4. 2012 scholarships packet
TRANSCRIPT
8/3/2019 4. 2012 Scholarships Packet
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2012 New Jersey
District Key Club
Scholarships Send all applications and questions you may have to:
Key Club Scholarships
c/o Zachariah DeGiulio
79 E Main St
High Bridge, NJ 08865
[email protected] 908.752.9585
Applications must be postmarked by Thursday, March 1st,
2012
Visit njkeyclub.org for a digital copy of these forms.
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Dear Key Club Scholarship Applicant,
The following packet contains all of the information you need to apply for a Key Club sponsored Scholarship! Eighteen
scholarships, ranging in value from $500 to $2000 will be awarded to the members of the New Jersey District of Key Club
who have exemplified incomparable dedication to serving the children of our world, demonstrating an outstanding capacity
in academics, and upholding the objects of Key Club International during their high school years.
This packet includes:
♦ The Basics: This sheet explains the plethora of scholarships and guides you through the application process.
♦ The All-Inclusive Scholarships Checklist: This provides easy to follow instructions to guide you through the
application process.
♦ The New Jersey District Scholarship Application: This is the only general application form students need to fillout to apply for the New Jersey Key Club Scholarships.
♦ School Transcript Request Form: All applicants must submit this to their Guidance Counselor so that a copy of
the applicant’s transcript may be obtained.
♦ Advisor Verification Form: This must be completed and signed by the applicant’s Key Club Advisor to verify
his/her involvement in community service.
Unfortunately, Key Club International does not provide scholarships anymore, but they do match the Kiwanis
International Foundation Leadership Scholarships in the amount of $500 per scholarship. In addition, many Kiwanis clubs
offer their own scholarships. Go to your local Kiwanis meeting or get in touch with you Kiwanis contact person to see
whether your sponsoring club offers them.
It is strongly encouraged that you obtain a digital copy of these forms, fill them out on the computer and print them
out. This will make the process run much more smoothly and will make your application look neater. Visit
njkeyclub.org to download these forms.
Good luck!
For more information, suggestions, questions or comments contact:
Key Club Scholarships
c/o Zachariah DeGiulio
79 E Main StHigh Bridge, NJ 08829
908.752.9585
Introduction
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The Basics: What You Need to Know for the 2012 Scholarships
By going through the application process just once, you will be eligible to win one of the following scholarships:
The New Jersey Kiwanis Foundation Scholarship $2000
New Jersey District Scholarships (2) $1000 (each)The Dr. George McCrossan Memorial Scholarship $2000
The Dr. Andrew Batsis Scholarship $1000
The John Johnson Memorial Scholarship $1000
o This is only given to NJ District Board Members.
$500 from the Jackson Kiwanis
$500 matching sum from the New Jersey District of Key Club
Robert J. Mascenik Memorial Scholarship $1000
$500 from the New Jersey District Foundation Fund
$500 from the New Jersey District of Key Club
The Dominico Gatti Memorial Scholarship $1000
The Ted Hordichuk Memorial Scholarship $1000
o This is only given to NJ District Board Members. $500 from the Jackson Kiwanis
$500 matching sum from the New Jersey District of Key Club
The Fred Briggs Memorial Scholarship $1500
$750 from the Kiwanis Club of Livingston
$750 from the New Jersey District of Key Club
The Dr. Gene Napolello Leadership Scholarship $1000
$500 from the Napolello Foundation
$500 from the New Jersey District of Key Club
The Kiwanis International Foundation Leadership Scholarship (5) $1000 (each)
Matching Scholarships with $500 from Kiwanis International
$500 from the New Jersey District of Key Club
o Winners of these scholarships will be announced at District Convention, but the monies will not be mailed outuntil International Convention in Orlando, Florida from July 4-8, 2012.
The New Jersey District Service Based Scholarship $1000
o This scholarship is based completely on the applicant’s service record
The Celeste and Barrie Werfel Scholarship $1000
$500 from an anonymous donor
$500 from the New Jersey District of Key Club
All winners will be recognized at the 2012 District Convention.
All applications must be postmarked no later than March 1st, 2012 to:
Key Club Scholarships
c/o Zachariah DeGiulio
79 E Main StHigh Bridge, NJ 08829
A selected committee of Kiwanis members reads the applications and decides the winners of each scholarship. The decision made
is based upon the criteria of each of the scholarships. Keep in mind that no appl i cation wi l l be rev iewed nor judged by any
member of the New Je rsey Distr i ct Scholarships Committee . Kiwanis members only wi l l be rev iewing the appl i cations .
To view step-by-step instructions concerning the requirements of your application, refer to The All-Inclusive Scholarships
Checklist.
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The All-Inclusive Scholarship Checklist
At the New Jersey District Convention, several scholarships will be awarded to the graduating class of Key Club Members.
