KEY CLUB

2011 New Jersey District Scholarships

Send all applications and questions you may

have to:

Key Club Scholarships

c/o Aimee Meissner
166 Oaklyn Road
Phillipsburg, NJ 08865

aim.meissner@gmail.com
908-329-0727
Dear Key Club Scholarship Applicant,

The following packet contains all of the information you need to apply for a Key Club sponsored
Scholarship! Seventeen scholarships, ranging in value from $500 to $2000 will be awarded to the
members of the New Jersey District of Key Club who have exemplified incomparable dedication to
serving the children of our world, demonstrating an outstanding capacity in academics, and
upholding the objects of Key Club International during their high school years.

This packet includes:

 The Basics: This sheet explains the plethora of scholarships and guides you through the

application process.

 The All-Inclusive Scholarships Checklist: This provides easy to follow instructions to guide you

through the application process.

 The New Jersey District Scholarship Application: This is the only general application form

students need to fill out to apply for the New Jersey Key Club Scholarships.

 School Transcript Request Form: All applicants must submit this to their Guidance Counselor

so that a copy of the applicant’s transcript may be obtained.

 Advisor Verification Form: This must be completed and signed by the applicant’s Key Club

Advisor to verify his/her involvement in community service.

For more information, suggestions, questions or comments contact:

Key Club Scholarships

c/o Aimee Meissner
166 Oaklyn Road
Phillipsburg, NJ 08865
aim.meissner@gmail.com
 KEY CLUB
The Basics: What You Need to Know for the 2011 Scholarships

By going through the application process just once, you will be eligible to win one of the
following scholarships:

 The New Jersey Kiwanis Foundation Scholarship $2000

 New Jersey District Scholarships (4) $1000 (each)
 The Dr. George McCrossan Memorial Scholarship $2000
 The Dr. Andrew Batsis Scholarship $1000
 The John Johnson Memorial Scholarship $1000
o This is only given to NJ District Board Members.
 $500 from the Jackson Kiwanis
 $500 matching sum from the New Jersey District of Key Club
 Robert J. Mascenik Memorial Scholarship $1000
 $500 from the New Jersey District Foundation Fund
 $500 from the New Jersey District of Key Club
 The Dominico Gatti Memorial Scholarship $1000
 The Ted Hordichuk Memorial Scholarship $1000
 The Fred Briggs Memorial Scholarship $1500
 $750 from the Kiwanis Club of Livingston
 $750 from the New Jersey District of Key Club
 The Dr. Gene Napolello Leadership Scholarship $1000
o Donated by the Napolello Foundation
 The Kiwanis International Foundation Leadership Scholarship (2) $1000 (each)
 Matching Scholarships with $500 from Kiwanis International
 $500 from the New Jersey District of Key Club
o Winners of these scholarships will be announced at District Convention, but will
not actually be awarded until International Convention.
 The New Jersey District Service Based Scholarship $1000
o This scholarship is based completely on the applicant’s service record
 The Celeste and Barrie Werfel Scholarship $1000
 $500 from an anonymous donor
 $500 from the New Jersey District of Key Club

All winners will be recognized at the 2010-2011 District Convention.

All applications must be postmarked no later than March 1st, 2011 to:
Aimee Meissner
Scholarships Committee Chairperson
166 Oaklyn Road
Phillipsburg, NJ 08865

A selected committee of Kiwanis members reads the applications and decides the winners of
each scholarship. The decision made is based upon the criteria of each of the scholarships.
Keep in mind that no application will be reviewed nor judged by any member of the New
Jersey District Scholarships Committee. To view step-by-step instructions concerning the
requirements of your application, refer to The All-Inclusive Scholarships Checklist.
 KEY CLUB
The All-Inclusive Scholarship Checklist

At the New Jersey District Convention, several scholarships will be awarded to the graduating class
of Key Club Members. This year, it’s all about the Class of 2011! To apply for scholarships offered by
the New Jersey District of Key Club, follow these simple step-by-step directions. Use this as a checklist
to ensure that you have completed all components of the application BEFORE MAILING IT.

 Neatly, in blue or black ink, fill out the Application Information Sheet found in the packet.

