Barrow Lions Club Scholarship Application Form

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1 BARROW LIONS CLUB PO Box 465 Barrow, Alaska 99723-0465 SCHOLARSHIP INFORMATION PURPOSE: The Barrow Lions Club has proudly served this community since 1966. We are dedicated to helping those in need and are committed to investing in our local youth’s education. In an effort to support the higher education of our youth, we will be offering scholarship money to THREE students. We believe that with focused academic experiences, today’s Barrow youth will become tomorrow’s professionals and leaders. APPLICATION REQUIREMENTS: 1. Applicants must be a student of the NSB School District 2. Applicant must be eligible to attend any 2-year, 4-year, or vocational institution of higher education as a full time student in the following school year 3. Applicants must have a minimum of a 2.5 cumulative GPA at the time of filing - Submit official high school transcripts 4. An essay entitled “Volunteerism and its Importance in Today’s Society” - This essay must contain no less than 350 words but no more than 500 words 5. Résumé and two written recommendations from a teacher or organizational leader 6. All applications with applicable supporting documents must be received in manila envelope by the Barrow High School Counselor’s Office (Mr. Douglas Dye) by Friday, March 25, 2011 at 4:00 p.m. 7. Eligible applicants must be able to attend an interview conducted by the Barrow Lions Club. This interview will factor in the selection process 8. Scholarship winners must attend one of the June or July meetings of the Barrow Lions Club to introduce themselves. Meetings are regularly held on the 1st and 3rd Thursday of each month at 7:00 p.m. in the Hopson Middle School Library TWO-TIME SCHOLARSHIP AWARD: Two checks for $1,000 each will be given to the school or university on the student’s behalf. The first check will be given to the school of choice upon award. To receive the second check on the following school year, the student must send the following to the Barrow Lions Club: 1. An unofficial transcript (MUST maintain a minimum GPA of 3.0) 2. Upcoming class schedule (MUST be a full-time student – no less than 12 credit hours per semester) 3. A short essay (250 to 400 words) entitled “My Favorite Freshman Year Experience” Students must submit the three requirements above as soon as they are available. Mail the three requirements to: Barrow Lions Club Scholarship Committee PO Box 465 Barrow, Alaska 99723 SELECTION GUIDELINES: 1. Selection will be based on the student’s academic prowess, interview, and financial need 2. No special consideration will be given to Lions Club members or dependents of Lions Club members 3. Gender, race, or religion will not be considered in the selection process 4. The faculty or administration of Barrow High School or other appropriate local educational institutions of learning may be used to help in the selection process as well as a committee of Barrow Lions Club members

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Page 1: Barrow Lions Club Scholarship Application Form

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BARROW LIONS CLUB PO Box 465 Barrow, Alaska 99723-0465

SCHOLARSHIP INFORMATION PURPOSE: The Barrow Lions Club has proudly served this community since 1966. We are dedicated to helping those in need and are committed to investing in our local youth’s education. In an effort to support the higher education of our youth, we will be offering scholarship money to THREE students. We believe that with focused academic experiences, today’s Barrow youth will become tomorrow’s professionals and leaders. APPLICATION REQUIREMENTS:

1. Applicants must be a student of the NSB School District 2. Applicant must be eligible to attend any 2-year, 4-year, or vocational institution of higher education as a full time

student in the following school year 3. Applicants must have a minimum of a 2.5 cumulative GPA at the time of filing

- Submit official high school transcripts 4. An essay entitled “Volunteerism and its Importance in Today’s Society”

- This essay must contain no less than 350 words but no more than 500 words 5. Résumé and two written recommendations from a teacher or organizational leader 6. All applications with applicable supporting documents must be received in manila envelope by the Barrow High

School Counselor’s Office (Mr. Douglas Dye) by Friday, March 25, 2011 at 4:00 p.m. 7. Eligible applicants must be able to attend an interview conducted by the Barrow Lions Club. This interview will

factor in the selection process 8. Scholarship winners must attend one of the June or July meetings of the Barrow Lions Club to introduce

themselves. Meetings are regularly held on the 1st and 3rd Thursday of each month at 7:00 p.m. in the Hopson Middle School Library

