AMA District 17 Club Council
Scholarship Application
Eligibility:
The District 17 Club Council Scholarship is designed to recognize a rider embodying principles of good scholarship, sportsmanship, citizenship and participation in District 17 events. The District 17 Board of directors can award a Scholarship based on the recommendation of The Scholarship Committee in the amount of $ 500.00 to one or more riders who meet the following criteria.
Applicants must be a full-time student in an accredited high school with senior standing, or currently enrolled student at an accredited community college, college or university, or Vocational/technical School. Applicants must be a District 17 member and ride in one or more District 17 events during the year in which the application is filed.
The Scholarship Committee will consider grades, participation in extracurricular activities, participation in community activities, and participation in District 17 events. The following application and essay must be completed to be eligible for consideration for the District 17 Club Council Scholarship.
Essay
Pick one of the following subjects and submit a minimum of one typed page (500 words) essay (single space, 14-point Arial font) with the completed application.
· What being a member of District 17 means to me.
· What being a member of AMA/ATVA means to me.
· How being a motorcycle / ATV rider has affected my life.
· How I see my future in sport.
Application
must be received no latter then September 15 of the current year.
Mail to:
Email to:
George Barrington Scholarship@JerserypineCruisers.org
Date ____/____/____
Applicant Name ____________________________________ Date of Birth ___/___/___
Address __________________________________ Phone Number (_____) ____-______
Parent Name ______________________________
Address __________________________________ Phone Number (_____) ____-______
Currently enrolled in: (Check one
and complete the required information)
ð High School
ð Community College
ð College or University
ð Vocational/Technical School
Name __________________________________________________________________
Address __________________________________ Phone Number (_____) ____-______
Grade Point Average ______ Scale ______ Class Rank _______
Month / Year of Graduation ____/____
Extracurricular/ Community Activities ________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
If currently attending high school what
school will you be attending next:
Name of School __________________________________________________________
Address ________________________________________________________________
Major Field of study _______________________________ Minor __________________
Career Goal _____________________________________________________________
Month and Year classes start _____/_____
If you have graduated high school
Major Field of study ________________________________ Minor _________________
Career Goal _____________________________________________________________
District 17 Member
ð No
ð Yes AMA Number __________ Number of years a District 17 Member ___________________
Last District 17 event you rode:
Date ___/___/___ Type of event _______________________________________
Location __________________________________________________________