Scholarship

MHSBCA - Gary Vitto Scholarship

Application Form

Name________________________________ Date_______________________

High School_______________________________________________________

Recommending Coach______________________________________________

Years of H.S. Baseball__________ Other Sports_________________________

____________________________ Number of Years______________________

Chosen Institution of Higher Education__________________________________

Have you been accepted? ___________ G.P.A.___________ A.C.T__________

Class Rank ________________________ Out of_________________________

Home Address____________________________________________________

List All Non-Athletic School Activities___________________________________

Parent or Guardian_________________________________________________

Address__________________________________________________________

City_____________________ Zip _____________ Telephone_______________

Family Earned Income in Last Tax Year_________________________________

Parent’s Social Security Number______________________________________

Number of Dependent Children Attending College Next Fall_________________

High School Honors________________________________________________

Applicant needs a letter of recommendation from his coach and one other Faculty or Administrator (not Principal) attached to this form.

Please include a photograph with your application.

The applicant should attach a personal statement, discussing his personal aspirations and goals, and the importance of baseball in his life.

Coaches must be a member of the Michigan High School Baseball Coaches Association.

Verification by Principal:

I, the principal of the above named high school, verify that the information on this form and the attached letters are accurate to the best of my knowledge. I recommend this student based on the character and attributes the student has shown at this high school and community.

_______________________________________ Date ____________________

Please return by May 15 :

Tim McDonald
1005 Marlleen Dr.
Bay City, MI 48706

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