DIAA/HARRY ROBERTS - SENIOR SCHOLAR - ATHLETE AWARDS - ATHLETE ...

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DIAA/HARRY ROBERTS

SENIOR SCHOLAR - ATHLETE
         AWARDS
DIAA SENIOR SCHOLAR-ATHLETE AWARDS

1.    A male winner, first runner-up and second runner-up and a female winner, first
      runner-up and second runner-up will be selected based on their athletic and
      academic accomplishments, demonstrated leadership qualities, school
      recommendations and a written essay.

2.    A nominee must be a 12th grade student enrolled at a DIAA member school.
3.    A nominee must have earned at least two varsity letters in each of two different sports
      regulated by DIAA during grades 9-12.
4.    A nominee must have a cumulative (grades 9-12) GPA of at least 3.5 (4.0 scale) at the
      end of the third quarter or second trimester.
5.    Each applicant must submit a typed essay of not more than 500 words describing how
      participation in interscholastic athletics has enhanced his/her educational experience.
6.    Each applicant must submit evidence of demonstrated leadership in school-sponsored
      or community activities.
7.    A member school may submit only one male and one female nominee.
8.    Applications must be postmarked or received in the DIAA office no later than the
      third Friday in April. Mail to DIAA 35 Commerce Way, Suite 1, Dover, DE 19904.
      There will be no exceptions to the aforementioned deadline.

9.    The recipients will be selected by a committee comprised of current and former
      members of the DIAA Board of Directors as appointed by the Chairperson.
10.   Each winner will receive a plaque and a $2,000 scholarship to be used at the post-
      secondary institution (university, college, or trade school) of his/her choice. Each first
      runner-up will receive a plaque and a $1,500 scholarship to the post-secondary
      institution of his/her choice. Each second runner-up will receive a plaque and a $1,000
      scholarship to the post-secondary institution of his/her choice.
11.   A student who has accepted a full athletic or academic scholarship or who will be
      attending a service academy is not eligible for the award.
12.   The scholarship will be divided into two equal amounts and checks will be forwarded
      directly to the post-secondary institution at the beginning of each semester of the
      freshmen year.
APPLICANT

All forms and records will be kept confidential and will be returned if requested by the applicant.

FULL NAME ________________________________                 SCHOOL ____________________________

HOME ADDRESS ___________________________________________________________________

SS# ________________________________________               PHONE NUMBER _____________________

PARENTS ___________________________________,                ____________________________________
                  (Father)                                                (Mother)

Please use the checklist below. All forms and records should be submitted in one package.

         1.   ____     Credentials
                         ____ Leadership
                         ____ Academics
                         ____ Athletics

         2.   ____     Student Essay

         3.   ____     Recommendations
                         ____ Administrator/Counselor/Advisor
                         ____ Athletic Director

         4.   ____     Transcript

         5.   ____     Mail to DIAA Office (must be postmarked or received by the third Friday in April)

                                             LEADERSHIP

1. Class offices held in grades 9-12: _______________________________________________________
_____________________________________________________________________________________

2. Leadership demonstrated in class projects and activities: ____________________________________
_____________________________________________________________________________________

_____________________________________________________________________________________

3. Student government offices held in grades 9-12: ___________________________________________
_____________________________________________________________________________________

4. Leadership demonstrated in student government projects and activities: _________________________
_____________________________________________________________________________________

_____________________________________________________________________________________

5. Offices held in honor, service, vocational, academic, or recreational clubs in grades 9-12 (e.g. National
    Honor Society, Key Club, DECA, Spanish Club, Chess Club, etc.): ____________________________

_____________________________________________________________________________________

6. Leadership demonstrated in honor, service, vocational, academic, or recreational club projects and
    activities: _________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________
ACADEMICS

Cumulative GPA (grades 9-12) at time of application

Class rank at time of application                     of      ________

SAT scores       _______       ______
                    Writing         Mathematics            Critical Reading

   Year          Grade                            Academic Awards/ Honors/ Accomplishments

  _______      ________                _________________________________________________

                                       _________________________________________________

                                       _________________________________________________

  _______      ________                _________________________________________________

                                       _________________________________________________

                                       _________________________________________________

  _______      ________                _________________________________________________

                                       _________________________________________________

                                       _________________________________________________

                                       _________________________________________________

  _______      ________                _________________________________________________

                                       _________________________________________________

                                       _________________________________________________

                                       _________________________________________________

If the space provided is not adequate, attach additional pages. Include a copy of the
student’s transcript and other relevant documents.

I certify that the information listed above regarding the applicants’ academic record and
accomplishments is accurate.

                                                           ____________________________________
                                                              (Signature of Principal or Headmaster)
ATHLETICS

Please list below the sports in which you participated, the level (Freshmen, JV, Varsity)
of competition in each sport, and any athletic awards or honors that you received. If the
space provided is not adequate, attach additional pages.

                                      VARSITY LETTER               INDIVIDUAL AND TEAM
 SPORT             LEVEL                 EARNED                   AWARDS/HONORS RECEIVED
                Freshman Year

_________        ________               Yes    No          ________________________________
                                                           ________________________________
_________        ________               Yes    No          ________________________________
                                                           ________________________________
_________        ________               Yes    No          ________________________________
                                                           ________________________________
                Sophomore Year

_________        ________               Yes    No          ________________________________
                                                           ________________________________
_________        ________               Yes    No          ________________________________
                                                           ________________________________
_________        ________               Yes    No          ________________________________
                                                           ________________________________
                  Junior Year

_________        ________               Yes    No          ________________________________
                                                           ________________________________
                                                           ________________________________
_________        ________               Yes    No          ________________________________
                                                           ________________________________
                                                           ________________________________
_________        ________               Yes    No          ________________________________
                                                           ________________________________
                                                           ________________________________
                  Senior Year

_________        ________               Yes    No            ________________________________
                                                             ________________________________
                                                             ________________________________
_________           ________              Yes No             ________________________________
                                                             ________________________________
                                                             ________________________________
_________           ________              Yes No             ________________________________
                                                             ________________________________
                                                             ________________________________
I certify that the information listed above regarding the applicant’s participation in
interscholastic athletics and the awards/honors that he/she received is accurate.
                                                               ____________________________
                                                                (Signature of Athletic Director)
RECOMMENDATION OF SCHOOL ADMINISTRATOR, GUIDANCE COUNSELOR,
     SENIOR CLASS ADVISOR, OR STUDENT GOVERNMENT ADVISOR

Please comment on the applicant’s academic accomplishments and the leadership qualities that
he/she demonstrated while participating in non-athletic activities both in school and in the
community.

        _________________________                        ___________________________
          (Print Name and Title)                                   (Signature)
ATHLETIC DIRECTOR’S RECOMMENDATION

Please comment on the applicant’s accomplishments and the leadership qualities that
he/she demonstrated while participating in interscholastic athletics.

       ________________________                          _______________________
         (Print Name and Title)                                (Signature)
STUDENT ESSAY

Describe in 500 words or less (please type) how participation in interscholastic athletics
enhanced your educational experience in high school.
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