Lake Chelan Lion's Club High School Graduate Scholarship Committee

Lake Chelan Lion's Club

High School Graduate Scholarship Committee

PO BOX 1521

Chelan, Wa 98816

Dear Applicants:

Attached is a scholarship application for the Harvey Cooper Memorial Scholarship, sponsored by the Lake Chelan Lions Club. You will need to complete the application, place it in a plastic report cover, and submit in a large manila envelope. All completed applications must be returned to the counseling office at your high school or postmarked by May 1" of your graduation year.

Four $500 scholarships will be awarded within the Chelan Valley. The application is open to students that plan to attend a trade school, a two year community college, or a four year university.

If you have any questions, please call Mike Cushing,Committee Chairperson at 888-8184. Thank you for your interest in our Scholarship Program.

Sincerely, Mike Cushing Scholarship Committee Chair APPLICANT INFORMATION

FULL LEGAL NAME:

HOME ADDRESS: CITY ZIP _

CITY ZIP _ MAILING ADDRESS:

PHONE NUMBER:

PLACE OF BIRTH:

IS APPLICANT RELATED TO A LAKE CHELAN LIONS CLUB YES NO MEMBER?

IF YES, MEMBER'S NAME:

------PARENTS OR LEGAL

GUARDIAN(S):

FATHER: .MOTHER: _

ADDRESS: ADDRESS: _

CITY & ZIP CITY & ZIP

OCCUPATION: ------OCCUPATION: _

TOTAL NUMBER OF FAMILY MEMBERS LIVINGAT HOME: ----

NUMBER OF CHILDREN IN FAMILY OTHER THAN YOURSELF: OLDER. YOUNGER'

COLLEGE, UNIVERSITY OR TECH SCHOOL WHICH YOU EXPECT TO ENTER?

DO YOU PLAN TO COMPLETE A FULLCOURSE IN THIS INSTITUTION?

1F NO WHAT ARE YOUR PLANS? _ ------

WHAT IS YOUR INTENDED MINOR OR FOCUS OF STUDY?

FIRST CHOICE: _

SECOND CHOICE: _

Why do you want to enter this field? _ 2 REQUIREMENTS, QUALIFICATIONS AND CONDITIONS

REQUIREMENT FOR APPLICATION:

1. TRANSCRIPT COPY OF HIGH SCHOOL CREDITS SIGNED BY COUNSELOR OR REGISTRAR. 2. A PERSONAL LETTER, WHICH SHOULD INCLUDE A BRIEF FAMILY BACKGROUND, FROM THE APPLICANT STATING WHY HE/SHE WISHES TO FURTHER THEIR EDUCATION (PLEASE USE A SEPARATE SHEET OF PAPER). 3. LIST ALL OFTHE FOLLOWING, STARTING ON PAGE 4: A. ACTIVITIES B. AWARDS RECEIVED C. YOUR COMMUNITY INVOLVEMENT 4. THREE (3) LETTERS OF RECOMMENDATION FROM PERSONS OTHER THAN YOUR RELATIVES. EXAMPLES: A. TEACHERS WHO KNOW YOU PERSONALLY COULD WRITE TWO (2) OF THE THREE (3),BUT NOT ALL THREE (3). B. COMMUNITY MEMBER SUCH AS FORMER EMPLOYER, PASTOR OR PERSONAL FRIEND OF THE FAMILY. C. A LOCAL BUSINESS PERSON. 5. IT IS OPTIONAL TO INCLUDE COPIES OF AWARDS, CERTIFICATES, AND NEWSPAPER ARTICLES OF YOURSELF WHERE YOU HAVE RECEIVED RECOGNITION FOR SCHOOL AND COMMUNITY ACTIVITIES. THIS IS DESIRABLE BECAUSE IT ADDS CLARITY AND DOCUMENTATION TO YOUR APPLICATION ACTIVITIES, AWARDS, COMMUNTY, INVOLVEMENT

IF YOU REQUIRE MORE SPACE, ATTACH A SEPARATE SHEET AND PLACE "SEE ENCLOSED" AFTER THE LAST ENTRY.

A. STUDENT ACTIVITIES: WHAT PART HAVE YOU TAKEN IN STUDENT ACTIVITIES AND OTHER ORGANIZATIONS IN HIGH SCHOOL?

B. AWARDS: HAVE YOU BEEN THE RECIPIENT OF ANY HONORS OR AWARDS? SPECIFY.

C. COMMUNITY INVOLVEMENT: LIST WORK HISTORY AND VOLUNTEER WORK?