Kiwanis Club of Bellingham P.O. Box 902 Bellingham, WA 98227

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1 Kiwanis Club of Bellingham P.O. Box 902 Bellingham, WA Bellingham Kiwanis 2014 Scholarship Application Criteria: Community Involvement, Academics, Leadership, Extra Curricular Activities, & Special Circumstances Application is for Type of Program 4-yr College/University Community College Technical/Vocational School* Put an x for your choice *Vocational Education: prepares trainees for jobs that are based on manual or practical activities, traditionally non-academic, and totally related to a specific trade, occupation, or vocation. Submission: Preferred: completed application to bellinghamkiwanis@gmail.com (Scan and submit documents.) or mail complete packet to Kiwanis Club of Bellingham, P.O. Box 902, Bellingham, WA Scholarship applications must be received by April 21, Applications received after this date will not be considered for scholarship. Applicant s Information Please fill out on the table below. Name Telephone Address High School 1

2 Bellingham Kiwanis Scholarship Application Applicant s Name First Last Middle Initial Family Information Mother/Guardian Name Address (if different than applicant) Father Occupation High School Information Cumulative Class Rank GPA Reading Math Writing College/Technical/Vocational Plans Name of postsecondary School Anticipated field(s) of study 1. What are your goals? 2. Other Awards List below the name & amount of any scholarships that you have. Name of Award Amount Name of Award Amount 2

3 School activities List all in which you have actively participated in during the past 4 years (e.g. student government, music, sports, clubs. Your list is limited to the space provided, so prioritize these that are relevant and import to you. If you lettered in your activity, indicate that by marking L rather than x School Activity Grade Level of Participation Awards, Honors, Offices held. Example activity 9th 10 th 11th 12th Example activity X Secretary, 9th Example sport X X L L Team captain Community service/volunteer activities List those in which you participated without pay or school credit in the past four years. List the total number of hours for each activity. Do not include any time required for the culminating senior project or leadership class. Volunteer Activities Grade Level of Participation Cumulative Volunteer Hours 9 th 10 th 11 th 12 th Lynden Library Story time 20 h. 1 hour, twice a week for 10 weeks List your paid work experience outside of the home over the past 4 years Grade level Employers(s) Positions(s) held To (Date) From (Date) Total # hours 3

4 Personal Essay: Please answer the essay questions in the space provided below, approx characters, including spaces. Do not include additional paper. We recommend typing in a word document, use grammar and spell check and then cut and past into this document. Please write an essay in the space below describing yourself family information, career plans, etc. Include a paragraph explaining your need for this scholarship. 4

5 Transcript and Test Information High School Transcript Applicant must include a copy of a recent high school transcript, need not be official. Running Start Students provide a recent transcript from your college, need not be official. Please provide a copy of your most recent SAT and/or ACT scores. Please do not alter this scholarship form. It is important that you follow the application format as printed. Do not rearrange the format or the layout. Do not add-to or delete any part. Scholarship applications must be received by April 21 st. to: bellinghamkiwanis@gmail.com (scan and submit appropriate documents (or) mail to: Bellingham Kiwanis Club (Att: Scholarship Committee)) P.O. Box 902, Bellingham, WA I agree that when I am offered and accept a scholarship from the Bellingham Kiwanis Club, the club may use my name, photograph or likeness, the name of my community, the name and address of my school, the name and amount of the award and the name of the post secondary institution I am planning on attending in press release, public announcements, and other fundraising or promotional materials in all media to advance the non-profit objectives of the Bellingham Kiwanis Club. I understand that I must be attending a technical, community or 4-yr college/university in the fall following my high school graduation. If I do not attend college, I understand that my scholarship funds will no longer be available. In the case of significant hardship, a recipient may appeal in writing to the awards committee, who may agree to a deferment. Applicant Signature Date Parent/Guardian Signature Date School administrator/teacher Date Application Checklist This application for scholarship funds becomes complete and valid only when the following materials have been submitted to the Bellingham Kiwanis Club as a complete packet. Submitted packet must be organized the following order: 1. Scholarship application 2. Current High School transcript (+ Running Start college transcript if applicable.) 5