Community Service Scholarship
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- Eileen Fleming
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1 Spokane Kiwanis Charities Foundation Scholarship PO Box 48027, Spokane, WA kiwanisdtspokane.org HIGH SCHOOL SCHOLARSHIP APPLICATION INSTRUCTION FORM Community Service Scholarship Spokane Kiwanis Charities is proud to announce the Community Service Scholarship for $1,500. These scholarships are awarded to the student who best epitomizes the Kiwanis mission of changing the world, one child and one community at a time. Application due date: March 31, 2018 A. Eligibility Requirements 1. An applicant and their parent(s) or legal guardian(s) must reside in Spokane County. The applicant must be a high school senior attending a school residing within the county limits. 2. All applicants must have applied to and/or been accepted for enrollment as a full-time student at an accredited college or other approved institution. Documented proof from the institution of full-time enrollment is required. 3. All applicants must demonstrate a dedication to changing the world, one child and one community at a time through a history of school and/or community service. pg.01 - revised
2 B. DOCUMENTATION REQUIRED 1. Checklist page completed and signed 2. Applicant Information Sheet 3. Questionnaire 4. Permission to Release Information to Spokane Kiwanis Charities 5. Copies of the Applicants most recent High School Transcript 6. Two (2) Letters of Recommendation attesting to the applicants Character and Community Service. 7. Acceptance Letter from College or University 8. Mail all application requirements to: Spokane Kiwanis Charities, PO Box 48027, Spokane WA C. Scholarship Award Requirements 1. This Scholarship will be paid directly to the institution of attendance. 2. Verification of attendance must be provided prior to the release of funds. 3. The winner must attend at least one Kiwanis Club meeting during the first year of having received the scholarship. Application Deadline Postmarked by March 31st, 2017 ONLY COMPLETELY FILLED OUT APPLICATIONS WITH REQUIRED SUPPORTING DOCUMENTS WILL BE CONSIDERED pg.02 - revised
3 Checklist Spokane Kiwanis Charities Foundation Scholarship PO Box Spokane, WA kiwanisdtspokane.org Please initial all and include this checklist with your application. I meet all of the qualifying conditions for the scholarship. I have attached two letters of recommendation. I have attached the permission to release information form. I have to the best of my knowledge filled out the form completely and honestly. If awarded the scholarship I will attend my school awards ceremony. If awarded the scholarship I will attend at least one Kiwanis Club of Downtown Spokane meeting during the year and speak about my academic/vocational experience. I have applied and received this scholarship in previous years. Name (please print) Signature Date Checklist MUST be signed, dated and submitted with application. pg.03 -revised
4 APPLICATION INFORMATION HIGH SCHOOL APPLICATION Spokane Kiwanis Charities Foundation Scholarship PO Box 4961 Spokane, WA kiwanisdtspokane.org Checklist MUST be signed and submitted with application. Name (Last, First, Middle) Date Physical Street Address/Mailing Address City State Zip Code Home Phone/Cell Phone/ Best Contact # Address Year of Graduation # of Students in Graduation Class Rank in Class Grade Point Average SAT Scores (out of 2400) ACT Scores (out of 36) College/University of Choice Accepted Yes/No College/University Financial Aid Office Address Major Field of Study pg.04 - revised
5 Questionnaire *If you need more space than allocated for answers please attach page(s). If so please type your full name on the top of the page(s) and note the item in the application about which you are answering. 1. List your extracurricular school activities and what you gained from those activities. 2. Have you had any paying jobs while attending High School? If yes, please provide a brief description of your responsibilities as well as hours/week worked: 3. List any Kiwanis project/events/organization you have participated in: _ pg.05 - revised revised
6 4. Community Service Hours Required by your High School? 5. Community Service Hours served? _ 6. List your community volunteer activities and what you gained from those volunteer activities pg.06 - revised
7 7. Why did you choose the College/University to which you are applying? 8. In 500 words or less (on a separate sheet), please share how you have upheld the Kiwanis mission of changing the world, one child and one community at a time? How will this scholarship assist you in furthering this goal? You may use a separate sheet if necessary. pg.07 -revised
8 Spokane Kiwanis Charities Foundation Scholarship PO Box Spokane, WA kiwanisdtspokane.org PERMISSION TO RELEASE INFORMATION TO -Spokane Kiwanis Charities Foundation Scholarship- To: Financial Aid Director College/UniversitySchool_ Addresss I have applied for a scholarship from the Spokane Kiwanis Charities. All of my required documents have been submitted to the Spokane Kiwanis Charities and my file is complete. I hereby authorize you to discuss my eligibility to receive the grant by telephone, fax, or mail with a representative of the Spokane Kiwanis Charities. Failure to submit this form in a timely manner may result in my being ineligible to receive a scholarship. You may be contacted by a member representing the Spokane Kiwanis Charities after April 30th, Your support and cooperation will be appreciated. Signature of Student Student Name (print) Date Signature of Parent/Legal Guardian Parent/Legal Guardian Name (print) Date Sign this form and send it to the Financial Aid Office at your University or College. Submit a copy of this signed form with your application. Application due date: March 31, 2018 pg.08 - revised
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