Clear Creek 2000 Rotary 2025 Scholarship Form

1. Basic information

Please fill out the below information.
Full Name*

First NameMiddle Initial Last Name
How old are you?*
Maximum age is 22 as of June 30, 2025
Birth Date*

MonthDayYear
Primary E-mail*
Secondary E-mail (This could be a parent's or personal email address)*
example@example.com
Cell Number*

Area CodePhone Number
Secondary Phone Number (This should be a parent's phone number)*

Area CodePhone Number
Physical Address*

Street Address

Apt/P.O. Box

CityState

Postal / Zip CodeCountry
Mailing Address if different from physical address above

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

2. Questionnaire

Please answer the questions to the best of your ability.
Vocational school you plan to attend:*
What career do you plan to pursue?*
Please describe community involvement, school activities and/or clubs you have participated in during your high school career.*
Have you participated in any Rotary activities including Interact, RYLA or Young RYLA during your high school career? If so, please describe.*
Please describe an accomplishment that you are proud of.*
How did you hear about this scholarship?*

Ready to submit?
Thank you so much for taking the time to complete the Clear Creek 2000 Rotary Club Scholarship application. Applications are due by April 15, 2025. The scholarship will be awarded in May of 2025. If you're sure everything is filled out correctly, Click Submit!
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Welcome to the Clear Creek 2000 Rotary Club 2025 Scholarship Application