The Kenosha Junior Woman s Club (KJWC) is pleased to announce that it will award up to five scholarships to Kenosha County Seniors. The amount of the scholarship is dependent on monies raised by KJWC, not to exceed $2000.00 per student. An Applicant must: 1. Be a Kenosha County High School Senior who: Resides in Kenosha County; and, Will graduate from a Kenosha County High School. 2. Have a minimum GPA of 3.4. 3. Be seeking a four year college degree. 4. Demonstrate good academic performance, participate in community and school activities, and exhibit leadership and citizenship qualities. 5. Complete the KJWC and mail together with an original High School Transcript to the address below, postmarked no later than APRIL 1, 2018: Kenosha Junior Woman s Club Attn: Scholarship Chair P.O. Box 2131 Kenosha, WI 53140 Please fill out the application completely and accurately. Incomplete applications will not be considered. Students who currently have or have had an immediate family member involved in KJWC within the past five years are not eligible for this scholarship. This application is designed to highlight your strengths and accomplishments. We are a community service organization and base the awarding of scholarships not only on academics, but community and school involvement as well. Each page is evaluated separately, so it is important not to duplicate items. Please choose the appropriate place to list your personal accomplishments. The KJWC Scholarship Committee will endeavor to evaluate your application as accurately and as fairly as possible. We will then notify the applicants we wish to interview. Any questions should be emailed to scholarship@kenoshajuniors.org. Page 1 of 10
Applicant Information Kenosha Junior Woman s Club Name (First Last): Date of Birth: Address: (Street) Town Zip Code Email Address: Home Phone: Cell Phone: High School: Graduation Date: Best way to contact you. (Indicated home phone, cell phone or e-mail): Parent / Guardian Information Father s Name: Mother s Name: Father s Address: Mother s Address Release of Information /Applicant Signature I HEREBY AUTHORIZE THE KJWC SCHOLARSHIP COMMITTTEE TO VERIFY MY SCHOOL AND COMMUNITY RECORDS. Signature of Applicant Date Signature of Parent/Guardian Date Page 2 of 10
Please provide a short explanation on why you are applying for this scholarship (your need) and how this scholarship will benefit you. Page 3 of 10
Section I: Academic Information Class rank based on January, 2 nd quarter, senior report: Weighed (6.0 Scale) Unweighted (4.0 Scale) Current Weighted GPA (6.0 Scale) Current Unweighted GPA (4.0 Scale) Total number of students in class: Attach a current transcript indicating all high school courses. List any current youth options (YOP) classes or any other academic classes not indicated on your transcript: Name of the University that you plan to attend: List your proposed major field of study: List any scholarships or monetary awards received (this will not affect the decision of the scholarship) Page 4 of 10
Section II: Fine Arts Art, Music, Drama, Theater, Speech, etc. List all involvement in Fine Arts related activities. Activity Years of Participation (Check years that apply) List contest awards (regional, conference, state recognition, team captain, etc.) won in the area of fine arts: Note: Do not list Fine Arts activities / awards on any other page. Page 5 of 10
Section III: Intermural and interscholastic Athletics Kenosha Junior Woman s Club List all involvement in intramural and interscholastic athletics in which you participated while in grades 9-12. Sport Number of Years Of Participation Intramural Interscholastic (check years that apply) List all individual sport achievements / special recognitions and individual titles (conference, regional, sectional, state, team captain, MVP, etc.) won in the area of intramural or interscholastic sports: List sports participated in outside of school: Page 6 of 10
Note: Do not list sports activities / awards on any other page. Kenosha Junior Woman s Club Sport Number of years of participation Section IV: School activities and awards (excluding Fine Arts and Athletics) List all co-curricular and extra-curricular activities in which you have participated in while in grades 9-12. Also indicate your years of involvement and any office held or special recognition from that activity or club. These activities should not be listed in any previous section of this application. Activity Years Participated Offices/Honors/Recognition Page 7 of 10
Section V: Church / Community Volunteer (unpaid) Service Service: List any community and/or volunteerism service you have participated in. Activities/Involvement Service Organization Years Involved Specific Leadership Roles Page 8 of 10
Value of hobby to you, your family, school or community Kenosha Junior Woman s Club Hobby / Interest Value of hobby to you, your family, school or community Please provide a short essay on what kind of impact has your service and/or volunteerism made in the community (attach a separate sheet if necessary). Page 9 of 10
Section VI: Employment History List any employment you have participated in. Place of Employment Dates of Employment Duties Page 10 of 10