KIWANIS CLUB OF CAREFREE Mission Statement ... AWS
Name:_________________
APPLICATIONS MUST BE RECEIVED BY MARCH 15, 2018.
KIWANIS CLUB OF CAREFREE
Mission Statement The Kiwanis Club of Carefree is dedicated to improving the lives of children within our community. Special emphasis is on service projects that focus on “Children Number One” through volunteer participation and community support.
2018 Athletic Merit Award Application CRITERIA FOR APPLICATION Must be a US Citizen High School senior residing within the boundaries of the Cave Creek Unified School District (attendance at a CCUSD school not required).
Min 2 year participation in high school and/or club sport and a min. GPA of 2.5 If selected as a finalist, you will be required to attend an interview with the selection committee
THE FOLLOWING ITEMS MUST BE INCLUDED WITH YOUR APPLICATION • •
• • •
Application form completed by student Two letters of recommendation (from non-relatives). One from a member of your school faculty familiar with your work One from your coach Letters of recommendation MUST be signed by recommender, placed in a sealed envelope signed by recommender Official transcript from your high school Be sure your name each page of essays, application and any supplemental pages Signed photo release form
Applications must be RECEIVED on or before March 15, 2018.
Kiwanis Club of Carefree Athletic Merit Scholarship 2018
1
APPLICATIONS MUST BE RECEIVED BY MARCH 15, 2018.
Name:_________________
APPLICATION FORM--Please Print 1. Full Name __________________________________________________________________ 2. Home Address _______________ _______________________________________________ _____________________________________________________________________________ 3. Mailing address (if different than home address) ____________________________________ _____________________________________________________________________________ 4. Email address_________________ Home Phone ________________Cell________________ 5. Preferred method of contact:__________email ___________home phone ___________cell 6. High School currently attending:_______________________Graduation date:_____________ 7. List all sports participation during high school: _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ 8. List any awards, honors or recognition received for your sports participation: _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ 9. In addition to your athletic participation, how else have you been involved at your school? _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ 10. Please prepare an essay of 500-1000 words which answers the following questions (use a separate sheet for your response): How has your participation in sports impacted your education? How has your participation in sports played a role in your future academic and professional goals? Explain how your participation in sports has influenced your relationship with your family.
Criteria for this award is based upon student’s participation as an athlete (or student manager) as well as school involvement. All student athletes of all skill levels will be considered.
Kiwanis Club of Carefree Athletic Merit Scholarship 2018
2
APPLICATIONS MUST BE RECEIVED BY MARCH 15, 2018.
Name:_________________
Applications must be RECEIVED on or before March 15, 2018.
I certify that all information in this application is true and correct and any accompanying examples of my work represent my own original effort.
My signature indicates that I am at least 18 years of age. Signature______________________________________ Date____________________ Student
I certify that I have read all contents of this application. My signature indicates that I am the parent or guardian of this student who is under 18 years of age. Signature______________________________________ Date____________________ Parent/Guardian
THE FOLLOWING ITEMS MUST BE INCLUDED WITH YOUR APPLICATION • •
• • •
Application form completed by student Two letters of recommendation (from non-relatives). One from a member of your school faculty familiar with your work One from your coach Letters of recommendation MUST be signed by recommender, placed in a sealed envelope signed by recommender Official transcript from your high school Be sure your name each page of essays, application and any supplemental pages Signed photo release form
All requirements of this application must be mailed in one envelope addressed to: Scholarship Committee Kiwanis Club of Carefree P.O. Box 1498 Carefree, Arizona 85377 Kiwanis Club of Carefree Athletic Merit Scholarship 2018
3
APPLICATIONS MUST BE RECEIVED BY MARCH 15, 2018.
Name:_________________
Applications must be RECEIVED on or before March 15, 2018. Kiwanis Club of Carefree Photo Release Form As a parent or guardian of this student, I hereby consent to the use of photographs/videos/images taken as they relate to the Kiwanis Club of Carefree Scholarship awards. It is understood the purpose and intent of any photographs/videos/images would be used solely for the purpose of promoting the Kiwanis Club of Carefree as well as the scholarship program. Avenues of promoting include, but are not limited to publications, presentations, broadcast via newspaper, both print and electronic, as well as social media postings and other electronic means of communication which would be prudent. I acknowledge any photo/images/videos posted on the Kiwanis of Carefree website can be downloaded and reprinted by individuals and/or various news organizations, including print, electronic and broadcast media. I therefore release the Kiwanis Club of Carefree from any liability arising from the use of my student’s photos/videos/images in Kiwanis Club of Carefree postings. I understand that there are potential dangers associated with the posting of personally identifiable information on a Web site, as global access to the Internet does not allow for control of who may access such information. _________________________ Parent Signature
____________________________ Parent Name Printed
_________________________ Date ___________________________ Student Signature
Applications must be RECEIVED on or before March 15, 2018.
