Monroe Lions Club Scholarship (f)

Monroe Lions Club Scholarship Awarded to ONE BOY ~ ONE GIRL

MALE _____ FEMALE_____

Name: ________________________________________________________________ Parent’s Name(s): ______________________________________________________ Father’s Occupation: ____________________________________________________ Mother’s Occupation: ___________________________________________________ How many children in your family?___________

Phone #____________________

How many children presently in college or vocational school?___________________ What are your career plans?______________________________________________ _______________________________________________________________________ Where will you attend school? _____________________________________________ Have you been accepted? _______________ Course of Study: _________________ How do you plan to finance your education?_________________________________ List extracurricular activities: ____________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ Remarks (Reason for applying, why you choose your intended major and any other information that you feel may be of interest to the scholarship committee: ________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ OFFICE USE ONLY RANK: ___________ GPA: _____________