1
Applicant’s Name _________________________________________________________
JEAN M. COON HUMANITARIAN AWARD APPLICATION
Date:
Name:
Address:
Phone #
Email Address:
Grade Level ( ) Junior ( ) Senior
High School Name & Address:
School Phone #
Applications may be filed electronically, or sent by mail. Check with your
local Zonta club for the appropriate email or mailing address and due date.
Applications are generally due to clubs by the end of March. Clubs will
identify & put forth their semifinalist to Zonta District 2 by April 1
st
.
To locate a Zonta Club near you, go to www.Zonta.org and enter your zip code.
Applicant’s Name
2
Essay Question Instructions:
Compose essays for the following two questions. If additional space
is needed, a separate page may be used. Include name, page and
question number on any additional sheet(s).
1.
Why do you perform community service and why did you select your
specific community service projects? (Not more than 100 words)
2.
Briefly describe up to three (3) of the Community Service projects you
have performed and the impact you believe that this service project has
had on your community and the targeted community if it is different from
your local community. (Up to 400 words)
3
Applicant’s Name _________________________________________________________
Service Report Instructions
On page 4, adding an additional sheet if necessary, describe your community service,
both required community service and voluntary. Include only service performed during
your high school years.
When initially referencing an organization or charity group, please use the full name
instead of an acronym or initials.
Description of the community service should include positions held (if in an organization,
church group etc.) and the approximate number of hours per week, monthly or year that
you served. If a “one time” event, describe your role and time spent. List any
achievements in your voluntary service. If you are still volunteering service to an
organization, provide the start date and indicate that it is ongoing. The number of hours
for the activity should be as of the date you submit your application.
For required service, please indicate the number of hours you must perform, and the
amount of these service hours you’ve already completed. Please place a (R) behind
any service hours you did as required community service.
Applicant’s Name
4
Student’s Service Report
Please list your service projects, following the P. 3 general instructions.
School Activities: Activities completed with school sponsored groups
or events, either required (R) or voluntary.
Non-School Activities: Activities completed with community, civic or
church groups.
Total Service Hours
1.
Number of required hours & # of required hours completed .
2.
Number of service hours performed in conjunction with a school: .
3.
Number of service hours for outside-of-school service projects: .
Total of line 2 + line 3= .
Applicant’s Name
5
LETTER OF RECOMMENDATION,
JEAN M. COON HUMANITARIAN AWARD
Please request a Letter of Recommendation from your PRINCIPAL,
GUIDANCE COUNSELOR, TEACHER or NOT-FOR-PROFIT
REPRESENTATIVE. Submit it as the last page of your application.
PLEASE NOTE: LETTERS MUST ADDRESS YOUR PARTICIPATION IN
COMMUNITY SERVICE.