Georgia District Civitan Foundation, Inc. Dianne Hansard, Scholarship Chair
305 Atlanta Road Cumming, Georgia 30040

(For Civitan Year October 1, 2020 to September 30, 2021)

January 7, 2021

Dear High School Seniors and Advisors

The Georgia District Civitan Foundation invites your high school seniors to apply for the Georgia District Civitan Foundation 2021 Scholarship. There will two recipients with an award of $ 1500.00 scholarship each.

Enclosed is an application for this year's scholarships. Please feel free to make as many copies as needed. All criteria and general information about the scholarships is listed for you on page four of the application. Please note that the deadline for sending applications is March 15, 2021. All applications must be postmarked by that date. Any application that does not meet the listed requirements will not be considered. Winners will be notified by April 30, 2021.

If you have any questions, please feel free to call me at 770-540-0447 or e-mail: diannehansard@gmail.com

Sincerely,

Dianne Hansard Dianne Hansard, Chair
Scholarship Committee

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APPLICATION FOR THE Georgia District Civitan Foundation Scholarship

(For Civitan Year October 1, 2020 to September 30, 2021)

Personal Data:

Name:

Address:	

City: 	 State: 	Zip Code: __________

Telephone No.:(_____) ________________________

Name of High School: ___________________________________________________________

High School Address:	

High School's Telephone No.:(_____) ____________________

Guidance Counselor name ______________________________ Telephone #

Email address: ______________________________________ College Plans:

I plan to enroll as a student at:

College full address: 	

My classification will be:	Freshman	Sophomore	Junior	Senior	(circle one)

Describe the field you plan to study: _______________________________________________

Georgia District Civitan Foundation Scholarship

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GEORGIA DISTRICT CIVITAN FOUNDATION SCHOLARSHIP CRITERIA AND GENERAL INFORMATION January 7, 2021

The purpose of this scholarship is to assist a Georgia high school senior who has an outstanding record of community service in pursuing his/her education objectives. Academics and financial need are important and will be reviewed, but the over-riding criteria will be the applicant’s community service involvement.
	Two winners will be awarded a $1500.00 scholarship each

	Students who plan to attend an accredited college or university are eligible for the scholarship.
	The scholarship will be awarded without regard to creed, race, sex or national origin. 	The scholarship will be paid directly to the student, payable to the student and the
university, upon verification of acceptance and enrollment from the college or university.
	Applications must be postmarked on or before March 15, 2021 	Recipients will be notified by April 30, 2021
	Application requirements:

1. Please complete the following pages and submit with the required documents. 2. An essay of 500 words maximum must accompany this application. The essay
must be typed and double-spaced. Applicant’s essay must reflect his/her community activities and tell how he/she feels these experiences have prepared him/her for life. It should also reflect why community service is important.
3. Detailed list of community service activities occurring within the past two years. 4. Three letters of recommendation, one from a school official and two from other
sources.

5.	 A copy of applicant’s transcripts including a statement of explanation. This information will assist us in interpreting your transcripts
6. Statement of financial need-Financial need will be reviewed, but the overriding criteria will be community service involvement. Circle one number that best describes your financial need with 1 being the lowest need and 10 being the most need.
1	2	3	4	5	6	7 8	9 10 APPLICATION MUST BE POSTMARKED BY MARCH 15, 2021. INCOMPLETE

APPLICATIONS WILL NOT BE CONSIDERED. ALL ITEMS MUT BE MAILED IN THE SAME ENVELOPE.

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Date:	

Checklist

________ 500 Word Essay

________ List of Community Service Activities

________ Letters of Recommendation

________ Transcript

________ Statement of Financial Need.

NOTE:

This application must be received at the address below on or before March 15, 2021 Postmarks after March 15, 2021 will not be accepted.

Mail to:

Georgia District Civitan Foundation, Inc. Dianne Hansard, Scholarship Chair
305 Atlanta Road Cumming, Georgia 30040

Telephone: 770-540-0447

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