This scholarship is for students who plan to pursue a one or two year post-secondary education program in a public or private school.

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January 2018 Dear Academic Advisor: The Kiwanis Club of West Des Moines will award a scholarship to a Valley High School, Walnut Creek Campus, Waukee High School or Iowa Christian Academy 2018 graduating senior for the upcoming school year. This scholarship is for students who plan to pursue a one or two year post-secondary education program in a public or private school. Examples of programs eligible for this scholarship include: Automotive repair Paralegal Dental Hygiene Construction Police science Dental Assistant Electrical technician Radiology technician Physical therapist Welding Nursing Medical pharmacy technician Manufacturing Funeral director Health information technician Commercial artist Library technician Information Technology Culinary science Fashion designer Database administrator Food service manager Cosmetology Event and hospitality management plus a whole host of other occupations. The scholarship is up to $1,000, based upon enrollment status, payable to the student s chosen institution in amounts up to $500 for each of the first two semesters. The second semester payment is dependent upon acceptable grades for the first semester and at a level based upon enrollment. This letter is our request that you make your students aware of this tuition scholarship program and to urge you to individually encourage seniors with potential and interest in pursuing a vocational or technical program to apply for this scholarship. Completed scholarship application forms must be returned to the counselor s office no later than March 22, 2018. A member of the scholarship committee will pick up completed applications from your school. The applicants will be interviewed by the scholarship committee. We thank you in advance for your assistance in identifying students interested in receiving a tuition scholarship provided by the Kiwanis Club of West Des Moines. If you have any questions, please contact Dale Cremers at 515-225-8400. We appreciate your providing this application to all deserving and interested students. Sincerely, Kiwanis Club of West Des Moines Scholarship Committee Dale Cremers

2018 SCHOLARSHIP DESIGNED SPECIFICALLY FOR THOSE PURSUING A ONE OR TWO YEAR EDUCATION EXPERIENCE The Kiwanis Club of West Des Moines will award one or more tuition scholarships to a Valley High School, Walnut Creek Campus, Waukee High School, Dowling Catholic High School or Iowa Christian Academy 2018 graduating senior for the 2018-2019 school year. This scholarship is for students who plan to pursue a one or two year post-secondary education program in a public or private school. Examples of programs eligible for this scholarship include: Automotive repair Paralegal Dental Hygiene Construction Police science Dental Assistant Electrical technician Radiology technician Physical therapist Welding Nursing Medical pharmacy technician Manufacturing Funeral director Health information technician Commercial artist Library technician Information Technology Culinary science Fashion designer Database administrator Food service manager Cosmetology Event and hospitality management plus a whole host of other occupations. This scholarship is not intended for students who are pursuing a Liberal Arts or intend to complete a Bachelor s Degree program. The scholarship is up to $1,000, based upon enrollment status, payable to the student s chosen institution in amounts up to $500 for each of the first two semesters. The second semester payment is dependent upon acceptable grades for the first semester and at a level based upon enrollment. TUITION SCHOLARSHIP CRITERIA: TO APPLY: 1. High school graduate planning to learn a specialized skill. 2. Career goals/objectives. 3. School records (grades, attendance, etc.) 4. Financial need. 5. School/Church/Community involvement. 6. Personal interview. Complete the Application and return the form to the Counselor s Office by March 22, 2018. Your counselor must attach a copy of your high school transcript and attendance record.

2018 SCHOLARSHIP APPLICATION Date: Your School: Valley Walnut Creek Waukee ICA Applicant name: Permanent Address: Email address: Phone Number: home: cell: Best way to reach you: email, home phone, cell phone, other? Family Information Who do you live with? Mother s name Father s name Mother s occupation and place of employment Father s occupation and place of employment List siblings, including ages, and identify those attending secondary education program: Parent s combined annual income: $ (This will be kept in strict confidence) Planning For Your Future Describe your career goals:

What helped you decide to pursue this career field? (High school classes, field trips, part-time job, etc.) What attracts you to this career other than financial rewards? Have you discussed your career goals with your counselors or teachers? If so, what was their advice? Post-High School Planning What school do you plan to attend after high school graduation and why this school? In what vocational/technical program are you planning to enroll? Have you applied to this school? Y N Have you been accepted to this school? Y N Have you applied for this specific program? Y N Have you been accepted for this specific program? Y N If you have not applied, why have you not applied and when do you plan on applying? If you have applied to the school, or the program, and have not had a response, when do expect a response to your application? Do you plan to attend full time or part time? (Circle answer) Full time Part time If you plan on attending less than full time, what will you be doing in addition to school?

What will be your tuition costs per semester? What will be your cost for books/tools/uniforms? How do you plan to finance your education next year? Have you applied or plan to apply for other financial aid or scholarships? (Circle answer) Y N List any scholarships or grants you have been awarded Personal Information Your work experience: (describe jobs, employers, hours worked per week) High school extracurricular activities and number of years you participated: Community involvement: ( describe community organizations, church, volunteer activities, what you learned from your involvement) What awards, honors, recognitions have you received? Applicant signature: Date Applicant must return this form to the Counselor s office by March 22, 2018. Counselor instructions: 1. Counselor must attach applicant s high school transcript and attendance record. 2. Call Dale Cremers (515-225-8400) to coordinate pickup