Lakeport Kiwanis
High School Senior
Scholarship Application for 2010

Serving the Children of the World TM

swush2

This application is for high school seniors and is due May 1, 2010.

Name
Address
City
State ZIP Home phone
e-mail
Parent or guardian
Current school
Counselor
GPA

School you have been accepted to and plan to attend

Explain or describe your personal, educational, and career goals

Extra-curricular activities in and out of school, including employment

Membership in organizations in and out of school and offices held, volunteer work, and community service, and unique achievements

Special circumstances in your life that make this scholarship important to you