Hello Key Club Members and Advisors in the Rocky Mountain District,

The Kiwanis International Foundation and Key Club International have designed a scholarship program to recognize Key Club members who have excelled in leadership and have provided service to others. Financial need is not a factor in this award. Each winner will receive a one-time US$1,000 award. The Rocky Mountain District is eligible to award one (1) of these scholarships this year based on the amount of clubs participating in the Annual Club Gift Campaign with the Kiwanis International Foundation.

Who Is Qualified for the Kiwanis International Foundation/District Matching Scholarship Program?A Key Club Member who:

o has been an active Key Club member for two years in good standing.o has paid dues and appears on the roster on file at Key Club International.o is a graduating high school senioro is a college-, university-, technical-, or vocational school-bound student.o has a gradeBpoint average of at least a AB@ average or the equivalent of a 3.0 on a 4.0

scale.o has attached an official high school transcript with an explanation of the grading system

utilized.o submits the application to the Key Club district administrator by the deadline established

by the district. For further information, contact the administrator.

Here is the procedure that will be followed for the 2013 Kiwanis International Foundation District Matching Scholarship. This is a one-time $1000 scholarship. The form we will use is at the end of this document.

You will need to include the following with your application:

1) Completed application filling in sections Key Club Offices & Leadership Events; Campus Organizations and Activities, Religious & Community Activities, and Honors, Awards & Special Recognition. (Additional sheets may be attached if not enough room is provided on the application.)

2) Two recommendation letters as described in the application.

3) A certified copy of your official high school transcript.

4) An essay of no more than 500 words detailing the Key Club service project you participated in that has had the greatest impact on you.

Applications must be in the hands of the District Administrator no later than 7:00 PM, April 5, 2013. They may be mailed or hand delivered to the following address:

RMD Key Club c/o David Harris 1641 S. Parfet Ct. Lakewood, CO 80232

The District Administrator will be at the District Convention Hotel, The Sheraton Denver West Hotel, 360 Union Blvd., Lakewood, CO on April 5, 2013. Applications may be hand delivered at the convention hotel on April 5, 2013.

Should you have any questions, please feel free to contact David Harris at any of the contacts below:

David Harris 1641 S. Parfet Ct. Lakewood, CO 80232 303-989-7994 (H) 720-341-5064 (C) RMDKCAd@aol.com Sincerely,

David Harris RMD Key Club Administrator

RMD Key Club/Kiwanis International Foundation District Matching Scholarship Application

Name Key Club Member Number First middle last

Birth Date (mo/day/year) Gender: Female Male

Permanent Address Street Address

City State Zip Code

Home Phone with Area Code / E-mail Address

Grade Point Average/Scale

Parents’ Names

High School Key Club District

Key Club Faculty Advisor Name

Advisor Phone with Area Code / E-mail Address

UNIVERSITY INFORMATION I have not finalized my decision as to which school I will be attending in the fall. I will be attending the following school(The scholarship check will be mailed directly to the school’s Financial Aid or Scholarship Office or applicable office. Please secure the address of this office.)University Name: University Student ID Number: To which office the check should be mailed: Address:

Campus Address

City State/Province Postal Code NationPhone Number with Area Code / E-mail Address

HOMETOWN NEWSPAPER ADDRESSName of Hometown Newspaper

Address: Street Address

City State Zip Code

E-mail Address

SIGNATURES (I verify that all the information included in this application is accurate.)

Applicant Printed Name ___________

Key Club Advisor Printed Name _____

Parent Signature: Printed Name ____________

Additional sheets may be attached if not enough room is provided on the application.

Key Club Offices and Leadership Events (List any elected or appointed offices on the club, district, or International level. Also list any district/International conventions, training conferences, or leadership events attended.

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

Campus Organizations and Activities ___________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

Religious and Community Activities ____________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

Honors, Awards, or Special Recognition ________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

Attach two recommendation letters that describe your leadership ability: one from a Kiwanis club member or your Key Club Faculty Advisor, and one from a community or religious leader. The reference letters must be no more than two pages in length, and they must be original letters that are dated and signed by your references.

Attach a certified a copy of your official high school transcript with an explanation of the grading process utilized at the school.

Scholarship applications MUST BE RECEIVED BY THE DISTRICT ADMINISTRATOR BY 7 pm,

FRIDAY, APRIL 5, 2013.