2019 Booster Scholarship Application

OM Athletic Boosters Scholarship Application

A total of six $500 scholarships will be awarded to three senior girls and three senior boys who meet the eligibility requirements and submit a completed application by May 1, 2019.  All eligible applicants will be placed in a random drawing so everyone has a chance!



  1. Minimum 2.5 GPA
  2. All applicants must play a sport in their Senior Year.
  3. Athletic Boosters membership – At least one parent must be an Athletic Boosters member during the applicant’s senior year.
  4. Applicants must plan on pursuing a degree at a college or trade school in the year following graduation from OMHS.


Entries in drawing – For each year one parent is a member, the eligible applicants will receive one entry in the drawing.  If both parents are members, the eligible applicant will receive 2 entries in the drawing.  For example, both parents are members for 4 years, the applicant would receive 8 entries in the drawing. Memberships MUST be completed in the current school year (no retroactive applications accepted).

Print completed application, get signatures needed and submit to main office, attention: Athletic Boosters/Coach Martin, by May 1, 2019 for consideration.




Phone #_________________________ Email__________________________________

Sport(s) & Year(s) Played: _________________________________________________


Schools applied to: _______________________________________________________


Committed? _____________________________________________________________

Coach or Athletic Director’s Signature: _______________________________________________________________________

Guidance Counselor to complete and sign:                  Student’s GPA:__________

Counselor Signature:____________________________________________________

Printed Name: _________________________________________________________



Please use the space below to answer the following question:

What have you learned from your experiences as an athlete at Old Mill Senior High School that will help you in your future endeavors? (at least 250 words – must be typed)