 Request a copy of your school transcript from your Guidance Counselor using the attached
School Transcript Form. (Include Class Rank, GPA and official College Board scores)

 On a separate sheet of paper, give a brief description of projects you participated in while
you were in Key Club, and the role you played in each of the projects. Include the grade
level you were in during each of the projects and the approximate number of hours you
spent on it. Have the list signed by your faculty advisor and club president.

 If you performed service outside of Key Club, provide a summary of what you have done
and the contact information of the coordinator of the service project, including name and
telephone number. In your summary, also include your grade level during the project and
the number of hours you spent on the project.

 On the included sheet, give a brief description of your most important academic or extra-
curricular achievement unrelated to Key Club.

 Write a two-page essay about your most memorable Key Club Service Project. Be sure to
explain the inspiration, effort, impact and personal growth involved. The essay should answer
the following questions:
o What was your most memorable Key Club service project and why?
o How did you become involved with the project?
o What role did you play in the project and how much time did you spend on it?
o What was the most difficult part of the project and why?
o How did the project benefit the parties involved?
o Did you meet your expectations?
o What did you learn from this project?
o How did this project affect you?
o What would you tell other young people about your experience?

 Obtain two letters of recommendation: one from an adult who has played a significant role
in your life and one from a person familiar with your community service efforts.

 Include a completed Advisor Verification Form filled out by your club advisor.

 Mail all of the above (Guidance Counselor will mail the transcripts) by MARCH 1st, 2011 to:

Key Club Scholarships

c/o Aimee Meissner
166 Oaklyn Road
Phillipsburg, NJ 08865
 KEY CLUB
New Jersey District Key Club Scholarship Application Information Sheet

Name: ________________________________________________________________________________
Last First Middle

Address: __________________________________________________________________________________
Street

__________________________________________________________________________________
City State Zip/Postal Code

Telephone: ____________________ Date of Birth: _______________________________________

Email Address: ___________________________________________________________________________

Social Security Number: ____________________________________________________________________

Key Club of: __________________________________________________________________________________

School Address: ___________________________________________________________________________

Street

___________________________________________________________________________
City State Zip/Postal Code

School Telephone Number: ____________________________________________________________________

Offices Held in the Key Club Organization:

___________________________________ ______________________________
Office Held Date Held

___________________________________ ______________________________
Office Held Date Held

___________________________________ ______________________________
Office Held Date Held

Number of hours served over the past four years: ______________________________________________

The undersigned information confirms the above information is accurate:

___________________________________ ______________________________
Faculty Advisor’s Signature Date

___________________________________ ______________________________
Applicant’s Signature Date

*Note: This is a common application for all District Scholarships, including the New Jersey District
matching the Kiwanis International Foundation Scholarship.
 KEY CLUB
2010 Advisor Verification Form

To be filled out by the Faculty Advisor and sent with the application.

This is to certify that ___________________________________ is an active and participating

member of the ________________________________________ Key Club. This member attends

meetings and is involved in our service projects.

Signed: ________________________________________________________________________________

Print Name: ____________________________________________________________________________

Faculty Advisor of __________________________________________________________ High School

Student Signature_______________________________________________________________________

Print Name: ____________________________________________________________________________

Date: __________________________________________________________________________________
 KEY CLUB
School Transcript Request Form

Scholarships Available to Key Club Members by Other Organizations

Applicant: Please fill out your name, address and telephone number and give this form to
your guidance counselor along with appropriate postage addressed to:

Key Club Scholarships

c/o Aimee Meissner
166 Oaklyn Road
Phillipsburg, NJ 08865

Name of Applicant: _______________________________________________________________

Last First Middle

Address: _______________________________________________________________
Street

_______________________________________________________________
City State Zip/Postal Code

Telephone: ( ) _________________________________________________________

Counselor: This form, with the transcript of the above-mentioned applicant, is an essential
component in selecting the recipients of the New Jersey District Key Club Scholarships. In
order to determine the recipients, an official copy of the above student’s transcript is
required. Please enclose this form with the official transcript, the student’s official College
Board Scores, class rank, Grade Point Average, and an explanation of the school’s grade
point average system in the envelope provided by the student.

Please mail this package to Aimee Meissner, Scholarships Chairperson, at the above
address no later than March 1st, 2011.

Certification:

I hereby certify that the enclosed transcript is the official transcript of

_____________________________, a senior at _________________________________ High School.

Signature of Guidance Counselor: _____________________________________________________

Date: _____________________