Kiwanis Club of Carefree Athletic Merit Scholarship 2018
4
APPLICATIONS MUST BE RECEIVED BY MARCH 15, 2018.
KIWANIS CLUB OF CAREFREE
Mission Statement The Kiwanis Club of Carefree is dedicated to improving the lives of children within our community. Special emphasis is on service projects that focus on “Children Number One” through volunteer participation and community support.
2018 Athletic Merit Award Application CRITERIA FOR APPLICATION Must be a US Citizen High School senior residing within the boundaries of the Cave Creek Unified School District (attendance at a CCUSD school not required).
Min 2 year participation in high school and/or club sport and a min. GPA of 2.5 If selected as a finalist, you will be required to attend an interview with the selection committee
THE FOLLOWING ITEMS MUST BE INCLUDED WITH YOUR APPLICATION • •
• • •
Application form completed by student Two letters of recommendation (from non-relatives). One from a member of your school faculty familiar with your work One from your coach Letters of recommendation MUST be signed by recommender, placed in a sealed envelope signed by recommender Official transcript from your high school Be sure your name each page of essays, application and any supplemental pages Signed photo release form
Applications must be RECEIVED on or before March 15, 2018.
Kiwanis Club of Carefree Athletic Merit Scholarship 2018
1
APPLICATIONS MUST BE RECEIVED BY MARCH 15, 2018.
Name:_________________
APPLICATION FORM--Please Print 1. Full Name __________________________________________________________________ 2. Home Address _______________ _______________________________________________ _____________________________________________________________________________ 3. Mailing address (if different than home address) ____________________________________ _____________________________________________________________________________ 4. Email address_________________ Home Phone ________________Cell________________ 5. Preferred method of contact:__________email ___________home phone ___________cell 6. High School currently attending:_______________________Graduation date:_____________ 7. List all sports participation during high school: _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ 8. List any awards, honors or recognition received for your sports participation: _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ 9. In addition to your athletic participation, how else have you been involved at your school? _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ 10. Please prepare an essay of 500-1000 words which answers the following questions (use a separate sheet for your response): How has your participation in sports impacted your education? How has your participation in sports played a role in your future academic and professional goals? Explain how your participation in sports has influenced your relationship with your family.
Criteria for this award is based upon student’s participation as an athlete (or student manager) as well as school involvement. All student athletes of all skill levels will be considered.
Kiwanis Club of Carefree Athletic Merit Scholarship 2018
2
APPLICATIONS MUST BE RECEIVED BY MARCH 15, 2018.
Name:_________________
Applications must be RECEIVED on or before March 15, 2018.
I certify that all information in this application is true and correct and any accompanying examples of my work represent my own original effort.
My signature indicates that I am at least 18 years of age. Signature______________________________________ Date____________________ Student
I certify that I have read all contents of this application. My signature indicates that I am the parent or guardian of this student who is under 18 years of age. Signature______________________________________ Date____________________ Parent/Guardian
THE FOLLOWING ITEMS MUST BE INCLUDED WITH YOUR APPLICATION • •
• • •
Application form completed by student Two letters of recommendation (from non-relatives). One from a member of your school faculty familiar with your work One from your coach Letters of recommendation MUST be signed by recommender, placed in a sealed envelope signed by recommender Official transcript from your high school Be sure your name each page of essays, application and any supplemental pages Signed photo release form
All requirements of this application must be mailed in one envelope addressed to: Scholarship Committee Kiwanis Club of Carefree P.O. Box 1498 Carefree, Arizona 85377 Kiwanis Club of Carefree Athletic Merit Scholarship 2018
3
APPLICATIONS MUST BE RECEIVED BY MARCH 15, 2018.
Name:_________________
Applications must be RECEIVED on or before March 15, 2018. Kiwanis Club of Carefree Photo Release Form As a parent or guardian of this student, I hereby consent to the use of photographs/videos/images taken as they relate to the Kiwanis Club of Carefree Scholarship awards. It is understood the purpose and intent of any photographs/videos/images would be used solely for the purpose of promoting the Kiwanis Club of Carefree as well as the scholarship program. Avenues of promoting include, but are not limited to publications, presentations, broadcast via newspaper, both print and electronic, as well as social media postings and other electronic means of communication which would be prudent. I acknowledge any photo/images/videos posted on the Kiwanis of Carefree website can be downloaded and reprinted by individuals and/or various news organizations, including print, electronic and broadcast media. I therefore release the Kiwanis Club of Carefree from any liability arising from the use of my student’s photos/videos/images in Kiwanis Club of Carefree postings. I understand that there are potential dangers associated with the posting of personally identifiable information on a Web site, as global access to the Internet does not allow for control of who may access such information. _________________________ Parent Signature
____________________________ Parent Name Printed
_________________________ Date ___________________________ Student Signature
Applications must be RECEIVED on or before March 15, 2018.
Kiwanis Club of Carefree Athletic Merit Scholarship 2018
4
