United States Specialty Sports AssociationApplication
for the USSSA E.A. Ramsey, III Scholarship Award
Please Print of Type

IMPORTANT: All applications for the USSSA E.A. Ramsey, III Scholarship Award must be received at
USSSA National Headquarters no later than June 30^th. Mail to:

USSSA National Headquarters
611 Line Drive
Kissimmee, FL 34744

1. Nominee’s Full Name/Address:_________________________________________________________________
(Last) (First) (Middle)
______________________________________________________________________________________________
(Street)
_____________________________________________________________________________________________
(City) (State) (Zip)

2. Birthdate:_____________________/______/_____________________________
(Month)(Day)(Year) 

3. ( ) Female ( ) Male (Check One)

4. Home Telephone:_________________________________________(Include Area Code)

5. USSSA Sport:
______________Slow Pitch
______________Fast Pitch
______________Baseball
______________Basketball

6. Academic Data High Point Attended:___________________________________________________________

Grade Point Average:___________________(on a__________________(Scale)
SAT Score:___________________ACT Score:__________________________

Current Year certified Transcript attached: YES NO (circle one)
Letter of Acceptance from college or University attached: YES NO (circle one)

List current school , civic & community activities:___________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________

List any academic honors or scholarship you have received:___________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________


USSSA History Data

7. List your complete USSSA Youth History Profile Below:

Year/Class

Team Name, City & State

Main Position Played

______________________ _________________________________ ______________________
______________________ _________________________________ ______________________
______________________ _________________________________ ______________________
______________________ _________________________________ ______________________
______________________ _________________________________ ______________________
______________________ _________________________________ ______________________ 

8. Describe your greatest thrill while competing in the USSSA Youth Program:

_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________ 

9. Write a 200 to 300 word essay on how the USSSA Youth Program helps to prepare you
for your future college life and adulthood. (Attach essay to this form)

If you know at this time, please state what you would like to major in at college:
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________ 

10. Have you previously applied for the USSSA Scholarship Award? YES NO (circle one)

11. I hereby certify that all the information submitted on this form is true and factual to the best of my knowledge. Signed:__________________________________________________________________ (Nominee)


12. NOMINATION SPONSORSHIP

NOTE: All nominees for the USSSA E.A. Ramsey, III Scholarship Award must be sponsored by ONE of the following:
USSSA Manager or Coach, USSSA State Director, USSSA Board of Director Member.

This Applicant is being sponsored by: ____________________________________________________________
Sponsor’s Name (Please Print)

Sponsor’s Title with USSSA:___________________________________________________________________

Sponsor’s Mailing Address:____________________________________________________________________
(Street)
_________________________________________________________________________________________
(City, State & Zip Code) 

Sponsor’s Telephone Number:
Residence:_____________________________________________________________(Include Area Code)
Business: _____________________________________________________________(Include Area Code)

I respectfully nominate this candidate for consideration for United States Specialty Sports Association E.A. Ramsey, III Scholarship Award. 
Signed:___________________________________________________________________________________


ADMINISTRATIVE USE ONLY

Candidate Qualification Verified
By:__________________________________________________________________Date:________________

Sponsor Qualification Verified
By:__________________________________________________________________Date:________________

Candidate Selected: YES NO (circle one)

Notified of Selection/ Non-
Selection:_________________________________________________________________________________
Date:___________________________