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Bethel Par] Lions ClubGeorge Meyer ScholarshipInstructionsThe Bethel Park Lions Club Scholarship is awarded annually in memoryof George Meyer, a highly respected Lions Club member, Bethel ParkHigh School -teacher, St:udent Government: sponsor, and communityleader. Hew-as a remarkable man w-ho inspired students.1. A scholarship grant of 5,000 will be awarded fort:he successfulapplicant's first year of college/ university or post high school -trainingin a degree program.2. Eligibility is restricted t:o students in t:he 2020 graduating class ofBethel Park High School w-hp have resided in t:he Bethel Park SchoolDistrict for at least t:wo (2) years.3. Applications must be mailed by t:he application deadline of May 1,2020.4. Applicants must request at: least t:wo references t:o complete t:heattached Reference Forms w-hich are t:o be mail ed separat:ely from t:heapplication t:o :Bethel Park Lions Scholarship1130 Rial DriveBethel Park, PA 15102Relatives should not: be asked t:o complete reference forms. Threeforms are attached and you may use all t:hree. It is wise t:o check withreferences t:o mal :e sure that the forms have been completed andmailed. Applications without t:wo references will lose points in t:hatarea.5. The grant recipient will be selected by a committee composed ofBethel Park Lions Cl ub members. Use of t:he grant is lirni:ted t:o expenses('tuition, books, board) directly related t:o the recipient's first year ofpost high school education. Upon request, copies of receipts must bemade available t:o t:he Bet:hel Park Lions Club.6. To receive t:he grant:, t:he scholarship recipieltt select:ed must: at:tendt:he Bethel Park High School Honors Recognition Program in May/June2020 and a June, 2020 meeting of t:he Bethel Park Lions Club.7.Contact Bethel Park High School Guidance personnel(janosik.kathy@ bphawks.org) for moreinformation.

nGeorge Meyer Scholarship ApplicationName1.Birthdate------------ Male---- Female---YearDayMonth2.Father or Guardian's OccupationPlace of employmentMother or Guardian's OccupationPlace of EmploymentHow long have you been a resident of Bethel Park?--------3.4.5.List the age, grade in school/ year in college or occupation (whichever isapplicable) of each of your sisters or brothers. (No names, please.)Age6.Grade in school/ year in college/ occupationList below any other dependents residing with your family and receiving supportfrom your parents/guardians. (No names, please.)Age Relationship to familyAge Relationship to family--- ---------

Bethel Park Lions George Meyer ScholarshipCounselor's SectionThis Counselor Section is no longer needed. Please attach a copyof your transcript and complete the bottom portion.'·I:iCumulative Weighted QPA'SAT Scores-Verbal---Math----TOTAL--ACT Composite' · ·- , . c -\:::r \-;--. . ·,"·1 "' , ,'.f,\(,J'l''\:\ .I · -- y,' - 'ig -:;- "" .-. ' f.· \ \ . 'Attendance for current year as of 1s days absent.(Date)(Number)"'" J1"' 0 Counselor's Signature / DateBethel Park Lions George Meyer ScholarshipApplicant's PortionStudent: Complete this portion. Your counselor will detach and keep it so that the LionsScholarship Committee will only know you by your code number.Applicant's nameFirstMiddleLastHome AddressStreetCityZip CodeHome Telephone .Cell TelephoneName of Parent(s) / Guardian(s)I certify that to the best of my knowledge the information provided in this scholarship applicationis true and correct.Student's Signature/ Date--------------Parent/Guardian's Signature/ Date--- -- ----------

ark l'George Meyer Scholarship Referenee FormAPPLICANT'S NAMEAPPLICANT:--------This is no longer anyonmousREFERENCE:1.How long have you known the applicant and in what context did you meethim or her?2.What is outstanding about this applicant?3.How has this applicant demonstrated leadership?4.Why would you recommend this applicant for a scholarship from acommunity service organization?

Bethel Park Lions ClubGeorge Meyer Scholarship Reference Page 25.Check all of the words or phrases that you believe best characterize the applicant:LEADERSHIP:--Outstandingleader--Leads successfully--Building Leadership SkillsCooperativeSOCIABILITY:Strongly altruisticFriendly, considerate--Somewhat reserved--Self-centeredINDUSTRY:--Takes on additional tasksHard-working--Normal work ethic--Needs occasional remindersRESPONSIBILITY: ExceptionalAbove averageAge appropriateUsually responsible6.If you would like to share additional information about the applicant that would behelpful to the scholarship committee, please write it on the back of this form orattach a separate page. Signature of reference0Name printedDate------Address Please mail this reference by May 1, 2020 to: Bethel Park Lions Scholarship1130 Rial DriveBethel Park, PA 15102

George Meyer Scholarship Referenee FormAPPLICANT'S NAME-------APPLICANT:This is no longer anonymous.REFERENCE:1.How long have you known the applicant and in what context did you meethim or her?2.What is outstanding about this applicant?3.How has this applicant demonstrated leadership?4.Why would you recommend this applicant for a scholarship from acommunity service organization?

Betheark Ions CluGeorge Meyer Scholarship Reference Page 25.Check all of the words or phrases that you believe best characterize the applicant:LEADERSHIP:Outstanding leaderLeads successfullyBuilding Leadership SkillsCooperativeSOCIABILITY:Strongly altruisticFriendly, considerate--Somewhat reserved--Self-centeredINDUSTRY:--Takes on additional tasksHard-working---'Normal work ethic--Needs occasional remindersRESPONSIBILITY : ExceptionalAbove averageAge appropriateUsually responsible6.If you would like to share additional information about the applicant that would behelpful to the scholarship committee, please write it on the back of this form orattach a separate page.Jk: Signature of referenceDateName printed-. ------- Please mail this reference by May 1, 2020 to:AddressBethel Park Lions Scholarship1 130 Rial DriveBethel Park, PA 15102

George Meyer Scholarship Referenee FormAPPLICANT'S NAMEAPPLICANT:--------This is no longer anonymous.REFERENCE:1.How long have you known the applicant and in what context did you meethim or her?2.What is outstanding about this applicant?3.How has this applicant demonstrated leadership?4.Why would you recommend this applicant for a scholarship from acommunity service organization?

Betheark lions CluGeorge Meyer Scholarship Reference Page 25.Check all of the words or phrases that you believe best characterize the applicant:LEADERSIDP:Outstanding leaderLeads successfullyBuilding Leadership SkillsCooperativeSOCIABILITY:Strongly altruisticFriendly, considerate--Somewhat reserved--Self-centeredINDUSTRY:--Takes on additional tasksHard-working--Normal work ethic--Needs occasional remindersRESPONSIBILITY: ExceptionalAbove averageAge appropriateUsually responsible6.If you would like to share additional information about the applicant that would behelpful to the scholarship committee, please write it on the back of this form orattach a separate page. Signature of reference Name printedDate--------AddressPlease mail this reference by May 1, 2020 to: Bethel Park Lions Scholarship1130 Rial DriveBethel Park, PA 15102--- ---- -------

The Bethel Park Lions Club Scholarship is awarded annually in memory of George Meyer, a highly respected Lions Club member, Bethel Park High School -teacher, St:udent Government: sponsor, and community leader. Hew-as a remarkable man w-ho inspired students. 1. A scholarship grant of 5,000 will be awarded fort:he successful