Click here to download the application materials zip file.

Criteria for the Town of Sheboygan Lions Club Scholarship 2018

  • The applicant must be a resident of the Town of Sheboygan.
  • The applicant must be enrolled in a program leading to a 2 or 4-year degree at an accredited traditional university or an accredited trade/technical college. (Excludes online education)
  • The applicant must demonstrate good citizenship.
  • The applicant will be required to return all parts of the application by April 13, 2018.

    A completed application will include all of the following:     

    _______  Application Form

    _______  Student Activity Profile

    _______  Narrative (on a separate sheet of paper in 12 pt. font double spaced- please limit to 1000 words or less.)  

The mission statement of Lions Club International is "To empower volunteers to serve their communities, meet humanitarian needs, encourage peace and promote international understanding through Lions clubs".  This mission statement is embodied by the phrase "We Serve".

How have you demonstrated Lions philosophies in the past? How are you demonstrating them today? How will you continue to demonstrate them in the future, considering your educational goals and/or the career you will soon be pursuing?

      ______ Worthiness Narrative (on a separate sheet of paper in 12 pt. font, double spaced- please limit to 500 words or less.) on why the applicant is applying for and would be a worthy recipient of this scholarship.  

The Town of Sheboygan Lions Club Scholarship Committee will make the final selection, with approval of the club.

Three $1000 scholarships will be awarded.

  • 2 will be dedicated for applicants enrolled in an accredited 2 or 4-year traditional university
  • 1 will be dedicated for an applicant enrolled in an accredited trade/technical college

A representative of the Town of Sheboygan Lions Club will announce the recipient at the schools annual scholarship program if requested.


Method of Payment

  • The scholarship will be paid directly to the student.
  • The payment will be made after proof of registration and enrollment has been sent to the Town of Sheboygan Lions Club.


Completed applications should be returned on or before April 13, 2018 to the address listed below:

Return completed applications to:

Wendy Williams
Scholarship Committee Chairperson
Town of Sheboygan Lions Club
W1796 Highview Ct.
Sheboygan, WI 53083







Name  ________________________________________________                               last                           first                                initial

Address ____________________________________________


Telephone # _________________ High School ________________Counselor ______________

Father and/or Stepfather ____________________________________

Occupation ______________________ Employed at _________________________________

Mother and/or Stepmother ____________________________________

Occupation ______________________ Employed at _________________________________

Total number of family members living at home _________________

Number of Dependents in your family including yourself _________

Number attending college _________


Name Age           Name  Age
_________________________   ____   _________________________   ____
_________________________   ____   _________________________   ____
_________________________   ____   _________________________   ____
_________________________   ____   _________________________   ____


School you plan to attend ______________________________________________________

Other schools you are considering _______________________________________________

Class Rank _________ out of ___________ at the end of the first Semester of your Senior Year

Grade Point Average at the end of the first Semester of your Senior Year ____________

Email Address _________________________________________

Authorization is granted to your high school to release any information on this page to the Scholarship

Committee and Educational Institutions.

Signature of Parent ________________________________________ Date _______________

Signature of Applicant ______________________________________ Date _______________


STUDENT ACTIVITY PROFILE (You may put this info in a different form, but make sure that all areas are covered)

Extra-Curricular Activities Yrs. Participating Leadership Positions


Community       Activities                       Dates Participated Hours Committed Leadership Positions                                


                       Awards                           Years Presented


         Work Experience/Position         Dates of Employment


Teacher/Instructor in your school _______________________________Phone # _______________

Outside of school (Non Relative) _______________________________Phone # _______________



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