MaineCommunityCollege System

Augusta Kiwanis Club

Scholarship for Non-Traditional Students

A $1,200 scholarship will be awarded annually to a non-traditional student at any MaineCommunityCollege who has demonstrated a personal commitment to the Kiwanis goal of service either at the college or in the community.

Selection criteria:

a. Demonstrate the need for financial assistance.

b.. Be a resident of one of the communities served by Augusta Kiwanis, as follows:

AugustaJeffersonSidney

BelgradeLitchfieldSouth China

ChelseaManchesterSouth Gardiner

ChinaMonmouthWayne

Coopers MillsMount VernonWest Gardiner

East VassalboroNorth VassalboroWhitefield

East WinthropPittstonWindsor

FarmingdaleRandolphWinthrop

GardinerReadfieldVassalboro

HallowellRichmond

c.Have had a hiatus of at least one year between the end of high school and the start of post-secondary education.

d.Have successfully completed at least one semester of work at a Community college.

e.Demonstrate a cumulative GPA of at least 2.5 or better on a 4.0 scale.

f.Demonstrate a personal commitment to the Kiwanis goal of service either at the college or in the community.

Completed applications should be returned to:

Kennebec Valley Community College Foundation

92 Western Ave Fairfield ME 04937

Carter Hall Room 306

AUGUSTA KIWANIS CLUB

NON-TRADITIONAL SCHOLARSHIP APPLICATION FORM

SECTION I:PERSONAL

Name: ______

Mailing address:______

______

Telephone number:______

Permanent (home) address: (if different from mailing address): ______

______Number in household (including self): ______

Number of dependents: ______

SECTION II:EDUCATION

What college are you attending?______

What course of study are you pursuing?______

______

What is your expected date of completion (month and year if possible)? ______

Are you a full or part-time student?Full______Part______

Are any other members in your immediate family attending college? ______

How many?______

How does this impact you? ______

______

SECTION III:REQUIRED ATTACHMENTS

You must attach the following documents to this application, before forwarding to the address designated:

  1. A transcript of your most recent grades demonstrating a cumulative GPA of at least 2.5 or better on a 4.0 scale. (KVCC can provide this information for you)
  1. Describe the activities in which you are involved that demonstrate your personal commitment to the Kiwanis’ goal of service either at the college or in the community.
  1. Two letters of recommendation from school officials, employers, clergy, or any other people who are not related to you, but know and speak of you, one preferably from an Augusta Kiwanis Club member.

SECTION IV:FINANCES

Applicants must either have filed a Free Application for Federal Student Aid (FAFSA) for the current academic year OR list financial data below. I have filed a Free Application for Federal Student Aid (FAFSA) for this academic year. YES_____ NO___

Projected income and expenses for the next academic year:

DO NOT FILL OUT IF YOU HAVE COMPLETED A FAFSA

INCOME:Applicant’s wages, tips, etc.$______

Spouse’s wages, tips, etc.$______

Applicant’s savings for school:$______

Other income:$______

Financial assistance:

Applicant’s parents$______

Loans$______

Grants$______

Scholarships$______

Other$______

Total Resources:$______

EXPENSES:Tuition:$______

Books, fees, supplies$______

Spouse’s tuition and costs$______

Rent and utilities$______

Food and household supplies$______

Clothing, laundry, etc.$______

Transportation$______

Medical/dental care$______

Other$______

Total Expenses:$______

Write a brief statement indicating why you need financial aid.

SECTION V:EXTRACURRICULAR ACTIVITIES

Honors: ______

Activities:______

Current Community Activities: ______

APPLICANT’S CERTIFICATION

I believe that I am eligible for and hereby make application to receive a scholarship from the Augusta Kiwanis Club. I certify that all statements made in this application are to the best of my knowledge, complete and accurate. I understand that the scholarship committee will select the winner and its decision will be final.

______

Signature

______

Date

August Kiwanis Club Scholarship

RELEASE OF CONFIDENTIAL INFORMATION

Name:______Soc. Sec. #:______

Address:______

Tel. #:______(Home)______(Work)Program:______

Year in College:______

Credit Hours Completed (including prior college transfer credits):______

I give the Kennebec Valley Community College Financial Aid Office permission to release my financial aid and academic information to the president of KVCC and a designated official of the Augusta Kiwanis Club. Also, Information I provide on the Kiwanis Club Scholarship application may be shared with these individuals. I give permission to the KVCC Financial Aid Department and the KVCC Scholarship Committee to use data from my high school transcripts, GED records, KVCC and other college transcripts, financial aid applications, reports and award letters. I understand that their sole use of the material is to determine eligibility and to evaluate the progress of the Augusta Kiwanis Club Scholarship Program. Further, I understand that all officials of KVCC and representatives of the Augusta Kiwanis Club will maintain confidentiality of the data.

______

(Student’s Signature)(Date)