Spokane Kiwanis Charities Foundation Scholarship

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1 Spokane Kiwanis Charities Foundation Scholarship PO Box 4961 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. 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 undergraduate student at an accredited college or other approved institution in Washington State. 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. B. PROCEDURES 1. The deadline for submitting applications is February 27, Required documents: a. Copies of the applicant s most recent high school transcript and the checklist on the cover of the application. b. Two (2) letters of recommendation attesting to the applicant s character and community service. c. The applicant must complete and include the Permission to Release Information form with the application. 3. If selected the scholarship winner must attend their schools Scholarship Awards ceremony. 4. This scholarship will be paid directly to the institution of attendance. Verification of attendance must be provided prior to the release of funds. 5. The winner must attend at least one Kiwanis Club of Downtown Spokane meeting during the first year of having received the scholarship. 6. Mail all application requirements to: Spokane Kiwanis Charities --- PO Box 4961 Spokane, WA pg.01

2 Spokane Kiwanis Charities Foundation Scholarship PO Box 4961 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. Name (please print) Signature Date pg.02

3 Spokane Kiwanis Charities Foundation Scholarship PO Box 4961 Spokane, WA kiwanisdtspokane.org ONLY FULLY COMPLETED APPLICATIONS WITH REQUIRED SUPPORTING DOCUMENTS WILL BE CONSIDERED Checklist MUST be signed and submitted with application. Name (Last, First, Middle) Date Mailing Street Address City State Zip Code Telephone Number 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 (if Known) pg.03

4 *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.04

5 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.05

6 7. Why did you choose the College/University to which you are applying: 9. 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.06

7 Spokane Kiwanis Charities Foundation Scholarship PO Box 4961 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 March 31, 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 Washington State University or College. Submit a copy of this signed form with your application. pg.07

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