CHARLIE DIXON KIWANIS MEMORIAL SCHOLARSHIP 2016
(University of Calgary)
ABOUT THE SCHOLARSHIP:
Kiwanis is a global service organization dedicated to serving children and disadvantaged youth .
. . one child and one community at a time. The Kiwanis “family” includes a High School service
club (Key Club), University aged club (CKI) as well as adult Kiwanis Clubs
The Charlie Dixon Kiwanis Memorial Scholarship is awarded by the Kiwanis Club of Calgary
Northmount to recognize demonstrated commitment to volunteer community service and
leadership within the University or the community at large.

There are a maximum of ten (10) scholarships of $200 each awarded annually at the end
of the academic year; (subject to committee discretion)

Recipients must be full time University of Calgary students in good standing and
returning to school the following term;

The Scholarship Committee of the Kiwanis Club of Calgary Northmount will assess
applicants primarily on volunteer involvement in community service and leadership.
Financial need and academic achievement are secondary considerations.

A formal application in the prescribed form must be completed and submitted by
May 30th [Close Date may be extended at the committee discretion)
HOW TO APPLY:
The application has five (5) components;
 Application form containing applicant details
 Community Service log outlining the applicant’s involvement in various community
service organizations or volunteer projects that benefit the community or individuals in
need.
 A brief essay (maximum 300 words) to highlight the applicant’s leadership experience
either formally or informally to improve the organizations, communities or causes in
which they participate or support
 The opportunity to provide other information you believe relevant
 Confirmation of status as a full – time student in good standing (as defined by University
and the program of studies) and returning the University the following year.
The completed components can be emailed or mailed to:
Scholarship Committee – Calgary Northmount Kiwanis Club
C/O Diane Spence
143, 89 St SW
Calgary, AB T3H 0M4
[email protected]
CHARLIE DIXON KIWANIS MEMORIAL SCHOLARSHIP
University of Calgary Application Form
NAME:
____________________________________________________________
ADDRESS:
_____________________________________________________________
_____________________________________________________________
____________________,
TELEPHONE:
(
)
_____________.
__ ___ ___ - ___ ___ ____
-
EMAIL
PROGRAM OF STUDIES
EXPECTED YEAR OF GRADUATION
Have you received this scholarship before?
(Y/N)
______________________________________________
(Signed)
Dated: ______________
(YYYY/MM/DD)
By signing this application, I consent to publishing my name, photo and program of studies should I be selected.
Privacy Disclosure: Information is collected only for the purpose of awarding the scholarship and contacting the
recipient.
Community Service and Volunteer Log – use additional pages if required
Organization or Event Volunteered For
Use additional pages if required.
Role or Position - what you did
Dates or Period of
Volunteering
Estimated #
of Hours
Organization Contact info
as available
Provide a brief essay (maximum 300 words) to highlight the applicant’s leadership experience
either formally or informally to improve the organizations, communities or causes in which they
participate or support
Academic Achievement: What scholarships, awards or other recognition have you previous
received while attending High School or University? GPA in past academic year?
Is financial need a consideration? Please comment
Any other relevant information you wish to share with the selection committee?