Schmitz Scholarship .pdf

Rob Schmitz Scholarship award
APPLICATION FORM
The Florida High School Hockey association in conjunction with the Rob Schmitz Scholarship committee is
pleased to offer the Rob Schmitz Scholarship Award to all senior players in good standing with the FHSHA
Criteria: A)
B)
C)

Applicant must be a full time college student in upcoming academic year;
On the active roster of an FHSHA member team for the season in which application is made;
Minimum cumulative GPA of 2.0 scholarship,

Requirements: 1)

Student-Athlete must demonstrate: Academics, Athletic skill, sense of humor, leadership
and community service.

2)

Typed written Essay (250 words or less) describing your goals, extracurricular
activities, community service, hobbies, and why you are deserving of this scholarship.

3)

Two (2) Letters of Recommendation – One from a school a high school teacher or
administrator and one from a community member.

ALL AREAS MUST BE COMPLETE TO BE CONSIDERED FOR SCHOLARSHIP – please print clearly or type:
NAME:

______

Mailing Address:
_______
City:
__________________________________________________
________________________________________________________________________
Home Phone Number: (
)
Cell phone number: (
) __________________________
Birth Date: _______/_____/________
Email address:

@________________________

High School You Attend: _____________________________________
Student Identification Number:
High School Hockey Team: ____________________________________.

Grade Point Average (GPA)
ACT Composite Score

State Unweighted

Position: ______________

District Weighted

SAT Composite Score _____________

College or educational institution you plan to attend:
Intended college major/vocational-technical program:

VERIFICATION OF APPLICATION
I certify that all information on this form is true to the best of my knowledge. I have read and understand the criteria of the scholarship
that I am applying for, and I also understand that this application only makes me eligible for consideration in the selection process. I
further agree to give permission to have my transcripts and test scores attached to my application. Should I be selected as a
scholarship recipient, I agree that a copy of my application may be given to the scholarship donor. Final choice of the recipient will be
made by the selection committee. My name and photograph may be publicized as a scholarship recipient.

_________
Applicant Signature
__________________________________________________
Parent / Guardian Signature

DUE DATE: All applications and required documents & attachments are due by January 10, 2014.
Mail To: Rob Schmitz Scholarship c/o 3820 Northdale Blvd., #312, Tampa, Fl., 33624

Rob Schmitz
Scholarship award
1- Given to a senior hockey player who is a full time high school student, from an FHSHA approved team, whom
shall be a full time college student in next academic year.
2- The scholarship will paid to the college of their choice in the amount range of $500 -$1000 for their first year of
college. Checks will be sent to directly to the school upon enrollment verification. The amount is still to be
determined.
3- That some of the criteria for this scholarship shall be hockey skill, sense of humor, leadership and community
service.
4- The requirements to apply for this scholarship would be a completed application form, an essay on why you
are deserving of this award in 250 words or less and 2 letters of recommendation. Additionally all applicants
should have a minimum 15 minute interview with the selection committee.
5- There will be a selection committee made up of 3-5 individuals that will make the final selection. The
committee to include (at this time) Rick Peckham, Amy Schmitz, Doug Tripp, and 2-TBA.