Name:______________________________________________________________________________ 
 
Green City Lions Scholarship 
The Green City Lady lions will present a scholarship annually to a college-bound senior ranking in the upper 50% of the class.  The recipient should possess outstanding character, strong leadership skills and be involved in school and community activities, especially to those providing services to others. 
The recipient will be chosen by a committee of three Lion members and a school official. Funds from the scholarship will be paid to the recipient and their selected college. 
Application must be submitted to Mrs. McConnell by March 2. 
Address: ___________________________________________________________________________
Name of Parent or Guardian:______________________________________________________ 
G.P.A. ____________   Class Rank:__________of_________    ACT Score:___________ 
Have you been accepted to a college?   YES or NO 
The college you will be attending: 
What is your intended major?  
Do you have a parent, grandparent or guardian who is member of Lions International?    YES   or    NO   If yes then who:______________________________ 
Relationship to you:______________________ Club Name: _____________________________
List your school activities (9-12): 
______________________________________________________________________________________________ 
______________________________________________________________________________________________ 
______________________________________________________________________________________________ 
______________________________________________________________________________________________ 
List your community activities: ______________________________________________________ 
_______________________________________________________________________________________________ 
_______________________________________________________________________________________________ 
______________________________________________________________________________________________ 

Explain briefly how you think this scholarship would benefit you. 

Signature:

 Date