Scholarship Application

PIKE TOWNSHIP LIONS CLUB

Name___________________________________________________________

Address _________________________________________________________

Phone ___________________________________________________________

Parent’s Name ____________________________________________________

Class Rank _______________________________________________________

In what grade did you begin attending Pike Township Schools? ______________

Name of the School of Higher Learning, which you have been accepted (include a copy of your acceptance letter).

________________________________________________________________

What is your attendance rate for your four-year career in High School? ________

Who will be responsible for the remainder of your tuition? __________________

What extra curricular activities have you participated in during your High School career? _________________________________________________________

APPLICATION IS DUE IN THE GUIDANCE OFFICE AT PIKE HIGH SCHOOL BY APRIL 15, 2011.

One $1000.00 scholarship will be awarded to a Pike High School senior on Senior Awards Night. The check for the scholarship will be made out to the Institute of Higher Learning that the student will be attending in the fall of 2011. The deadline for the name and address of the institution to be submitted to the Lions Club is July 1, 2011.

Candidates for the scholarship must have attended Pike High School for their junior and senior years and have an attendance rate of 95% or higher for all four years of high school. Applicants must rank in the 10 % - 25% of their class.