The Kiwanis Club of West Palm Beach, Florida

www.wpbkiwanis.com

The Kiwanis Club of West Palm Beach was chartered on August 21, 1921, just six years after the founding of the first Kiwanis Club in Detroit, Michigan. Throughout its history, the club has provided assistance to the educational and health needs of Palm Beach County’s young people, raising over $2.5 million to improve the quality of life for deserving children throughout our community.

The Kiwanis Club of West Palm Beach Foundation, Inc.

The Kiwanis Club of West Palm Beach Foundation is a 501 (c)3 nonprofit corporation established on September 28, 1966. The Foundation’s articles of incorporation state that its purpose is to promote “...the benefit of persons residing in and around Palm Beach County, Florida in connection with their health, education and/or welfare.”

The Foundation has continued its efforts as a result of generous endowments and contributions. To date, over 700 students have benefited through scholarship grants.

The Foundation is pleased to continue this work, thus reinforcing its motto –

“Promoting Excellence Through Education.”

Kiwanis

What It is: A worldwide service organization for individuals desiring personal involvement in the leadership and improvement of their communities.

Where It is: In the U.S., Canada, Mexico, Central and South America, the Caribbean, the Far East, Southwest Pacific and Europe, a total of 90 nations.

What It Does: Performs community service; assists the aging, the needy and youth; improves communities; encourages international understanding.

The Name: From the Indian words “Num Keewani ,” which means, “Self Expression.”

The Motto: “Serving the Children of the World.”

The Kiwanis Club of West Palm Beach Foundation, Inc.

Scholarship ApplicationPromoting Excellence Through Education

The Kiwanis Club of West Palm Beach Foundation, Inc. offers one of

the largest scholarship programs in Florida awarding over $200,000 per

year. The Foundation has distributed more than $3.4 million in scholarships

since 1966. Each scholarship is renewable for all 4 years of college

provided the student reapplies each year and maintains minimum

requirements. The total value of the grant, if renewed, is between $10,000

to $16,000 over 4 years.

The Foundation is committed to academic excellence. The goal

is to help students who carry at least a 3.0 grade point average; have

demonstrated good citizenship and community responsibility; and who

have financial need. Generally, family income over $75,000 will reduce

your chances of receiving a scholarship award. Copies of parents’ and

students’ income tax returns are mandatory as is a current tax bill or

property tax assessment. Awards vary in size depending on the cost of the

school and the student’s financial need, but generally range from $2,500 to

$4,000 annually. All grants are made without discrimination as to age, race,

color, religion, gender, national origin or disability.

To be eligible, students must plan to attend college full-time.

High school students must currently live AND attend a high school in the

geographic area described as north to PGA Boulevard, west to the Glades and

south to Hypoluxo Road.

Direct your questions to the Foundation Executive Secretary via Email

to cheriedboone@aol.com or phone (561) 281-3783. Applications should be

mailed to:

c/o Cherie Boone

1681 Walden Lane

West Palm Beach, FL 33406

The deadline for submitting applications is postmarked no later than:

incoming freshmen/first time undergraduate applicants – February 15, 2017

all other applications – April 15, 2017

Kiwanis Scholarship Program

The following documents must be received for you to be considered:1. CompletedApplication.2. GeneralStatement/Essay.Please attach a separate essay describing you personally as a prospective college student and a future member of your community. Your essay should include the following points, if applicable:

a) Scholastic interests, activities, and accomplishments in high school.b) Extracurricular school activities including sports.c) List and provide details of all leadership and volunteer activities.d) Why do you wish to go to college? What are your objectives?e) What do you intend to do after college?f) Why did you choose the college to which you are applying?

3. Transcriptrequirements:Officialandsealedtranscriptsofhighschoolgrades(seven semesters) including SAT/ACT test score. If you are already enrolled in college, send official and sealed transcripts of college grades to date.4. CopyofyourcurrentIncomeTaxReturn(if applicable).5. Copyofyourparents’orguardian’s latest Income Tax Return.6. Ifyourparentsorguardiansarehomeownerspleasesubmitacopyoftheircurrenttaxbillorpropertytax assessment.7. Documentsyousubmitmustbelegibleandsuitableforcopying.TYPEORPRINTLEGIBLYINBLACKINK8. Donotusestaples.Donotbindapplicationpackets.9. Submit one completed application packet. Applications must be postmarked no later than February 15, 2017.

You may attach other information you believe would be of assistance to the Kiwanis Foundation in acting on your application. Application and ALL application material must be submitted

at one time including transcript(s) to be accepted for consideration.

Returning Recipients & Graduate Applicants

Foundation scholarships are renewable provided you make application each year and remain in good academic standing. The following documents must be received for you to be considered:1. CompletedApplication.2. Transcriptrequirements:Ifyouhavenotalreadydoneso,includethemostrecent,officialandsealedgrade

transcripts.3. CopyofyourlatestIncomeTaxReturn(if applicable).4. Copyofyourparents’orguardian’slatestIncomeTaxReturn.5. Documentsyousubmitmustbelegibleandsuitableforcopying.TYPEORPRINTLEGIBLYINBLACKINK6. Donotusestaples.Donotbindapplicationpacket.7. (Graduate and Jacobson Recipients Only) Resume of leadership and community service involvement over the

past year.8. (Graduate and Jacobson Recipients Only) Two reference letters from non-family members as to

applicant’s overall qualifications, leadership, and/or community service involvement.9. Applications must be postmarked not later than April 15, 2017.

