ew chastain scholarship - $2500 AWS

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MARIETTA KIWANIS FOUNDATION, INC.

E.W. CHASTAIN SCHOLARSHIP - $2,500 APPLICATION (Page 1 of 2) Qualifications: This is a scholarship established in 1997 by the Marietta Kiwanis Foundation. This graduate or undergraduate scholarship is available to a student entering or attending an accredited college or university AND who has been a member of a Kiwanis Key Club or Circle K for a year or more or who is a family member of a currently active Kiwanis Club of Marietta member. Selection emphasis will be placed on academic achievement, character, and financial need.

Submission and Deadline - Mail or email (as attachment) one copy of completed Application and Essay to either: MAIL: Marietta Kiwanis Foundation, Inc. Attention: Pat Huey / Scholarships (Chastain) P.O. Box 3191 Marietta, GA 30061 EMAIL: [email protected] Subject line: Scholarships / Chastain

Completed Application and Essay must be received by March 15. PLEASE TYPE OR PRINT CLEARLY (Note:

Save this application form to your computer, adding your name to the end of the file name. Open the file you have saved to your computer, enter your information, and save it again. Then email OR print and mail as directed above. If you prefer, you may print the application, complete manually, and mail as directed above. The essay may be provided as a Word or PDF file, or you may submit a printed hard copy if you are mailing your application. Please be sure to complete the entire application and keep a copy for your records.)

First Name: ___________________________ MI: _____ Last Name: _______________________________________________ Home Address: _________________________________________________________________________________________ City: ___________________________________________ State: __________ ZIP: ______________________ Home Phone: ______________________________________Cell Phone: ___________________________________________ Email Address: _________________________________________________________________________________________ Colleges applied/accepted: _______________________________________________________________________________ Major: _______________________________________________________________________________________________ Current School Level (check one): High School ______ OR College _______ Class Standing: Freshman: _________ Sophomore: _________ Junior: __________ Senior: _________ Cumulative GPA: _________ (An unofficial copy of your transcript is preferred but not required.) Referred by: _________________________________ Name of Kiwanis-sponsored youth organization or family member who is a currently active Marietta Kiwanis Club member: ____________________________________________________________________________________________________ Do/Will you receive the Hope Scholarship? ________ Yes ________ No Do/Will you receive financial aid other than the Hope Scholarship? ________ Yes ________ No Have you been a U.S. resident for a minimum of six (6) years? ________ Yes ________ No Are you a resident of the State of Georgia? ________ Yes ________ No

MARIETTA KIWANIS FOUNDATION, INC.

E.W. CHASTAIN SCHOLARSHIP - $2,500 APPLICATION (Page 2 of 2) List extracurricular activities with which you have been involved. Include any notable accomplishments and leadership positions you have held.

List community activities with which you have been involved. Include any notable accomplishments and leadership positions you have held.

ESSAY On a separate sheet of paper, submit an Essay in support of your scholarship application. The Essay should address how the scholarship will contribute to achieving your educational and career goals and why you should be awarded this scholarship. Please type or print clearly. If your Application and Essay are to be emailed, attach the Essay (in Word or PDF format) in the same email as your Application.