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Geneva Lions Club Scholarship ApplicationAbout Lions Clubs InternationalLions Clubs International is the largest service club organization in the world. Our 1.42million members in more than 48,000 clubs are serving in over 200 countries andgeographic areas around the globe. Since 1917, Lions have strengthened localcommunities through hands-on service and humanitarian projects, and we are able toextend our service impact through the generous support of our Lions Clubs InternationalFoundation. We are focused on supporting sight, hunger, the environment, childhoodcancer and our new global cause, diabetes, to help address some of the biggestchallenges facing humanity. Lions have set an ambitious goal of helping 200 millionpeople per year so we can bring even more service to more people than ever before.For more information about Lions Clubs International, visit lionsclubs.org.About Geneva Lions ClubThe Geneva Lions Club was founded in 1937 — the oldest service club in town.Members are active within the communities of Geneva and St. Charles to raise moneyprimarily for the benefit of persons with sight or hearing disabilities. A large percentageof funds is also donated to local community organizations. Visit genevalionsclub.org tolearn more about the Geneva Lions Club, our service activities, and the organizationswe support.About the Geneva Lions Club ScholarshipThe Geneva Lions Club Scholarship is awarded to graduating high school seniorsresiding within the Geneva Lions Club service area of Geneva and St. Charles. As anorganization dedicated to service, the scholarship is designed to reward and promote acommitment to service. Therefore, the community service component is heavilyweighted. Additional criteria include: Graduating senior residing within Geneva or St. Charles Attend a four-year college or university, starting no later than the fall semesterfollowing high school graduation GPA of at least 3.0 on a 4.0 scale or 4.0 on a 5.0 scale (a B average)InstructionsSend completed application with high school transcript (unofficial transcript accepted)to:Geneva Lions Club Scholarship CommitteeP.O. Box 382Geneva, IL on Deadline: Must be postmarked by Friday, April 2, 2021.*Response RequiredPage 1 of 6
Geneva Lions Club Scholarship Application*Student Name*Home Address*CityStateZip*PhoneEmail*High School*High School Faculty/Staff Reference*Outline your college plans for this fall. Include your major, career goals, and institutionname and location if determined. (Attach additional page(s) if needed.)*Response RequiredPage 2 of 6
Geneva Lions Club Scholarship Application*Community Service (Not school related. Attach additional page(s) if needed.)OrganizationCity# of Months/Years InvolvedFrequency of Involvement(specify months or years)(once, weekly, monthly)Describe your responsibilities, contributions, leadership roles, awards and additionalservice beyond regularly scheduled commitments such as special projects.OrganizationCity# of Months/Years InvolvedFrequency of Involvement(specify months or years)(once, weekly, monthly)Describe your responsibilities, contributions, leadership roles, awards and additionalservice beyond regularly scheduled commitments such as special projects.*Response RequiredPage 3 of 6
Geneva Lions Club Scholarship Application*Extracurricular School Activities (Include additional page(s) if needed.)Activity/Club/TeamSchool# of Semesters/Years ParticipatedFrequency of Participation(specify semesters or years)(once, weekly, monthly)Describe your involvement, contributions, leadership roles, awards and additionalservice beyond regularly scheduled commitments such as special projects.Activity/Club/TeamSchool# of Semesters/Years ParticipatedFrequency of Participation(specify semesters or years)(once, weekly, monthly)Describe your involvement, contributions, leadership roles, awards and additionalservice beyond regularly scheduled commitments such as special projects.*Response RequiredPage 4 of 6
Geneva Lions Club Scholarship Application*Employment (Include additional page(s) if needed.)EmployerCityStart DateEnd Date# of Hours/WeekEmployerCityStart DateEnd Date# of Hours/WeekIf not included previously, please describe any connection with a Lions or Leos club.This may include personal membership, volunteering for a Lions project or event, ormembership of a parent or grandparent.Please describe any special circumstances or additional information you would like thescholarship committee to consider such as family or financial need?*Response RequiredPage 5 of 6
Geneva Lions Club Scholarship Application*I certify that the information provided in this application is true and correct. I authorizethe faculty/staff reference(s) provided to release any information concerning my schoolrecords and activities to the Geneva Lions Club Scholarship Committee (which will bekept strictly confidential.)Applicant SignatureDateParent/Guardian SignatureDate*Response RequiredPage 6 of 6
Attend a four-year college or university, starting no later than the fall semester following high school graduation GPA of at least 3.0 on a 4.0 scale or 4.0 on a 5.0 scale (a B average) Instructions. Send completed application with high school transcript (unofficial transcr
