Scholarship Application: Bevilaqua Scholarship 2017


This scholarship was created as the result of a fundraiser: the winners, Tully and Lindsay Bevilaqua, identified the scholarship criteria.
After Tully Bevilaqua retired from basketball, where she was an Olympic silver medalist, WNBA champion, and World Champion, she and her wife, Lindsay, opened Gym 41, a fitness facility in Pike Township. As athletes, parents of Pike Township students, and members of the LGBTQ community, they want to award this scholarship to a student who is a member of the LGBTQ community or an active ally and is also involved in fitness activities.

Scholarship Amount: $1,200 award; must be used for payment of tuition/fees or on-campus housing at the university student chooses to attend.

This award is presented to one senior student who best meets the following criteria:

  1. You must be a graduating senior pursuing a Core 40 diploma or higher.
  2. You must be making plans to further your education at a college, university, or technical school, and you must meet the necessary entrance requirements of that institution.
  3. You must have a GPA of at least 3.0
  4. You must identify at LGBTQ or as an active ally.
  5. You must be an energetic individual who cares about fitness and exercise.
  6. You must meet Pike High School attendance requirements.
  7. You must complete all sections of the application.


Please make sure you meet all the requirements for this scholarship before filling out this form. All fields are required unless otherwise noted. If you need additional space or need to send your transcript and letter of acceptance, you may upload a file (Microsoft Word DOC, Adobe PDF, text, JPEG, GIF, or PNG format) using the file upload near the bottom. You may also email these to:

Student Name:

Parent / Guardian Name(s):


Zip Code:


Alternate Phone (optional):


Grade Point Average:

Please complete an essay to answer the following questions.

How have you been active in the LGBTQ community to promote positive change toward equality, anti-bullying, or other forms of discrimination? Give specific examples. How have you incorporated fitness into your life? Give examples of this activity


Institution You Plan to Attend:

Proposed Field of Study:

Application Status (select one):

Release Your Transcript:

I hereby certify that the information provided in this application is, to the best of my knowledge, complete and accurate. I grant permission to the Pike Township Educational Foundation to verify this information. I also grant permission to PTEF to use excerpts from my application for marketing purposes.

Type Your Name as Signature:

Notes (optional):
Use this space to supply any additional information.

Upload Additional File (optional):


Fill in all required fields, enter the code at right, and click the "Send" button.

Enter code:



Late or incomplete applications will not be considered. Your application must include the following information: Personal Data, Awards and Activities, Essay, Transcript (uploaded above or emailed to, Letter of Acceptance from college or university (uploaded or emailed if available)

Scholarship applications are due at 3:00 p.m. on Not scheduled yet.. Late or incomplete applications will not be considered.

© 2011 Pike Township Educational Foundation