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MUSKEGO LIONS CLUB ROBERT KREUSER/DAVID SALENTINE SCHOLARSHIP APPLICATION

 

Thank you for your interest in the Muskego Lions Club Robert Kreuser/David Salentine Scholarship. Robert Krueser and David Salentine were well-respected educators and Lions in Muskego.  Their legacy to the area is their involvement in the community, as well as to the students they served.

 This scholarship is available to any high school senior who resides in the City of Muskego, who is intending on furthering their education at a technical/college/university.  This non-renewable $1000.00 scholarship will be awarded to one high school senior.   

Although academics are important, emphasis is placed on the student’s continuing (long term) volunteerism. Such volunteer work may include: school activities (student council, National Honor Society, etc.), community service (assisting in programs for the elderly, children, those with special needs, etc.), service clubs, or faith based activities.

This scholarship also considers participation and leadership in extracurricular and school activities. 

Application Requirements

All applications need to be received by Friday, March 24, 2023 and must include the following:

  • A cover letter introducing yourself to the Muskego Lions Scholarship Committee
  • A typed one to two page essay discussing:
    • Your intended post-secondary school and why you chose it
    • The field of study you selected and why you choose that field 
    • Your career goals
    • How you will make a difference in helping others after high school
  • Completed attachment listing the volunteer and extracurricular school activities you participated in during

high school – please include number of hours and years of participation

  • A recent high school transcript
  • ACT score
  • Two letters of recommendation from non-family members: one from a supervisor at a place you did long term volunteer activities and the second from a teacher.

Submit the above information before Friday, March 24, 2023 to:

Muskego Lions Scholarship Committee

c/o Lion Tracy De Angelis

W145 S9641 Groveway Lane

Muskego, WI 53150

 

 

Muskego Lions Club Robert Kreuser/David Salentine Scholarship Application, p. 2

 

Contact Information

 

Student name: _____________________________________________________________________________________________ 

 

Address: _____________________________________________   City, Zip: ____________________________________________

 

Email: __________________________________   Phone: ____________________________

 

 

Name of Employer (if applicable): _____________________________________________________________________________   

 

Number of Hours Worked Per Week: ____________

 

Student (Signature):  __________________________________________________

 

Parent/Guardian Name (Print): __________________________________________  

 

Parent/Guardian (Signature): ___________________________________________

 

Date: _________________________________

 

 

List of Student Service Activities During High School:   (i.e.: Student Council, Honor Societies, Tutoring, Church Activities, Mission Trips,  etc.)    (Use a Separate Typed Sheet if Necessary)

 

1. Name of Club/Organization:  __________________________________________________________________________________

 

    Activities Participated In and Positions Held: ­­­­­­­­­­­­­­­­­­­­­­­­­______________________________________________________________________

 

    Total Hours Each Year and Number of Years Participated: ___________________________________________________________

 

2. Name of Club/Organization:  __________________________________________________________________________________

 

    Activities Participated In and Positions Held: ­­­­­­­­­­­­­­­­­­­­­­­­­______________________________________________________________________

 

    Total Hours Each Year and Number of Years Participated: ___________________________________________________________

 

3. Name of Club/Organization:  __________________________________________________________________________________

 

    Activities Participated In and Positions Held: ­­­­­­­­­­­­­­­­­­­­­­­­­______________________________________________________________________

 

    Total Hours Each Year and Number of Years Participated: ___________________________________________________________

 

4. Name of Club/Organization:  __________________________________________________________________________________

 

    Activities Participated In and Positions Held: ­­­­­­­­­­­­­­­­­­­­­­­­­­­______________________________________________________________________  

 

    Total Hours Each Year and Number of Years Participated: ___________________________________________________________

 

 

Muskego Lions Club Robert Kreuser/David Salentine Scholarship Application, p. 3

 

List of Volunteer Activities Outside of High School:  (In the Community and Beyond, Including Church)

(Use a Separate Typed Sheet if Necessary)

                                                                                                                                                                                                               

1.  Name of Organization & Address: _____________________________________________________________________________

                                                    

     Describe Your Duties: _______________________________________________________________________________________

 

     Person You Reported to: ____________________________________________________________________________________

   

     Total Hours Each Year and Number of Years Participated: __________________________________________________________

 

2. Name of Organization & Address: ______________________________________________________________________________

                                                       

     Describe Your Duties: _______________________________________________________________________________________

 

     Person You Reported to: _____________________________________________________________________________________

 

    Total Hours Each Year and Number of Years Participated: ___________________________________________________________

 

3. Name of Organization & Address: ______________________________________________________________________________  

                                                  

     Describe Your Duties: ________________________________________________________________________________________

 

     Person You Reported to: _____________________________________________________________________________________

 

     Total Hours Each Year and Number of Years Participated: ___________________________________________________________

 

4.  Name of Organization & Address: _____________________________________________________________________________ 

                                                     

     Describe Your Duties: _______________________________________________________________________________________

 

     Person You Reported to: _____________________________________________________________________________________

 

     Total Hours Each Year and Number of Years Participated: ___________________________________________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Muskego Lions Club Robert Kreuser/David Salentine Scholarship Application, p. 4

 

Leadership Positions held in Clubs, Sports, Volunteer Activities or Work:   (Use a Separate Typed Sheet if Necessary)

1.  Name ___________________________________________________________________________________________________

 

     Leadership Positions _______________________________________________________________________________________

 

     Years of Participation__________________________

 

2. Name ___________________________________________________________________________________________________

 

     Leadership Positions _______________________________________________________________________________________

 

     Years of Participation__________________________

 

3. Name ___________________________________________________________________________________________________

 

     Leadership Positions _______________________________________________________________________________________

 

     Years of Participation__________________________

 

4. Name ___________________________________________________________________________________________________

 

     Leadership Positions _______________________________________________________________________________________

 

     Years of Participation__________________________

 

 

 

 

 

1/2023 km/tkd

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