Completed applications should be mailed to:Kiwanis Scholarship Program

c/o Cherie Boone1681 Walden Lane, West Palm Beach, Florida 33406

If you have a question:Email your inquiry to cheriedboone@aol.com or phone (561) 281-3783

Freshman or First Time Undergraduate Applicants

How to apply . . .

APPLICATION FOR KIWANIS CLUB SCHOLARSHIP PROGRAMS (Please print or type)

Name __________________________________________________ Date_____________

Home Address ____________________________________________________________

City_____________________________________ State_____ Zip __________________

Phone________________________________ Fax _______________________________

E-mail __________________________________________________________________

Date of Birth________________ Sex_________ Marital Status _____________________

High School Attended_________________ Year of Graduation_____ Rank In Class _____

Name and address of college you plan to attend. (If undecided, the colleges you are considering):

_________________________________________________________________________________________________________

Have you been accepted? Yes No Don’t Know

Major field of study____________________________________________Expected college graduation date __________________

Have you attended any college? oYes oNo If yes, give name ____________________________________________________

Date of Attendance __________________________________________________________________ (attach transcript of grades)

Name & address of college presently attending ___________________________________________________________________

Your college address (if different from home address) ______________________________________________________________

College phone # ____________ Number of college terms now completed: (Quarters )_____ (Trimesters )_____ (Semesters)_____

Present c1ass: oFresh oSoph oJr oSr o Grad

– PARENTS’ CONFIDENTIAL FINANCIAL STATEMENT –

(if independent, please provide your financial information)

Father’s name ______________________________________ Mother’s name __________________________________________

Father’s occupation __________________________________ Mother’s occupation ______________________________________

Father’s employer ___________________________________ Mother’s employer _______________________________________

Years with present employer: Father___________________________________Mother __________________________________

Total annual salary, wages, or other income: Father $ _____________________Mother $ _________________________________

Approximate Net Worth: Father $ ____________________________________Mother $ _________________________________

Is home owned? oYes oNo If yes, assessed value $___________ (Attach current property tax bill or property tax assessment)

Unpaid mortgage amount $ ____________________________ If home is rented, amount of monthly rental $ _________________

Value of investments $ _______________________________ Savings $ ______________________________________________

List children (other than applicant) dependent upon you for support. Give names, ages and school attending.

_________________________________________________________________________________________________________

Are there any special family circumstances or problems that should be considered? Any health problems? Please explain.

_________________________________________________________________________________________________________

ACT Score Number ofSiblings

SAT Scores

Read: _________ Read: _________

Math: _________

Class Rank

Nbr.____out of_____

HPA

APPLICANT FINANCIAL STATEMENT

REFERENCEList one personal reference other than family

Name and Address Relationship Phone Number_______________________________________ ________________________ _________________

* I/we certify that the above information is accurate and complete. False information and/or failure to timely submitofficial grade transcripts and other required data each term is grounds for scholarship forfeiture.

________________________________ ________________________________ ________________________________*Signature of Father *Signature of Mother *Signature of Applicant

Have you applied for or been awarded any other financial aid? oYes oNo If yes, state to whom the application was made, date of application(s), amount of aid requested and action taken on said application, if any?

Application to Application Date Amount Requested Action Taken

__________________________________ ______________ ________________ ______________

__________________________________ ______________ ________________ ______________

__________________________________ ______________ ________________ ______________

__________________________________ ______________ ________________ ______________

Do you owe any debts? oYes oNo If yes, describe:Amount Date Terms Purpose

________________ ___________ ____________ _______________________________________

________________ ___________ ____________ _______________________________________

________________ ___________ ____________ _______________________________________

________________ ___________ ____________ _______________________________________

Do you have or have you had a job? oYes oNo If yes, complete the following information:Employer Type of work Hours per week Earnings (total annual)

__________________________ _____________________ _____________ __________________

__________________________ _____________________ _____________ __________________

__________________________ _____________________ _____________ __________________

Do you own a car? oYes oNo If yes: ______________________________ __________________Indicate make, model, year Balance still owed

Estimated total annual (school year) expenses at college:

Tuition $ ____________________Room $ ____________________Board $ ____________________Books $ ____________________

Transportation $ ____________________ Miscellaneous $ ____________________ Total Expenses $ ___________________

From what financial resources do you expect to meet these expenses:

From Parents $ ________________________From Your Savings $ ________________________

$ ________________________ $ ________________________ $ ________________________ $ ________________________

Total Other Sources $ ________________________From Kiwanis $ ________________________

Total Resources $ ________________________The Total Expenses should be the same as the Total Resources

Parents’ TotalIncome

________________________________________________________________________________

GPA(Unweighted) (Weighted)

Math:_________