12Th REGION OUTSTANDING CHEERLEADER APPLICATION

12th REGION OUTSTANDING CHEERLEADER APPLICATION

The 12th Region Cheerleading sponsors are happy to announce the availability of the 12th Region Outstanding Cheerleader Award. This award is offered to honor an outstanding cheerleader in the 12th Region each year. This award emphasizes the following areas:

1. Cheerleading Achievements 2. Academic Standards 3. School Honors and Activities 4. Community Honors Activities 5. High Moral Character

In order to qualify for this award, the applicant must be a member in good standing with his/her squad and with the KAPOS Association.

PROCEDURE All applicants must:

A. Complete all parts of the application. Please type or print in ink. B. Obtain 3 letters of recommendation from: 1. Principal 2. Coach 3. One other person of choice The character of the applicant must be above reproach. C. Submit a completed application, transcript, and letters of recommendation by January 1st. Incomplete applications or applications received after this date will not be considered. D. Submit a photograph with the application. E. The school counselor or principal must complete Section V. F. You may add additional pages for activities if needed. G. The recipient of the award will be announced during the Regional Cheerleading Competition. The winner will receive a plaque and a scholarship. All applicants must be present H. Applicants should return this form and letters postmarked by January 1st to: Shawn Campbell Boyle County High School 1637 Perryville Road Danville, KY 40422

**This award will be selected by an impartial committee from outside this region** 12th REGION OUTSTANDING CHEERLEADER APPLICATION

PERSONAL INFORMATION

NAME______GENDER______(LAST) (FIRST) (MIDDLE) (M/F)

ADDRESS______(STREET) (CITY) (STATE) (ZIP)

HOME PHONE______

CHEERLEADING INFORMATION

HOW LONG HAVE YOU BEEN A CHEERLEADER? ______YEARS

LIST CHEERLEADING HONORS AND AWARDS EACH YEAR:

EDUCATION INFORMATION

HIGH SCHOOL______GRADUATION DATE______

LIST SIGNIFICANT EXTRACURRICULAR ACTIVITIES AND OFFICES HELD:

LIST SPECIAL RECOGNITION AND HONORS FOR SCHOOL ACTIVITIES:

COMMUNTY INFORMATION

LIST COMMUNITY ACTIVITIES:

LIST SPECIAL RECOGNITION AND HONORS FOR COMMUNITY ACTIVITIES: OUTSTANDING CHEERLEADER APPLICATION SECTION V ACADEMIC INFORMATION

TOTAL NUMBER IN CLASS______

APPLICANT’S RANK______

GPA ON 4.0 SCALE______

PLEASE ATTACH A SCHOOL TRANSCRIPT

______SIGNATURE OF COUNSELOR OR PRINCIPAL

I, ______, DO CERTIFY ALL THE INFORMATION CONTAINED IN THIS APPLICATION TO BE TRUE.

______SIGNATURE OF APPLICANT

______DATE