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LA GRANGE BAND BOOSTER CLUB
SCHOLARSHIP REQUIREMENTS
and APPLICATION
APPLICATION PROCEDURE AND DEADLINE
The application packet must be completed and returned to the HIGH
SCHOOL COUNSELOR’S OFFICE or to the SCHOLARSHIP COMMITTEE
CHAIR by 3:30 PM on Friday, March 31, 2017.
ABSOLUTELY NO LATE APPLICATIONS
WILL BE ACCEPTED!!
NO EXCEPTIONS!
A completed application packet consists of:
1. A completed scholarship application form.
2. A copy of the applicant’s transcript for all academic work.
Transcript must include class rank, class size, grade point average
and any college admissions tests scores.
3. A transcript of band activities that must be verified and signed by Mr. Riley.
Any questions should be directed to one of the following:
Laurie Stork – Chair………………………………email: [email protected] Laura Mazoch – Junior Rep…………………….email: [email protected] Dawn Givan – Sophomore Rep………………..email: [email protected] Kim Newton – Freshman Rep………………….email: [email protected]
Page 1 Revised 7/5/16
LA GRANGE BAND BOOSTER CLUB
PURPOSE
The purpose of the La Grange Band Booster Club Scholarship is to assist current High
School Band seniors in beginning their higher education, and to recognize outstanding
achievement, dedication and participation in the La Grange High School Band.
Applicants should try and participate in all band activities, be strong academically,
exhibit leadership qualities and be of good character.
SCHOLARSHIP INFORMATION
The La Grange Band Booster Club Scholarship Committee will select qualified
applicants and determine amounts awarded to each recipient. The Scholarship
Committee will consist of one parent representative for each grade* (Freshman,
Sophomore and Junior), and one atlarge representative. *Parents of senior class
band members are not eligible to serve on the Scholarship Committee.
Scholarship recipients must present a current college registration schedule showing a
minimum of 12 semester hours to Jennifer Rebecek at the La Grange Independent
School Administration Office by December 1, 2017. Scholarship monies will be sent
directly to the university, college or trade school of student’s choice.
IMPORTANT: Scholarship monies will be forfeited if not claimed by December 1, 2017, unless prior arrangements have been made with the La Grange Band Booster
Club President. Any special circumstances must be presented to the President and voted on by La Grange Band Booster Club members on or before November 1, 2017.
If special circumstances are granted to a scholarship recipient, all scholarship money
must be claimed by April 1, 2018.
This will be the ABSOLUTE FINAL DEADLINE to claim scholarship money.
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LA GRANGE BAND BOOSTER CLUB
SCHOLARSHIP ELIGIBILITY REQUIREMENTS
To be considered for a La Grange Band Booster Club Scholarship, the student
must:
➢ Be a band student with 4 years participation in the La Grange High School Band
(transfer students must provide proof of complete participation at previous school).
➢ Actively pursue UIL competition in both fall and spring semesters, and participate
in the winter and spring concerts; transcript must indicate student has earned 8
semesters of credit in band.
➢ Be enrolled in La Grange High School prior to graduation.
➢ Have met all graduation requirements that have been set by La Grange ISD.
➢ Have been active in as many nonrequired band activities as possible. This will
determine amount of scholarship.
➢ Have been accepted to their desired college, university or trade school.
➢ Have a Parent or Legal Guardian registered as a current LGBBC member by the
first Tuesday of October ( or the October Band Booster meeting). The date this
year is: October 4, 2016.
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LA GRANGE BAND BOOSTER CLUB
APPLICATION FORM
Name of college, university or trade school you plan to attend in the fall, 2017:
Proposed college, university or trade school Major:
What are your career plans?
WORK ACTIVITIES
Please indicate any employment or workrelated activities that you currently are,
or have been, responsible for while in high school. You may include employment
performed at home or related to a family business.
COMMUNITY / CHURCH ACTIVITIES
List any community and/or church activities that you currently are, or have been,
involved in throughout high school.
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LA GRANGE BAND BOOSTER CLUB
BAND ACTIVITY PARTICIPATION
Please place a check (✓) in the box that corresponds to each of the following events
you have participated in or achieved while a member of the La Grange High School
Band (or other band program).
Band Events 9th grade 10th grade 11th grade 12th grade *LHS Band Member
*UIL Marching Contest
*UIL Concert & Sight-reading Contest
*LHS Band Winter Concert
*LHS Band Spring Concert
Marching Contest #1 (Blinn, Vista Ridge,
New Braunfels, Central Texas, Yamaha Cup, Bands of
America, or other)
Marching Contest #2 (see above list on #1)
Marching Contest #3 (see above list on #1)
ATSSB Region Band Audition
ATSSB Region Band Placement
ATSSB Area Band Audition
ATSSB Area Band Placement
ATSSB State Band Audition
ATSSB State Band Placement
UIL Solo Participation
UIL Solo Advanced to State
UIL Ensemble Participation
UIL Ensemble Advanced to State
Leadership Camp (TAMU-C, System Blue)
Summer Band Camp (TLU, UT, Baylor, etc.)
Private Lessons (approximate # each year)
*Denotes required band activity
Please note any special Band awards or Band recognition, such as leadership roles,
you have obtained while in the La Grange High School Band.
Award or Leadership Role Class/Year
1 2 3 4 5 6 Verified by: __________________________________, Band Director
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LA GRANGE BAND BOOSTER CLUB
LEADERSHIP/ HONORS/ AWARDS PROFILE (OTHER THAN BAND)
List your leadership roles, honors, and awards extended to you while a student in
high school. Leadership Roles / Honors / Awards Class Year(s)
EXTRACURRICULAR PARTICIPATION
List the extracurricular school activities that you have been involved in as a high
school student. This includes Band Booster Club Activities you have helped with
throughout your high school career. Name of Activity Class Year(s)
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LA GRANGE BAND BOOSTER CLUB
SELFAPPRAISAL
Please describe, in your own words, how participating in the band program has
influenced your life and why you would like to receive this scholarship. You may
use the back of this page if you need more space.
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LA GRANGE BAND BOOSTER CLUB
PERSONAL INFORMATION
NAME:__________________________________________________________ (LAST) (FIRST) (MIDDLE)
CURRENT ADDRESS: ________________________________________________________________ ________________________________________________________________
TELEPHONE NUMBER: ____________________________________________
FATHER’S NAME (OR LEGAL
GUARDIAN):_____________________________________________________ MOTHER’S NAME (OR LEGAL
GUARDIAN):_____________________________________________________
CERTIFICATION
➢ I certify that I have been accepted to my desired College, University or Trade
School. ➢ I certify that the information contained herein is accurate and complete to the best
of my ability. ➢ I certify that I have read this packet in its entirety and understand the scholarship
information, eligibility requirements and disbursement of the scholarship monies for
selected scholarship recipients. ➢ I acknowledge this Scholarship Application must be delivered to the High School
Counselor’s Office or the Scholarship Committee Chair due NO LATER THAN
3:30 p.m. on Friday, March 31, 2017 and that NO LATE APPLICATIONS WILL
BE ACCEPTED.
______________________________________________________________________
Student’s Signature Date
Parent/Legal Guardian’s Signature Date Applicants are considered without regard to race, color, religion, sex, national
origin, age, or the presence of a medical condition or handicap.
Page 8 Revised 7/5/16
