Mitch King’s Extra Heartbeat Scholarship Application Due Date: April 1, 2019 Mitch was a 1st Team all-state football player at Burlington High School. After High School he attended University of Iowa and started at Defensive Tackle for four years. He ended his college career as the Big Ten "Defensive Lineman of the Year”. Mitch went on to play four seasons in the NFL spending time with the , , , and the .

Mitch was considered a player that had an extra passion for the game. This scholarship will be granted to those who demonstrate a similar heart and passion for sports as well the intangible life lessons sports can teach you.

Criteria and Constraints for the Extra Heartbeat Scholarship are as follows: 1. Applicant must be involved in at least one sport throughout their high school career. 2. At least one recipient will be chosen from Mitch’s alma mater, Burlington Community High School, Burlington Iowa. 3. The total scholarship amount given will be $5,000. This may be broken up into two or more scholarships depending on the number of stand-out applications we receive.

Demographics: Name: ______

Home Address: ______

Phone: ______

Parent and/or Guardian: ______

Parent(s)/Guardian(s) Phone Number: ______

School Information: High School Attended: ______

Cumulative GPA: ______

# of students in your graduating class: ______

Rank in your graduating class: ______

ACT Composite Score:______

College you are planning on enrolling in: ______

Sports participated In Please list the sport, number of years involved, as well as the level. ______

Do you plan on playing sports in college? If so, please list what sport(s). ______What other high school activities did you participate in? Please list activity, number of years involved, as well as any positions of leadership held. ______Please list other Groups/Clubs/Organizations outside of school you participated in, as well as the year(s) of participation. ______

The Extra Heartbeat Essay: Please answer each question completely and thoroughly.

What lesson(s) has(have) organized sports taught you about life outside of your sport(s)? ______

What positive impacts has(have) participation in organized sports had on your life? ______

Mitch is looking for those athletes who embody "that EXTRA". How have you demonstrated having that extra ​ passion, or heart, in your life and thus, are worthy of receiving The Extra Heartbeat Scholarship? ______

References

Please list at least 2 references who can speak to your work ethic on and off the field. Provide name, role/relationship to you, and contact phone number. Example: John Smith, Football Coach, (xxx)xxx-xxxx

Name Role/Relationship Phone Number