Michelle Grafentin Memorial Scholarship Application

Michelle Grafentin Memorial Scholarship Application Form

Application Deadline -Dec 15, 2023
The Michelle Grafentin Memorial Scholarship will be offered in her honor to 15-20 recipients for the 2023-2024 club season. Scholarships may be awarded in $500.00 or $250.00 amounts and will be applied directly to the players club fees.
Read and follow the instructions and terms carefully, prior to submitting your application.

Scholarship Contract Terms

       1.            This scholarship will be applied to the base dues for the current season.

       2.            The scholarship recipient will work a total of 50 hours for a $500 scholarship and 25 hours for a $250.00 scholarship at events for River City Juniors and or TVA that can include:

a.       Tournaments (Adult or Youth)

b.       Week night evening programs, such as: Lil Diggers, All Skills Training, Leagues

c.       Weekend programs, such as: Lil Diggers, All Skills Training, Leagues

       3.      My duties may include:

a.       Pro Shop/Concession stand cashier

b.       Assisting teams with tournament check-in

c.       Assisting the Tournament Director with duties related to running the event

d.       Cleaning duties

       4.            The scholarship recipienthours will start in December and continue until completed.

       5.            The scholarship recipient hourly wage is based at $10.00/hr and will be applied to the sum of the scholarship.

       6.            The scholarship recipient will be a student in good standing and maintain a 2.5 grade point average.

       7.            The scholarship recipient will turn in a grade report the 1st of each month, beginning Feb 1, 2024.

       8.            The scholarship recipient has permission to work on school work when it is not interfering with their working scholarship duties.

       9.            The scholarship recipient must meet the contracted hours or reimburse River City Juniors the amount of hours multiplied by $10.00/hr still remaining to be worked or have the remainder put back as dues owed.

    10.            Should the scholarship recipient miss two working shifts without any notification that they will be absent, their scholarship will be immediately terminated and all remaining base dues will be paid by the scholarship recipient.

I, the above named recipient of the Michelle Grafentin Memorial Scholarship, have read and agree to all terms of this scholarship offer for the 2022-2023 River City Juniors Club Volleyball season.

All scholarship recipients will be notified by Dec 22 of 2023.
I have read the terms and understand I am applying for a Working Scholarship*

Yes.No.
If selected, you will be asked for documentation to support the data you provide. Likewise, all correspondence and award agreements will be generated from the personal information submitted below. So, please use proper spelling, capitalization and punctuation.
I. Personal Data:

Tell us about yourself
Full Name*

First NameLast Name
DOB:*

MonthDayYear
Players Cell No. :*

Area CodePhone Number
Player E-mail :
Home Address :*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Gender:

MaleFemale
Status at the time of application:*

My graduating class is 2024My graduating class is 2025My graduating class is 2026My graduating class is 2027My graduating class is 2028
Are you a first year River City member?

Yes.No.
What are your Volleyball Goals:

0/300
II. High School/Middle School Information:
School Attending:
Most recent cumulative GPA:
School activities, community activities, volunteer work, honors, offices held:
Are you capable of working a total of 50 or 25 hours over the course of the club season to receive your scholarship?*

YesNo
Will working the hours of 4p to 7p Monday through Friday be an issue?*

YesNo
If yes, to the above question please explain.
Will working Friday night hours be an issue?*

YesNo
Will working weekend hours be an issue?*

YesNo
If yes, to the above question please explain.
III. Parent/Guardian Information:
Father's Occupation:
Father's Cell No. :*

Area CodePhone Number
Father's E-mail :*
Where the confirmation will be sent to
Mother's Occupation:
Mother's Cell No. :*

Area CodePhone Number
Mother's E-mail :*
Where the confirmation will be sent to
Parent Marital Status:

MarriedDivorcedWidowedSingle
Total Household Income/Month
Is this income provided by:

FatherMotherBoth
Number of dependents/siblings in the same household
IV. Essay
Your essay should be 200-400 words. You should address in your essay: your goals and why a scholarship is important to you. Include any academic and non-academic accomplishments, personal characteristics, or experiences that make you uniquely worthy of scholarship consideration. This essay is to be written by the player applying for the scholarship.
Essay:

0/500
V. References
Please list three teachers as references that we may contac via email.
Full Name*

First NameLast Name
Teacher's E-mail :*
Full Name*

First NameLast Name
Teacher's E-mail :*
Full Name*

First NameLast Name
Teacher's E-mail :*
VI. Applicant's E-Signature
By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.
Player E-Signature:*
Parent E-Signature:*
River City Juniors is committed to equal opportunity in employment and education. The Club does not discriminate in any program or activity on the basis of race, color, religion, gender, age, national origin, disability, marital status, or any other protected class.
Should be Empty:

Michelle Grafentin Memorial Scholarship Application Form

I. Personal Data:

II. High School/Middle School Information:

III. Parent/Guardian Information:

IV. Essay

V. References

VI. Applicant's E-Signature