SWD Scholarship Application

I am applying for a (select only one) *

Key Club -- Kiwanis Children's Fund District Scholarship

CKI -- Kiwanis Children's Fund District Scholarship

First Name *

Middle Name

Last Name *

Birthdate *

Home Mailing Address *

Home Mailing Address

City

State/Province

Zip/Postal

Email address *

Phone number (include area code) *

Enter the name of your Key Club *

Enter the name of your CKI Club *

What is your Key Club Member Number? *

What is your CKI Member Number? *

What is your Key Club faculty advisor's name? *

What is your CKI faculty advisor's name? *

What is your Key Club faculty advisor's email address *

What is your CKI faculty advisor's email address *

What is your Key Club faculty advisor's phone number (include area code) *

What is your CKI faculty advisor's phone number (include area code) *

High School graduating from *

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:

UNIVERSITY INFORMATION

(The scholarship check will be mailed directly to the school's financial aid or scholarship office or other office listed. Please confirm the address and contact information of this office.)

University / College Name *

University / College student ID number *

Name of the University / College Office where private scholarships are processed: *

Street Address

City, State, Zip *

What is the phone number of the college or university office where private scholarships are processed? *

Email address of the officer where private scholarships are processed *

Please electronically sign this document in the following format:

/s/ Terry Smith

By typing my name below "/s/ typed name" I verify all information contained in this scholarship application is valid and true and I meet the qualifications listed in the Scholarship Information link at the top of this webpage.

Documents 1-5 are required to be uploaded with this application. ONLY PDF files may be submitted.
Please make sure your name is at the top of each document.
Please see Key Club Scholarship Information link at the top of this webpage for details.

1. Certificate of Admissions
2. Key Club Activities
3. Key Club Service Hours
4. Five (5) Paragraph Essay
5. Resume

6. Two (2) letters of recommendation.
Give the persons writing your letters of recommendation this link so they may submit your letter of recommendation. (One from a Kiwanian or your Key Club Faculty Advisor and one from an Educator other than your Key Club Faculty Advisor.)

Documents 1-6 are required to be uploaded with this application. ONLY PDF files may be submitted.
Please make sure your name is at the top of each document.
Please see CKI Scholarship Information link at the top of this webpage for details.

1. CKI activities
2. CKI Club service hours
3. Campus organizations / Community involvement
4. Honors, awards, special recognition
5. 400-500 word essay
6. Your resume

7. Two (2) letters of recommendation.
Give the persons writing your letters of recommendation this link so they may submit your letter of recommendation. (One from a Kiwanian or your CKI Faculty Advisor and one from a CKI member.)

Link to submit Letter of Recommendation

Give this link to a parent or guardian so they may also sign your application

Parent or guardian signature

File Upload *

Maximum upload size: 516MB