Yantis-Lake Fork Lions Club Adult Scholarship Guidelines

The scholarship is for undergraduate or graduate study for students 21 years of age or older. A student may not receive more than one scholarship/award in any one academic year.

The scholarship/grant is evidenced by a Certificate of Award. All checks are paid directly to the school.

The scholarship/grant may be used for tuition and fees, books and supplies, room and board if living on campus only.

To receive payment, the student must have the school send the completed Verification of Enrollment form, whereupon, we will issue our check, payable to the school, and mail it directly to the school to establish a credit in the name of the student.

If a student terminates a course or courses for any reason, the un-disbursed balance MUST be returned to us. It may NOT be transferred to another school, and it may NOT be paid to the student personally.

Applicants will be judged on financial need, leadership and biography. Heavy weight is put on the biography including future plans and goals. Please specify your community involvement in the past, currently, and intentions for the future. Also include a plan on how you intend on paying for your college and your anticipated time frame for completing your degree

Applicants will be judged by a committee of Yantis-Lake Fork Lions Club Board of Directors which will recommend to the club for a final vote.

All applications are due by August 6^th and January 3^rd. The scholarship will be in no event will be more than $500 and may be split to award two $250 scholarships/grants or based upon applications the club has the option of not awarding a scholarship.

The scholarship/grant is to be used in the semester awarded; example the August scholarship is to be used for the current year’s fall term and the January scholarship is to be used for the current year’s spring term. There will not be any scholarships awarded for summer.

Criteria/Eligibility/Limitations:

Applicant must

• Be a current resident of Yantis or Lake Fork area specifically North of Quitman city limits, East of FM 17 and West of FM 2966.
• Must complete Yantis-Lake Fork Lions Club Adult Scholarship Application;
• Submit a one-page no more than two pages biography including future plans;
• Submit high school transcript;
• Submit college transcript, if applicable;
• Have employer complete recommendation and send to us directly;
• Once awarded, a thank-you letter and photo for media is required before payment is made.

Notification of Scholarship:Applicants awarded Yantis-Lake Fork Lions Club Scholarships will be notified by United States Postal Service.

Send applications to: Yantis-Lake Fork Lions Club, P.O. Box 109, Yantis, Texas 75497

Yantis-Lake Fork Adult Scholarship Application

Criteria

We ask that recipients:

Are full-time students, 12 hours is considered full-time for undergraduate, and 6 hours for graduate. (Part-time students will not be considered is taking less than 6 hours for undergraduate and 3 hours for graduate; if awarded, the scholarship amount will be reduced.)

Student Profile Scholarship Amount (circle one): $500 $250

Name: Email:

Intended Major(s):

Current Semester Status (circle one): Freshman Sophomore Junior Senior Graduate

College/University planning on attending:

Employer: Length of employment:

Student Annual Income: $ Household Annual Income: $

Dependents: Ages: Spouse’s Name:

Social Security #: Birthdate:

Signature: Date:

Student Contact Information

Street: City: Zip:

Home Phone: Cell Phone:

Name of Parents or Emergency contact person:

Phone: Address:

Check Off Items As Completed:

Application

Biography

High School Transcript

College Transcript

Recommendation given to employer

Send applications to: Yantis-Lake Fork Lions Club, P.O. Box 109, Yantis, Texas 75497

Yantis-Lake Fork Lions Club

Recommendation Form

This form is to be completed and signed by most recent Employment Supervisor, or College Supervisor.

is an applicant for a scholarship/grant from Yantis-Lake Fork Lions Club. Applicant Name

We would appreciate your assistance in the evaluation of this person by answering the following items. An early reply will be appreciated, and the information given will be treated confidentially. Thank you for your help!

1=Exceptional 2=Satisfactory 3=Needs Improvement

ITEM	VALUE
1. Professional qualities: Attendance/punctuality, dependability, attitude, etc.
2. Work habits/Accuracy of work
3. Planning/Organizational skills
4. Leadership/Initiative
5. Cooperation: Understands and values concept of teamwork
6. Judgment in decision making
7. Human relation skills: Ability to relate to others
8. Sensitivity: Demonstrates concern for others – understands diversity
9. Response to supervision: Accepts suggestions willingly; profits from help; adjusts to new and changing situations.
10. Professional growth efforts: Takes initiative
11. Would you want to teach this person	Yes - Unsure
12. Additional comments:

In what capacity have you been associated with applicant?

Signature Official Position Date

Confidential Recommendation Authorization

I have applied for a scholarship with Yantis-Lake Fork Lions Club. I hereby give them permission to make inquires of references, former employers, and state or local government agencies concerning my general character and performance in the past. This permission form may be attached to requests for information and I hereby authorize the party receiving this form to give full and complete information as my be requested by Yantis-Lake Fork Lions Club. I further agree that the information requested will not be disclosed to me, in accordance with the law, but will be treated as confidential by the Lions Club, and I waive any right to see this information.

Date Applicant’s Signature

PLEASE RETURN REFERENCE FORM DIRECTLY TO: Yantis-Lake Fork Lions Club, PO Box 109, Yantis, Tx 75497

Yantis-Lake Fork Lions Club

Verification of Enrollment Form

College or University Name:

Address:

City: State: Zip:

Student Name:

Student ID#:

Semester Enrolled (circle one): Spring Fall Year:

Number of Hours Enrolled: Graduate Undergraduate

Signature/Title Date

Please mail form directly to: Yantis-Lake Fork Lions Club

3825 FM 2225

Quitman, Texas 75783

For questions telephone: 903-383-2323