Scholarship & Ambassador Application — 180 Elite Performance

Athlete Information

First Name *

Last Name *

Preferred Name

Date of Birth *

Age *

Grade *

Gender (Optional)

Email Address *

Phone Number *

Home Address *

City *

State *

ZIP Code *

Parent / Guardian Information

Parent/Guardian Name *

Relationship to Athlete *

Parent Email *

Parent Phone Number *

Athletic Information

Primary Sport *

Secondary Sport (Optional)

School *

Current Team / Club

Position (if applicable)

Years Playing

Current Coach

Coach Email (Optional)

Coach Phone (Optional)

Academic Information

Current GPA (Optional)

Are you currently passing your classes? *

What subjects do you enjoy most?

Leadership & Character

Have you ever served as a team captain or student leader?

Are you involved in community service?

List any clubs, organizations, church groups, or extracurricular activities.

Personal Development

What are your biggest athletic goals over the next two years? *

What motivates you to become a better athlete? *

Describe a challenge you've overcome and what it taught you. *

Why are you applying for a 180 Elite Performance™ Scholarship? *

What does leadership mean to you? *

How do you demonstrate The 180 Standard™ (Discipline. Focus. Purpose.) in your daily life? *

Membership Selection

Which membership are you applying to have supported by the scholarship?

Requested Membership *

Alternate Membership (Optional)

Why is this membership the right fit for your athlete?

Scholarship Need

Ambassador Interest

Uploads (Optional)

We encourage you to share a highlight video, academic report card, coach or teacher recommendation, personal essay, or awards. After submitting this application, please reply to the confirmation email with any files attached (highlight video links, PDFs, or images).

Parent Agreement

I certify that the information provided is accurate to the best of my knowledge. I understand that submission of this application does not guarantee a scholarship or Ambassador selection. I agree to uphold the values and expectations of 180 Elite Performance™ if selected.

I Agree *

Parent/Guardian Name

Date

Athlete Agreement

I understand that this scholarship is based on character, leadership, participation, and commitment. If selected, I agree to represent 180 Elite Performance™ with integrity and strive to uphold The 180 Standard™.