Dr. Moon Scholarship Application
Name of Applicant
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Cell Phone Number
*
Please enter a valid phone number.
Email Address
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
High School currently enrolled
*
College or University Attending
*
Parent / Guardian 1
First Name
Last Name
Parent / Guardian 2
First Name
Last Name
Annual Household Income
*
FAFSA Number
*
Attach FAFSA confirmation page
*
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Attach a cover letter of application that includes personal goals, college goals, personal vision and a statement of why you should be awarded the Rotary Scholarship
*
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Attach Resume including work and/or volunteer experience, extra-curricular activities and 3 references (Personal, Work/Volunteer, School)
*
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Attach High School Transcripts
*
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Optional: Please list anything else you would like us to know about you.
Submit
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