SCHOLARSHIP

APPLICATION
FORM
The XXcel Womens Basketball League is excited to scholarship a minimum of six
and a maximum of ten high school athletes for the 2015 season (June-August).
Candidates must demonstrate strong character, an exceptional work ethic,
dedication to the sport, skill, and a positive attitude. Selected candidates will have
their registration fee ($160) waived.
Name: _______________________________ Date of Birth: _____________________________
Phone number: ________________________ Email Address:
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Player Position: ________________________
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High School:

Please provide a detailed account of your basketball experience (rep, house league,
high school, etc.):
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Explain why you would like to be a part of the XXcel Womens Basketball League.
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Is there anything special that you feel you could bring to the league?
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Why do you believe that you deserve a scholarship position in this league? Have
you had to overcome any obstacles to get where you are?
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What qualities do you look for in a role model or a mentor (ex. self-assured,
compassionate, strong teacher, trustworthy, determined, etc.)?
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What are your academic, sport, and social goals? Provide one per category.
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List all relevant awards, distinctions, honours, and accomplishments:
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List any extracurricular activities (including non-sport related) that you participate
in:
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Do you agree to participate in all mentorship program fundraisers: Y/N
Do you agree to participate in all mentorship program workshops and complete
required homework activities (workshops are at 6:00pm every week before your
game) Y/N
Do you agree to write thank you letters/emails to potential donors and sponsors: Y/N
Do you agree to score keep one game per week: Y/N

Do you agree to participate in XXcel Volunteer Activities (St. Vincents Kitchen 3

hours, W.I.N.G.S. Maternity Home 3 hours, Charity All-Star Game 4 hours): Y/N

References (include one current or past coach who is able to attest for your
character and skill and another reference that is non-sport related and not a family
member who can attest for your character)
1. Name: ________________________
Relationship: _____________________
Phone number: ___________________
Email address: ____________________
2. Name: ________________________
Relationship: _____________________
Phone number: ___________________
Email address: ____________________

For more information regarding the league and mentorship program please contact:
Maria Campbell
Founding Director
xxcel_basketball@hotmail.com
Cell: (289)928-3590
AND
Aimee Chada
Mentorship Program Co-Leader
dearaimee@gmail.com
905.447.0351
Website: http://www.xxcelbasketball.com
Facebook: www.facebook.com/XXcel.Basketball