BONFIELD LIONS SCHOLARSHIP

Application Form

 

NAME

 

ADDRESS

 

PARENTS NAME(S)

 

FAMILY INCOME AS SHOWN ON LAST TAX RETURN:

Parent Please Select One:

 

0-40,000

$40,000-70,000

 

$70,000-100,000

$100,000-130,000

Over $130,000

 

ACTIVITIES

  

  

 

  

  

 

  

  

 

  

  

 

  

  

 

  

  

 

  

  

 

  

  

 

  

  

 

  

  

 

LEADERSHIP POSITIONS

 

  

  

  

  

 

  

  

 

  

  

 

  

  

 

 

RECOGNITION OR AWARDS

 

  

  

 

  

  

 

  

  

 

  

  

 


 

SPECIAL CIRCUMSTANCES WHY I SHOULD WIN THE SCHOLARSHIP?

(OPTIONAL)

 

IF THE LIONS CLUB HAD EXTRA FUNDS, WHICH ORGANIZATION, OR CAUSE SHOULD THEY SUPPORT AND WHY?

 

SCHOOL TO BE ATTENDING

 

Deadline: April 1

 

G.P.A

Class Rank

A.C.T.