PLAY-MOR DART LEAGUE’S

“SHOOT FOR SUCCESS”

SCHOLARSHIP APPLICATION

2008-2009

THIS SCHOLARSHIP IS AVAILABLE FOR THE CONTINUING EDUCATION OF A CURRENT PLAY-MOR DART PLAYER OR A MEMBER OF THEIR IMMEDIATE FAMILY.

APPLICATION FILING DEADLINE

JULY 15, 2009

RETURN APPLICATION’S TO:

PLAY-MOR PROMOTIONAL SERVICES

ATTENTION: BETH RAINES

P.O. BOX 40

SULLIVAN, MISSOURI 63080

573-468-5347 EXT. 400

ELIGIBILITY REQUIREMENTS

1. TO BE ELIGIBLE, APPLICANT MUST BE A CURRENT PLAY-MOR DART LEAGUE PLAYER OR A PERSON OF THE IMMEDIATE FAMILY OF A PLAYER(HUSBAND, WIFE,MOTHER, FATHER,SON, DAUGHTER, GRANDCHILD, BROTHER OR SISTER). A CURRENT PLAYER MAY NOMINATE EITHER THEMSELVES OR ANY ON THE ABOVE LISTED FOR A CHANCE TO WIN THE “SHOOT FOR SUCCESS SCHOLARSHIP”.

2. APPLICANT MUST BE REGISTERED FOR THE FALL SESSION OF ANY CONTINUING EDUCATION PROGRAM OR ANY COLLEGE OF THEIR CHOICE. PROOF OF THIS WILL BE REQUIRED BEFORE SCHOLARSHIP WILL BE AWARDED.

3. WRITE A PERSONAL STATEMENT (AS DESCRIBED BELOW) NOT TO EXCEED THREE PAGES, DOUBLE SPACED AND TYPED.

4. SUBMIT OR MAIL THE COMPLETED SCHOLARSHIP APPLICATION AND PERSONAL STATEMENT TO THE ADDRESS LISTED ABOVE, ON OR BEFORE JULY 15, 2009.

PROCEDURES

COMPLETED APPLICTIONS THAT MEET THE ABOVE CRITERIA AND ARE RECEIVED OR POSTMARKED BY 7/1/09 DEADLINE WILL BE REVIEWED BY THE SCHOLARSHIP COMMITTEE. STUDENTS SELECTED TO RECEIVE THE SCHOLARSHIP WILL BE AWARDED THE SCHOLARSHIP AT OUR FINAL EVENT ON SATURDAY AGUST 15, 2009 AT THE SULLIVAN EAGLES HALL.

APPLICATION (TYPE OR PRINT)

NAME________________________________________________________

RELATIONSHIP TO PLAYER ____________________________________

ADDRESS_____________________________________________________

PHONE #__________________EMAIL ADDRESS____________________

YEAR OF COLLEGE AS OF FALL 2009_____GPA___________________

MAJOR___________________________MINOR_____________________

CAREER/PROFESSIONAL GOAL_________________________________

WRITE A PERSONAL STATEMENT IN WHICH YOU TELL THE SCHOLARSHIP COMMITTEE ABOUT YOURSELF. ANSWER ANY OR ALL OF THE FOLLOWING QUESTIONS IN A STATEMENT THAT IS TYPED OR PRINTED, DOUBLE SPACED AND DOES NOT EXCEED 3 PAGES.

1. WHAT ARE THE SIGNIFACATE FACTORS OR EVENTS IN YOUR LIFE THAT HAVE IMPACTED YOUR DESIRE OR ABILITY TO ATTEND COLLEGE?

2. WHO INSPIRED YOU THE MOST?

3. WHOM HAVE YOU HELPED?

4. HOW HAVE YOU CONTRIBUTED TO YOUR COMMUNITY OR SCHOOL?

5. WHAT ACADEMIC ACHEIVEMENTS ARE YOU PROUD OF?

6. WHAT ARE YOUR CAREER OR ACADEMIC GOALS?

ALL INFORMATION COLLECTED AS PART OF THE APPLICATION PROCESS FOR THE “SHOOT FOR SUCCESS” SCHOLARSHIP WILL BECOME THE PROPERTY OF THE SCHOLARSHIP COMMITTEE AND BE KEPT CONFIDENTIAL FOR THE USE OF SELECTING A WINNER OF THE SCHOLARSHIP ONLY.

My signature below certifies that I have read and understood all the conditions and requirements of the application of the “Shoot for Success” Scholarship.

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Signature