Kiwanis Education Grant

This academic grant will be given to the student upon proof for enrolment. ($500 per semester for the
first year only)

This grant is available to students interested in vocational and technical institutions, junior and four
year colleges or universities.

The student should demonstrate a financial need.

High grades are not a primary requirement, but the student's capabilities should be noted.

To receive this grant, student must provide St. James Kiwanis with proof of enrollment for each
semester.

The student will participate in a face to face interview with the Kiwanis grant committee.

All parts of this application should be returned to the High School office no later than March I '3 th
Your application should include:

1. This form - 2 pages

2. Two recommendations - one from a teacher and one from another adult member of the
community
3. A short essay- 100 words or less addressing your educational plans and anything else you
would like us to know about you.

Please complete the following:

1. Name:·
2. Address:
3. Phone Number: home: cell:

. >
 4. Parent Name (s):
5. Parent's Occupation (s):

Father Mother

6. Earned Income of Parents: $0 - $20,000 $21,000 - $30,000 Over $30,000

Father

Mother

7. Dependent children
a. Total number of dependent children in family:
b. Ages of dependent children in family:
c. N umber of dependent children presently enrolled in college or technical school:
8. Name of school or program you propose to enter:

9. Costs
a. Anticipated cost of annual tuition:
b. Anticipated annual cost of room and board:
c. Anticipated annual cost of books and re41ated educational expense:.
10. Summarize your extra-curricular high school activities (in and out of school); your hobbies and
other interests. Attach another sheet if
necessary:----------------
 TEACHER RECOMMENDATION
Section 1 - Student information
Name: -------------
Grade Point Average:--------
Section 2 - Recommendation
Please write a short statement detailing your specific evaluation of this student
including the student's dependability, leadership and social interaction skills.
 ADULT COMMUNITY MEMBER RECOMMENDATION
Section 1 - Student information
Name: ������������-
Re I ation to the student: ��������������������
Section 2 - Recommendation
Please write a short statement detailing your specific evaluation of this student
including the student's dependability, leadership and social interaction skills.
 ADULT COMMUNITY MEMBER RECOMMENDATION
Section 1 - Student information
Name: _____________
Relation to the student: -------------------�
Section 2 - Recommendation
Please write a short statement detailing your specific evaluation of this student
including the student's dependability, leadership and social interaction skills.