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Scholarships

Bellflower Kiwanis Club Family Scholarship

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COVER SHEET


 

Initial Criteria for Application:

 

Active member of Key Club sponsored by Bellflower Kiwanis Club and/or resident of Bellflower


 

(PRINT CLEARLY)

 

Name

 
 

Address

 
 

Phone Numbers

 
 

E-mail

 
 

High School

 
 

Graduation Date

 

 

CODE# (to be assigned by Kiwanis): ______________


 

DEADLINE:

Return this application by 5:00PM on Friday, May 12, 2017, to:

 

Farmers Insurance

C/O: Allan Morse Insurance Agency

9928 Flower St. Ste. 102

Bellflower, CA 90706

(562) 925-9571 Phone

(562) 925-9576 Fax

Bellflower Kiwanis Club Family Scholarship

Application


 

Personal/ Family Information

 

Name

 

Birth Date

 

Birthplace

 

Languages Spoken

 

Jobs Held

 

Father’s Occupation

 

Mother’s Occupation

 

Number of Siblings and Ages

 


 

Academic Test Scores

 

Non-weighted GPA (end of Fall Semester):_____

 

SAT Scores:

ACT Scores:                               AP Scores (List subject and score):

_____Reading

_____English                           

                                           


 

_____Mathematics

_____Mathematics

 

_____Reading

                                             

_____Science

 

_____Writing (optional)







 

_____Writing

                             

   







 

Community Activities

Tell us how you are involved in your community.

 
 
 
 
 
 
 

Extracurricular Activities (High School)

Summarize the activities you are involved in at school (athletics, clubs, student government, etc.)

 
 
 

Scholarships

List the scholarships that you have applied for and the scholarships you have been awarded (amount).

 
 
 



 

Financial Need

Summarize your financial need. (How do you expect to pay for college and what contribution will you and your family make?)

 
 

 

Kiwanis Family Participation

List the Kiwanis Family organizations that you have participated in and the years. (Builder’s Club, Key Club, K-Club).

   

 

Essay

Please attach a maximum one page essay (double spaced) describing your goals and aspirations for your career and future life. Include how you are beginning preparation for that future life.

 

**Official transcripts are required and should be sent with the application by the deadline**

 

**Letters of Reference are welcome and should be sent with the application by the deadline