PIKE TOWNSHIP LIONS CLUB, Inc.
Phone: ______________________________E-mail: ___________________________________
Class rank: _______ of _________ Current Grade Point Average: __________
In what grade did you begin attending Pike Township Schools? _________
Name the Institute of Higher Learning to which you have been accepted. (Attach a copy of your acceptance letter.) _____________________________________________________________
What is your attendance rate for your four-year career in High School? ________
Who is responsible for the remainder of your tuition? _________________________________
After high school graduation, what do you plan to study? ______________________________
In what extracurricular and service activities (at school and in the community) have you participated during your High School career? ______________________________________________________________________________
APPLICATION IS DUE IN THE CCRC/Guidance Office at Pike High School by MAY 5th, 2017.
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 2016. The deadline for confirming the name and address of the institution to which this award should be sent must be submitted to the Pike Lion’s Club is July 1, 2017. The scholarship recipient is responsible for providing this information to the Pike Lion’s Club on or before this date.
Candidates for this 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. (If special circumstances do not permit applicants to meet stated criteria, an explanation must accompany this application.)