Kiwanis Club of Richmond, Kentucky
Earl Rhodes Kiwanis Scholarship

Nominee must be a child or grandchild of a current Richmond Kiwanis member
who has been a member for at least one full calendar year prior to the submission of this application.

Typed forms are preferred but handwritten ones are acceptable. On separate sheets, please include:
(1) a reference letter from a school representative, (2) a reference letter from a community
representative, and (3) an essay entitled Why I Would Like to Receive the Kiwanis Scholarship that
is no longer than one page. Please turn in completed application to Beth Thompson, Kiwanis Club Scholarship Chairperson, Boston_Runner05@yahoo.com. no later than May 1st.


Students Name _______________________________ Students Signature__________________________
Sex____Date of Birth__________Phone Number:______________Alternate Phone Number:____________
Address ________________________________________________________________________________
Street City State Zip
School __________________________________________ Date of Graduation _______________________
Parents/Guardians ___________________________________
Fathers/Guardians Full Name
___________________________________
Mothers/Guardians Full Name
E-mail Address __________________________
Course of Study in High School ______ Advanced _____ General _____ Other __________________
Specify
Cumulative Grade Point (Based on 4.0) ___________
ACT Composite ______or SAT Scaled Scores_________________________________________
Number in Graduating Class ____________ Your Rank ____________
Scholarships received:

College plans (school, major):

High school activities/honors:

Leadership and contributions to the Key Club:

Leadership and community service:

Prior employment (full-time or part_time):

 

 


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