Manitowoc Golden K Kiwanis

Scholarship Application Form for 2018-2019

Open to applicants who live within the Manitowoc Public School District or are students at a high school within the district, or are students at Lakeshore Technical College, Silver Lake College, or the University of Wisconsin, Manitowoc Campus.

Demonstration of both financial need and the potential ability to complete a chosen program at LTC, SLC, or UW-Manitowoc is required.

You will need to present two letters of recommendation and your school grade transcript with this application. The scholarship stipend is $500.00.

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Name of Applicant______Date of Birth______

Home Address______

Telephone ______High School Attended______

If you are independent and self-supporting, you may skip items 1-5.

1.  Parents or guardians name(s): ______

2.  Occupations(s) of employed members of household: ______

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3.  Combined annual income of employed members of household (include wages, business income, rental income, pensions, benefit payments, etc.): ______

4.  Number of people in the household who receive support from the above combined incomes: ______

5.  Describe any unusual demands on the above income, such as: number in college, debt or health problems, etc. ______

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6.  Married?_____ Number of Dependents (not counting yourself)____ Your total annual income (include that of spouse, if married) ______List jobs you have held during summers and/or during school.______

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7.  Describe the course or program you plan to take at LTC, SLC, or UW-Manitowoc. (Please circle which of the three schools you plan to attend.) ______

8.  Describe your plan to pay the costs of this program. (What part from savings, family support, job, etc?) ______

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9.  Briefly describe your future plans as they relate to completing your college program. ______

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10.  List the school or community organizations and/or activities in which you have participated.______

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APPLICANT SIGNATURE______Date______

Send this application and the attachments, postmarked by April 1, 2018, to:

Manitowoc Kiwanis Golden K Scholarship Committee

PO Box 134

Manitowoc, WI 54221

Attachments:

1.  School transcript, including 1st semester 2017- 2018 school year.

2.  Letter of recommendation from a teacher or a school official.

3.  Letter of recommendation from a non-school person – not related to you.