n A high school senior who resides in the Town of Somers, and will be attending either a technical school, or a two-year or four-year college or university.

n Community service participation that demonstrates a depth of commitment

n A 250-350 word essay based on community service (See below)

n Verification (i.e. letter on organizational letterhead, award, official sign-in sheet)

PLEASE COMPLETE THE FOLLOWING:

Name_____________________________________________________________________

Parent/Guardian’s Name______________________________________________________

Mailing Address_____________________________________________________________

Telephone__________________________________________________________________

Are you a member of the LEO Club? ______________Number of Years_______________

250–350 WORD ESSAY MUST INCLUDE THE FOLLOWING FOUR POINTS: *

§ Clearly describe your community service activity.

§ Effectively demonstrate your role in this community service.

§ Clearly explain what you learned from your involvement.

§ Describe how your involvement in this community service

might effect what you will do in your future life.

(Please use 12-point font and standard margins.)

Send application and essay to:

DEADLINE FRIDAY, MARCH 12, 2010

SOMERS LIONS CLUB

COMMUNITY SERVICE SCHOLARSHIPS

Sommers Lions Scholarship Committee

Box 95, Somers, NY 10589

*Any Essay Exceeding 500 Words will be Disqualified