Giving Hope & Help Education is Your Passport Scholarship Program Application

Putnam Rotary Club Scholarship Application

Requirements of the Putnam Rotary Club Scholarship Awards 2025
All Applications must be completed using the fill-able PDF format and submitted

HANDWRITTEN APPLICATIONS WILL NOT BE ACCEPTED

Everyone is invited to apply!

Scholarship Applicants are evaluated based on Academics, Need and Community Service. Since we are a service-based organization, our evaluation is more heavily weighted on Community Service so we encourage all to apply.

An applicant must be a senior in good standing or a graduate who has not yet enrolled at a College or University, and has or is attending one of the following schools:

Putnam High School
Putnam Science Academy
Tourtellotte Memorial High School
Woodstock Academy
Marianapolis Preparatory School
Pomfret Preparatory School
H.H. Ellis Tech
Quinebaug Valley Middle College
ACT Magnet School Willimantic
Vocational AG School Killingly High
Applicants must be residents of Eastford, Pomfret, Putnam, Thompson or Woodstock.

March 31st, 2025 is the deadline. You will receive a reply within 2 days that we received your application.

Questions?

Email: johnstonre@sbcglobal.net

Att: Mrs. Rachael Johnston Phone: 860-450-9562

The scholarship award will be mailed directly to the student (at the address provided by the student) upon proof of successfull completion of their first semester. Student should mail their transcript/grade report to:

Rachael Johnston at johnstonre@sbcglobal.net
STUDENT INFORMATION
Are you a 2025 graduating student *

YESNO (if you answered "NO", you don't qualify for this scholarship)
Residence, (if you reside in any town not listed below, you do not qualify for this scholarship application) *
is my current residence
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Your Personal Email Address*
example@example.com
Your School Email*
example@example.com
Phone Number*

Area CodePhone Number (000-0000)
School presently attending*
Intended Major
Expected Family Contribution as calculated on the FAFSA
Please input $
Academic achievements*
Applied to the following Colleges or Universities (Ranked by choice)*
How do you intend to finance your college education?
Community Service
List any Community Service Activities you participated in while in High School. Any unverifiable information / statements provided by the applicants may result in their disqualification.
What does Community Service mean to you?
Additional Information

Any additional information that you would like to share.0/100
Upload your High School Transcript*

Browse Files

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In consideration of my academic record and the facts set forth in this application, I respectfully petition that a scholarship be awarded to me. I affirm that to the best of my knowledge, the information given by me is true and correct.
Date*

MonthDayYear
DateHourMinutesAM/PM Option
Signature of Applicant*

Clear
Date*

MonthDayYear
DateHourMinutesAM/PM Option
Signature of Parent/Guardian*

Clear
Please verify that you are human*
Should be Empty:

Putnam Rotary Club Scholarship Application

STUDENT INFORMATION