Madison Area USBC Youth Association

William Vitense Scholarship

Applicant Personal Data

FORM #1

  1. Application Data //
  2. Applicant’s Name
  3. Applicant’s Address
  4. Birthdate //Age Telephone
  5. Parent or Guardian’s Name
  6. High School Information
  7. School Name
  8. School Address
  9. List activities in which you have participated in since March of your Junior year to present time.
  10. List Honors, Awards or other Special Recognition you have received.
  11. College Information (College you have been accepted to)
  12. College Name
  13. Collage Address
  14. Proposed Course of Study
  15. Will you be attending college if this scholarship is not granted?E Yes No
  16. List of OUT OF SCHOOL activities which you participated in since March of your Junior year until present time, including church, scouting, junior achievement, volunteer work, etc….
  17. List Employment Information for the last 2 years

Name of Company / Dates Employed / Hours Worked per Week / Supervisor’s Name / Telephone Number / Job Title

Please return with a 250 word or more essay on "How Bowling Has Influenced Me and How This Scholarship Will Effect My Future."

Madison Area USBC Youth Association

William Vitense Scholarship

Applicant Bowling Data

FORM #2

  1. Application Data //
  2. Applicant’s Name
  3. Applicant’s Address
  4. Madison Youth Area USBC Membership (Sanction) Number
  5. Name of Leagues currently participating in
  6. League NameBowling Center
  7. League NameBowling Center
  8. League NameBowling Center
  9. League NameBowling Center
  10. League NameBowling Center
  11. Attendance Record Excellent GoodPoor
  12. Bowling Offices Held (including and league office, association director or officer, youth leader)
  13. Office Held Year(s) Office Held
  14. Office Held Year(s) Office Held
  15. Office Held Year(s) Office Held
  16. Office Held Year(s) Office Held
  17. Office Held Year(s) Office Held
  1. Current Season Average Current Composite Average
  2. State Tournament Participation Number of years
  3. City Tournament Participation Number of years
  4. Other Sanctioned Tournament Participated in(Please feel free to use additional paper to complete your information )
  5. Tournament Name Number of times participatedYears
  6. Tournament Name Number of times participatedYears
  7. Tournament Name Number of times participatedYears
  8. Tournament Name Number of times participatedYears
  9. Tournament Name Number of times participatedYears
  10. Tournament Name Number of times participatedYears
  11. Tournament Name Number of times participatedYears
  12. Tournament Name Number of times participatedYears
  13. Other Bowling Activities Participated in (Please feel free to use additional paper to complete your information )
  14. Bowling Activities Number of times participatedYears
  15. Bowling Activities Number of times participatedYears
  16. Bowling Activities Number of times participatedYears
  17. Bowling Activities Number of times participatedYears
  18. Bowling Activities Number of times participatedYears
  19. Bowling Activities Number of times participatedYears
  20. Bowling Activities Number of times participatedYears

This part of Form #2 can be handed to the coach to be filled out and returned to you by April 1. .

  1. Coaches evaluation
  2. Does this candidate
  3. Set a good example
  4. Show leadership
  5. Please describe the candidate’s qualities, values, etc…..
  6. Please explain why you feel this candidate deserves this scholarship

Coaches Name

Address

Signature Date

Please return this information to the applicant by April 1. There should be an envelope provided, if not please insert this information and seal the envelope before giving back to the applicant.

Thank You for your assistance and cooperation

The Madison Area USBC Youth Scholarship committee

Madison Area USBC Youth Association

William Vitense Scholarship

Applicant School Data

FORM #3

  1. Applicant’s Name
  2. High School Information
  3. School Name
  4. School Address
  5. Applicant’s Information
  6. National Standard Score ACT SAT
  7. Seven Semester Cumulative Grade Point Average
  8. Number in Graduating Class Your Class Ranking
  9. Attendance Record
  10. Additional information that will be helpful in evaluation of this candidate
  11. Please provide or attach a copy of the candidates grade transcript
  12. School Official Information
  13. Name of School Official (Please Print)
  14. Job Title
  15. Telephone number
  16. School Official Signature Date

Please return this information to the applicant by April 1. There should be an envelope provided, if not please insert this information and seal the envelope before giving back to the applicant.

Thank You for your assistance and cooperation

The Madison Area USBC Youth Scholarship committee