2003
DALTON NOON LIONS CLUB SCHOLARSHIP APPLICATION
FOR COLLEGE
Name____________________________________________________Age________Sex________
Address (Street, P.O. Box, etc.)____________________________________________________
City___________________State__________________Zip_____________County____________
Phone___________________________Day___________________Evening__________________
Parents Name_______________________________Occupation___________________________
_______________________________Occupation___________________________
Number of Children in Family___________________Ages_________________________________
College or Post Secondary Institution Enrolled in or Planning to Enter______________________
_______________________________________________________________________________
Cumulative Grade Point Average_________________________SAT Score_________________
Anticipated Major________________________________________________________________
Name of High School________________________________Year of Graduation______________
Cumulative Grade Point Average______________________
Please attach a copy of your high school transcript.
Why should you be selected to receive this scholarship? (Include financial need or special family circumstances).
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
___________________________________________________Add additional page if necessary.
Please tell us about your involvement in school and community activities:
SCHOOL:
|
Club, Group or Activity |
Major Office, Committees or Responsibilities |
Award/Recognition Received |
| Example: Spanish Club | President | Outstanding Spanish Student Award |
COMMUNITY:
|
Club, Group or Activity |
Major Office, Committees or Responsibilities |
Award/Recognition Received |
| Example: Boy Scout | In charge of weekend camp trip | Eagle Scout Award |
______________________________________ ________________________________________
Signature of Parent Signature of Applicant
Return completed application plus transcript from High School to Dalton Noon Lions Club, P.O. Box 85, Dalton, GA 30722.
The boy and girl winners of the scholarships will need to submit a photograph to be used for publicity.
If possible, winners will be participants in the Annual Dalton Christmas Parade sponsored by Dalton Noon Lions Club.