2024 Scholarship Application

2024 Scholarship Application
I understand that it is my responsibility to provide the scholarship committee with complete and accurate information. Please add your signature.

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STUDENT PROFILE
Student Name

First NameLast Name
Email
example@example.com
Parent(s) Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
ACADEMIC FACTS - FROM TRANSCRIPT
Current Cumulative GPA: (weighted 5.0)
Class Rank (if applicable):
Number of AP Courses:
Number of IB Courses:
Number of Honor Courses:
SAT Score: Math:RW:
Or ACT Score
Upload Current Transcript:

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4 CAREER PATHWAY - Choose one
List in order of preference the colleges you are considering WITH admissions status:
BACKGROUND INFORMATION
Household Income - Choose one"
Number of adults in the home:
Number of children at homeAge range:
Number of children in college
1. Describe unusual or extenuating circumstances: (i.e. Long term illnesses, single parent or other)
2. Describe your means of financial support for college and if you receive this scholarship how will it be used?
3. Do you have a job? If so, where and describe your duties and hours. List any previous jobs, if applicable.
4. List extracurricular involvement and approx. weekly hours:
5. Rotary is an organization that provides services to others. In what school or community service activities have you participated? For how long?
FUTURE CAREER GOALS
1. Describe your career goals:
2. When do you expect to complete your studies? Do you have plans to further your academic journey?
3. Most notable strengths and weaknesses:
4. Reaction to stress and setbacks:
PLEASE TELL US MORE ABOUT YOURSELF
1. How would your best friend describe you in terms of character, aims, and values? Use specific examples:
2. What’s your passion? What intrigues you?
3. Why would someone want to be your college roommate?
4. When the scholarship committee reviews your application, why should they choose you over another candidate?
5. Do you have any special qualities or needs? Please be specific:
PLEASE COMPLETE THE FOLLOWING OR SEND AN UPDATED RESUME WITH YOUR APPLICATION
EXTRACURRICULAR ACTIVITIES
LEADERSHIP ACTIVITIES
COMMUNITY ACTIVITIES
AWARDS & HONORS
OTHER SCHOLARSHIP OFFERS
Upload Current Resume, Teacher and Other Recommendations (a teacher recommendation is required)

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2024 Scholarship Application

STUDENT PROFILE

ACADEMIC FACTS - FROM TRANSCRIPT

BACKGROUND INFORMATION

FUTURE CAREER GOALS

PLEASE TELL US MORE ABOUT YOURSELF

PLEASE COMPLETE THE FOLLOWING OR SEND AN UPDATED RESUME WITH YOUR APPLICATION