T-Bird Booster Club Scholarship

Due to Mrs. Reuter by March 19th

(You may generate this application with the computer using this format.)

Name:

Address:

City:                                                State                        Zip

School to which you have been accepted and plan to attend:

Tuition (only) for 1 year:

Major declared:                                        Anticipated years of study:

Describe why you want to pursue a post-secondary education.

You have made a contribution to the athletic program at Johnson County Central. Describe the benefits you have gained by participating in high school athletics and how they have affected your life.

A great deal of success of an athletic program is dependent upon the commitment of the athlete in the off-season. Please describe how you prepared for athletic success prior to your senior year.

Please list the sports you have been involved in and the years of participation.

Describe your involvement with any T-Bird Booster sponsored events.

List scholarships already received and value.

Please attach a list of awards, honor, and offices held in school, community, church and any other activities of involvement, including work experiences.  Please list volunteer service. (Grades 9-12 only)

Date:                                 Applicant Signature:                                                         

Date:                                 Parent/Guardian Signature: