scholarshipspckt-2011
TRANSCRIPT
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K E Y C L U B
2011 New Jersey District Scholarships
Send all applications and questions you may
have to:
Key Club Scholarships
c/o Aimee Meissner
166 Oaklyn Road
Phillipsburg, NJ 08865
908-329-0727
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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! Seventeen 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 theapplication process.
The All-Inclusive Scholarships Checklist: This provides easy to follow instructions to guide youthrough the application process.
The New Jersey District Scholarship Application: This is the only general application formstudents need to fill out to apply for the New Jersey Key Club Scholarships.
School Transcript Request Form: All applicants must submit this to their Guidance Counselorso that a copy of the applicants transcript may be obtained.
Advisor Verification Form: This must be completed and signed by the applicants Key ClubAdvisor to verify his/her involvement in community service.
For more information, suggestions, questions or comments contact:
Key Club Scholarshipsc/o Aimee Meissner
166 Oaklyn RoadPhillipsburg, NJ 08865
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K E Y C L U B
he Basics: What You Need to Know for the 2011 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 (4) $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 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 $1000o Donated by the Napolello Foundation
The Kiwanis International Foundation Leadership Scholarship (2) $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 willnot actually be awarded until International Convention.
The New Jersey District Service Based Scholarship $1000o This scholarship is based completely on the applicants 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 2010-2011 District Convention.
All applications must be postmarked no later than March 1 st, 2011 to:Aimee MeissnerScholarships Committee Chairperson166 Oaklyn RoadPhillipsburg, NJ 08865
A selected committee of Kiwanis members reads the applications and decides the winners ofeach scholarship. The decision made is based upon the criteria of each of the scholarships.Keep in mind that no application will be reviewed nor judged by any member of the New
Jersey District Scholarships Committee. To view step-by-step instructions concerning therequirements of your application, refer to The All-Inclusive Scholarships Checklist.
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he 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, its all about the Class of 2011! 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 the application BEFORE MAILING IT.
Neatly, in blue or black ink, 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 whileyou 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 and the 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 doneand 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 toexplain 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 rolein 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, 2011 to:
K E Y C L U B
Key Club Scholarships
c/o Aimee Meissner166 Oaklyn Road
Phillipsburg, NJ 08865
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K E Y C L U B
ew 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 Advisors Signature Date
___________________________________ ______________________________Applicants Signature Date
*Note: This is a common application for all District Scholarships, including the New Jersey District
matching the Kiwanis International Foundation Scholarship.
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K E Y C L U B
010 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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K E Y C L U B
chool Transcript Request Form
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 Aimee Meissner166 Oaklyn Road
Phillipsburg, NJ 08865
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 students transcript is
required. Please enclose this form with the official transcript, the students official College
Board Scores, class rank, Grade Point Average, and an explanation of the schools grade
point average system in the envelope provided by the student.
Please mail this package to Aimee Meissner, Scholarships Chairperson, at the above
address no later than March 1st
, 2011.
Certification:
I hereby certify that the enclosed transcript is the official transcript of_____________________________, a senior at _________________________________ High School.
Signature of Guidance Counselor: _____________________________________________________
Date: _____________________
cholarships Available to Key Club Members by Other Organizations