parent / Guardian Signature
Date
Summit Athletic Booster Club Academic Athletic Scholarship Application
Letter of Recommendation Instructions
The Summit Athletic Booster Club will be awarding two scholarships during this year’s
Graduation Ceremony. We will be awarding a $1000.00 scholarship to one male and female
athlete. The selection committee will consider applicants based on their Academic
Achievement, Sportsmanship, Leadership, Dedication and Volunteerism.
Applicants are required to provide three letters of recommendation: one from a Summit
Academy teacher, one from a Summit Academy coach and one personal. Recommendation
letters must be signed and place in a sealed envelope with a signature on the seal. All
comments will be kept confidential. All applicants must also submit an essay answering the
following question:
How has participating in sports, prepared you for the next chapter in your life?