William C. Pevestorff Higginsville Lions Club Scholarship Fund

WILLIAM C. PEVESTORFF HIGGINSVILLE LIONS CLUB SCHOLARSHIP FUND

A Scholarship Award has been established by the Higginsville Lions Club in honor of a faithful, longstanding member, William C. Pevestorff. This scholarship will be presented to a graduate of Lafayette Co. C-1 School District who will be entering their third year of undergraduate school, majoring in the areas having to do with sight or hearing. The Scholarship will be no less than $500.00 and will in all likelihood be more. Selection will be based upon application and the criteria listed below.

I. SELECTION COMMITTEE

The Selection Committee will be appointed by the Higginsville Lions Club Executive Board.

II. SELECTION CRITERIA

A. The applicant will be selected without regard to sex, race, creed, or color.

B. Other considerations for selections:

1. Personal qualities of initiative, dependability and responsibility as evidenced by school and community citizenship.

2. Willingness to serve one’s community as evidenced by past service and future goals.

3. Applicant’s college transcript and list of extra-curricular activities.

4. Fulltime student must be entering their third year of studies planning to enter a career having to do with sight or hearing.

5. In the event no student is deemed eligible, the grant will not be made.

C. A winner and an alternate can be selected. The alternate will not be named unless the winner cannot accept the terms of the scholarship. The decision of the Selection Committee will be final.

III. TYPE OF COLLEGE OR UNIVERSITY

College and Universities accredited by the North Central Association of Secondary Schools and Colleges (or corresponding regional agencies) are eligible institutions.

IV. SCHOLARSHIP PAYMENT

The grant will be made payable jointly to the recipient and the institution at the rate of no less than $250.00 per semester during the student’s third year.

V. APPLICATION DEADLINE

Applicants must apply to the High School Counselor before graduating from High School or can be sent to the Higginsville Lions Club upon completion of their second year of College. WILLIAM C. PEVESTORFF HIGGINSVILLE LIONS CLUB SCHOLARSHIP FUND APPLICATION

Name in Full: ______First Middle Last

Date of Birth: ______Male: _____Female: _____Birthplace: ______

Full Name of Parents/Guardian:______

______Street Address City State Zip

Father’s Occupation:______

Mother’s Occupation:______

Number of brothers/sisters older than you:______Younger:______

What College are you attending? ______

When does your next semester start?______Your major:______

Your Minor if you have one______

Where are you living?______

Are you working and if so where?______

In the space below, summarize the school, church, and community activities in which you have been involved, including high school-list of organizations and any offices held.

Important: In the remaining space and continuing on the back or on additional sheets if necessary, write an essay of 250 words or less in which you 1) Choose one of the activities or organizations above and describe any service which you rendered to the community while a member AND 2) Explain how your choice of careers might allow you the opportunity to serve your chosen community in the future.

Date of application ______Signature of Applicant______***A copy of your college transcript through the first two years must accompany your application.