Scholarship Application

Scholarship Application

Due no later than June 11, 2026
Please fill out each section of the application completely. The decision of the Scholarship Committee will be based on the information that you provide and on the recommendations of the Adult Learning Center staff members.
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Which program did you complete?
Which school or training program do you plan to attend?
Have you enrolled yet?
When did you (or will you) start classes?
What are your personal goals for the future, and how do you see advanced education helping you reach those goals?
Why do you think the program of study you are interested in is a good fit for you?
What are the steps you will have to take to reach your goals? Consider any barriers you will have to overcome before starting this program and how you would manage them. Include things like transportation, childcare, housing, money, etc. Do you have a support system in place to help you reach your goals?
Please give the name of the Dover Adult Learning Center staff member who can best provide a recommendation for you.
If you win the Rotary Scholarship, would you be willing to speak to the Rotary?
Signature
Date

MonthDayYear
Date
Should be Empty:

Please fill out each section of the application completely. The decision of the Scholarship Committee will be based on the information that you provide and on the recommendations of the Adult Learning Center staff members.