town of sheboygan lions

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Town of Sheboygan Lions Club 3434 Mill Rd, # 48 Sheboygan, WI 53083 2-12-18 To:

Howards Grove High School Kohler High School Sheboygan Christian High School Sheboygan Lutheran High School Sheboygan North High School Sheboygan South High School

From: The Town of Sheboygan Lions Club Scholarship Committee

TOWN OF SHEBOYGAN LIONS SCHOLARSHIP The Town of Sheboygan Lions will be awarding three scholarships in 2018 for students enrolling in a 2 or 4-year degree program at an accredited institution or trade school. Because of school choice we are sending the scholarship materials to all schools where Town of Sheboygan residents may be attending. But please note:

Applicants must be a resident of the Town of Sheboygan! Attached you will find materials needed to apply for one of these scholarships. 1. Application 2. Criteria 3. Student Activity Profile 4. Lions Philosophy/Narrative Question Please distribute these application materials to any student eligible for this scholarship. Please feel free to duplicate any of these materials. Completed applications should be returned to me on or before the due date of April 13, 2018 at the address listed below. If you wish, applications may be emailed to me at the email address listed below. If you have any questions feel free to contact me at 920-903-2171 or by email at [email protected] Thank you for your help and cooperation, Wendy Williams Town of Sheboygan Lions Club Scholarship Committee Chairperson

Return completed applications to:

Wendy Williams Scholarship Committee Chairperson Town of Sheboygan Lions Club W1796 Highview Ct. Sheboygan, WI 53083

TOWN OF SHEBOYGAN LIONS LOCAL SCHOLARSHIP APPLICATION Name _____________________________________________________ Last

First

Initial

Address ___________________________________________________ ___________________________________________________ (Reminder that applicants must reside in the Town of Sheboygan) Telephone # ______________________ High School ______________________ Counselor ______________ Father and/or Stepfather ____________________________________ Occupation ________________________________ Employed at ____________________________________ Mother and/or Stepmother ____________________________________ Occupation ________________________________ Employed at ____________________________________ Total number of family members living at home _________________ Number of Dependents in your family including yourself _________ Number attending college _________ BROTHERS AND SISTERS Name

Age

Name

Age

_____________________________________________

______________________________________________

_____________________________________________

______________________________________________

_____________________________________________

______________________________________________

School you plan to attend:  2-4 year accredited college/university

 Technical college/trade school

Name of school you are considering ____________________________________________________________ Grade Point Average at the end of the first Semester of your Senior Year

____________

Email Address _________________________________________ Authorization is granted to your high school to release any information on this page to the Scholarship Committee and Educational Institutions.

Signature of Parent ______________________________________________________ Date _______________

Signature of Applicant ___________________________________________________ Date _______________

STUDENT ACTIVITY PROFILE (Note: You may put this info in a different form, but make sure that all areas are covered) Extra-Curricular Activities

Community Activities

Years Participating

Dates Participated

Awards

Work Experience/Position

Leadership Positions

Hours Committed

Leadership Positions

Years Presented

Dates of Employment

References Teacher/Instructor in your school: ______________________Phone # ________________ Outside of school (Non Relative): _______________________Phone # _______________