marietta kiwanis foundation, inc. marietta kiwanis ... AWS

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MARIETTA KIWANIS FOUNDATION, INC. MARIETTA KIWANIS FOUNDATION SPECIAL EDUCATION SCHOLARSHIP - $2,500 APPLICATION (Page 1 of 2) Qualifications: This is a scholarship established in 1991 by the Marietta Kiwanis Foundation. This scholarship is available to assist a teacher or student accepted into an accredited college or university in Georgia who is pursuing a major in the field of special education. 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 (Special Education) P.O. Box 3191 Marietta, GA 30061 EMAIL: [email protected] Subject line: Scholarships / Special Education

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: _________________________________ 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 While it is not a requirement for application, we would like to know if you are currently a member of a Kiwanis-sponsored youth organization or the family member of someone who is a currently active member of the Kiwanis Club of Marietta. ________ Yes ________ No If yes, please provide the name of the organization or the member: _______________________________________________

MARIETTA KIWANIS FOUNDATION, INC. MARIETTA KIWANIS FOUNDATION SPECIAL EDUCATION SCHOLARSHIP - $2,500 APPLICATION (Page 2 of 2)

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

List community activities with which you have been involved. Include any notable accomplishments and any 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 in the field of special education 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.