TWO-TIME SCHOLARSHIP AWARD: Two checks for $1,000 each will be given to the school or university on the student’s behalf. The first check will be given to the school of choice upon award. To receive the second check on the following school year, the student must send the following to the Barrow Lions Club:

1. An unofficial transcript (MUST maintain a minimum GPA of 3.0) 2. Upcoming class schedule (MUST be a full-time student – no less than 12 credit hours per semester) 3. A short essay (250 to 400 words) entitled “My Favorite Freshman Year Experience”

Students must submit the three requirements above as soon as they are available. Mail the three requirements to: Barrow Lions Club Scholarship Committee PO Box 465 Barrow, Alaska 99723

SELECTION GUIDELINES: 1. Selection will be based on the student’s academic prowess, interview, and financial need 2. No special consideration will be given to Lions Club members or dependents of Lions Club members 3. Gender, race, or religion will not be considered in the selection process 4. The faculty or administration of Barrow High School or other appropriate local educational institutions of

learning may be used to help in the selection process as well as a committee of Barrow Lions Club members

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BARROW LIONS CLUB PO Box 465 Barrow, Alaska 99723-0465

SCHOLARSHIP APPLICATION Name of Applicant: ______________________________________________________________________________

Physical Address: ______________________________________________________________________________

Mailing Address: ______________________________________________________________________________

Phone Number: (mobile)___________________________ (home)_________________________________

Email Address: ______________________________________________________________________________

List Colleges/Universities that you have applied to:

1. _____________________________________________________________

2. _____________________________________________________________

3. _____________________________________________________________

4. _____________________________________________________________

If you have already been accepted to one, list the expected costs per school year:

Tuition: __________________ Books: __________________ Room & Board: __________________

Other (indicate): _____________________________________ Total: __________________________

What do you plan to be your major course of study and why?

__________________________________________________________________________________________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________

List other scholarships that you have applied to (if already awarded, list amount and type of award also):

1. ______________________________________________________________________________

2. ______________________________________________________________________________

3. ______________________________________________________________________________

4. ______________________________________________________________________________

5. ______________________________________________________________________________

List other sources of financial support:

Name: _________________________ Relation: _________________ Est. Amount per School Year: _____________

Name: _________________________ Relation: _________________ Est. Amount per School Year: _____________

Name: _________________________ Relation: _________________ Est. Amount per School Year: _____________

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Extra Curricular Activities Indicate your participation below with an X. If an officer, specify the office held:

Freshman Sophomore Junior Senior National Honor Society Class Plays (Drama/Theater) Band Class Officer Student Council Yearbook Cross Country Volleyball Football Basketball Cheerleading Wrestling Other (please list): Achievements and Other Volunteer Activities Freshman Sophomore Junior Senior Honor Roll Perfect Attendance Kivgiq Nalukataq Whaling Team Diabetes Events Lions Club Events Other (please list): I understand that any information that I knowingly misrepresent in this application may result in disqualification of my application or forfeiture of the scholarship money. Signed: ____________________________________________ Date: _______________________________________

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BARROW LIONS CLUB PO Box 465 Barrow, Alaska 99723-0465

SCHOLARSHIP APPLICATION CHECKLIST

1. Completed / signed application form 2. Official high school transcripts

- Minimum of 2.5 cumulative GPA at the time of filing 3. Essay entitled “Volunteerism and its Importance in Today’s Society”

- This essay must contain no less than 350 words but no more than 500 words 4. Résumé 5. Two written recommendations from a teacher or organizational leader

All applications with applicable supporting documents must be received in manila envelope by the Barrow High School Counselor’s Office (Mr. Douglas Dye) by Friday, March 25, 2011 at 4:00 p.m.

An INTERVIEW is the next step in our process. Our DECISION is revealed at/or prior to Graduation.

Good Luck!