SUN CITY SHALOM CLUB

SUN CITY SHALOM CLUB

AL REUBEN 2015 SCHOLARSHIP APPLICATION

The Sun City Shalom Club invites you to apply for a one-time scholarship of up to $1,000 to be awarded to a
grandchild of a Shalom Club member who is planning to enroll in a college or other post-secondary
institution. The funds will be provided to the student after he or she provides evidence of acceptance.

This scholarship is offered by the Sun City Shalom Club in honor of Mr. Al Reuben. The Sun City Shalom Club
is a non-denominational chartered club at Sun City Hilton Head. Mr. Reuben was an active participant and
leader in the Shalom Club, in Sun City and in everything else in which he took an interest, whether it was
social, religious or civic, including outreach to the nearby military and local communities. In turn he was
respected and honored by those who knew him. Mr. Reuben’s many friends considered him as a man for all
seasons.

In order to be considered for the Al Reuben Scholarship, you must:

• Be the grandchild of a present Shalom Club member in good standing.
• Show evidence of a minimum accumulated G.P.A. of 3.0.
• Complete all questions on the application.
• Have one letter of reference provided to the Al Reuben Scholarship Committee

The completed application with all requested information and the letter of reference must be received by
the Al Reuben Scholarship Committee by April 19, 2015.

APPLICANT INFORMATION (If more space is needed to complete a question, attach additional pages.)

1. Student’s Full Name ______________________________________________________
Address (Street) ______________________________________________________________________
(City, State, Zip) ______________________________________________________________
Phone Number _________________________

2. Name of Parent or Guardian ________________________________________________
Address if different from above (Street) _______________________________________
(City, State, Zip) ___________________________________________________
Phone Number __________________________

3. Name of Grandparent/Shalom Club Member ___________________________________
Phone Number __________________________

Al Reuben Scholarship Application

4. Name of Graduating High School _____________________________________________
Date of Graduation ________________________________________________________
Cumulative G.P.A. (attach official transcript) ____________________________________

5. List the colleges, technical schools or other post-secondary institutions to which you have applied:
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________

6. List school organizations to which you belonged and any offices you held:
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________

7. List community, social, academic, or athletic activities in which you participated during the period
you were in high school:
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________

8. List all work and volunteer experience outside of school:
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________

9. Briefly describe your educational/career goals:
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________

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Al Reuben Scholarship Application

10. Identify the teacher, guidance counselor, coach or religious leader not related to you who is
providing a letter of reference either enclosed with this application or submitted separately:
Name ___________________________________ Occupation _______________________________
Address (Street) __________________________________________________________________________________
(City, State, Zip) _________________________________________________________________________
Phone Number _________________________

I understand that:
• As part of their evaluation process, the Scholarship Committee may initiate a follow-up conference
call with me and/or the reference identified above.
• The scholarship winner will be notified in writing by May 30, 2015.
• After notification, the scholarship winner will need to confirm acceptance at a post-secondary
institution.

I hereby authorize the Al Reuben Scholarship Committee of the Sun City Shalom Club to verify any
information contained in this application. All information provided with this application will remain
confidential within the Scholarship Committee and becomes the Committee’s property. I understand that
making any misleading or untruthful statements may result in my disqualification. In the event I am awarded
the Al Reuben Scholarship and later am deemed ineligible due to inaccurate or false information, I
understand that the Scholarship committee retains the right to award the scholarship to an eligible alternate.

_____________________________________________________________ _____________________
Applicant Signature Date

_____________________________________________________________ _____________________
Signature of Parent/Guardian Date

Return the completed application and letter of reference by April 19, 2014 to:
Sun City Shalom Club
Attn: Raymond D. Mintz, Chairman
Al Reuben Scholarship Committee
29 Spring Beauty Drive
Bluffton, SC 29909

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