This year, it’s all about the Class of 2012! To apply for scholarships offered by the New Jersey District of Key Club, follow
these simple step-by-step directions. Use this as a checklist to ensure that you have completed all components of theapplication BEFORE MAILING IT.
The digital version of this packet is a fillable PDF. It is strongly encouraged that you fill out the forms on the computer and
then print them out and sign them to make the application look more neat and put-together. You may also neatly use blue
or black ink. Visit njkeyclub.org for a digital version of this packet.
Fill out the Application Information Sheet found in the packet.
Request a copy of your school transcript from your Guidance Counselor using the attached School Transcript
Form. (Include Class Rank, GPA and official College Board scores)
On a separate sheet of paper, give a brief description of projects you participated in while you were in Key Club,
and the role you played in each of the projects. Include the grade level you were in during each of the projects andthe approximate number of hours you spent on it. Have the list signed by your faculty advisor and club
president.
If you performed service outside of Key Club, provide a summary of what you have done and the contact
information of the coordinator of the service project, including name and telephone number. In your summary,
also include your grade level during the project and the number of hours you spent on the project.
On the included sheet, give a brief description of your most important academic or extra-curricular
achievement unrelated to Key Club.
Write a two-page essay about your most memorable Key Club Service Project. Be sure to explain the inspiration,
effort, impact and personal growth involved. The essay should answer the following questions:o What was your most memorable Key Club service project and why?
o How did you become involved with the project?
o What role did you play in the project and how much time did you spend on it?
o What was the most difficult part of the project and why?
o How did the project benefit the parties involved?
o Did you meet your expectations?
o What did you learn from this project?
o How did this project affect you?
o What would you tell other young people about your experience?
Obtain two letters of recommendation: one from an adult who has played a significant role in your life and one
from a person familiar with your community service efforts.
Include a completed Advisor Verification Form filled out by your club advisor.
Mail all of the above (Guidance Counselor will mail the transcripts) by March 1st, 2012 to:
Key Club Scholarships
c/o Zachariah DeGiulio
79 E Main St
High Bridge, NJ 08829
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New Jersey District Key Club Scholarship Application Information Sheet
Name: ________________________________________________________________________________Last First Middle
Address: __________________________________________________________________________________Street
__________________________________________________________________________________City State Zip/Postal Code
Telephone: ____________________________________ Date of Birth: _____ /_____ /_____
Email Address: ____________________________________________________________________
Social Security Number: ____________________________________________________________________
Key Club of: ____________________________________________________________________
School Address: ____________________________________________________________________Street
____________________________________________________________________City State Zip/Postal Code
School Telephone Number:____________________________________________________________________
Offices Held in the Key Club Organization:
___________________________________ ______________________________
Office Held Date Held
___________________________________ ______________________________Office Held Date Held
___________________________________ ______________________________Office Held Date Held
Number of hours served over the past four years: ______________________________
The undersigned information confirms the above information is accurate:
___________________________________ ______________________________Faculty Advisor’s Signature Date
___________________________________ ______________________________ Applicant’s Signature Date
*Note: This is a common application for all District Scholarships.
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2012 Advisor Verification Form
To be filled out by the Faculty Advisor and sent with the application.
This is to certify that ___________________________________ is an active and participating member of the
________________________________________ Key Club. This member attends meetings and is involved in
our service projects.
Signed: ________________________________________________________________________________
Print Name: ____________________________________________________________________________
Faculty Advisor of __________________________________________________________ High School
Student Signature_______________________________________________________________________
Print Name: ____________________________________________________________________________
Date: __________________________________________________________________________________
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Applicant: Please fill out your name, address and telephone number and give this form to your guidance
counselor along with appropriate postage addressed to:
Key Club Scholarships
c/o Zachariah DeGiulio
79 E Main St
High Bridge, NJ 08829
Name of Applicant: _______________________________________________________________Last First Middle
Address: ______________________________________________Street
_______________________________________________________________City State Zip/Postal Code
Telephone: ( ) ____________________________________________________
Counselor: This form, with the transcript of the above-mentioned applicant, is an essential component in
selecting the recipients of the New Jersey District Key Club Scholarships. In order to determine the
recipients, an official copy of the above student’s transcript is required. Please enclose this form with theofficial transcript, the student’s SAT/ACT Scores (if applicable), class rank (if applicable), Grade Point
Average, and an explanation of the school’s grade point average system in the envelope provided by the
student.
Please mail this package to Zachariah DeGiulio, Scholarships Chairperson, at the above address no later
than March 1st, 2012.
Certification:
I hereby certify that the enclosed transcript is the official transcript of
_____________________________, a senior at _________________________________ High School.
Signature of Guidance Counselor: ____________________________________________________
Date: _____________________
School Transcript Request Form