Giving Hope & Help Education is Your Passport Scholarship Program Application

2021 Putnam Rotary Club Scholarship Application

Requirements of the Putnam Rotary Club Scholarship Awards 2021
All Applications must be completed using the fill-able PDF format and submitted

HANDWRITTEN APPLICATIONS WILL NOT BE ACCEPTED

Everyone is invited to apply!

Separate Scholarships based on the following Individual Criteria:

Some will be awarded based on Community Service
Some will be awarded on Academics
Some will be Need-Based

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. Children and Grandchildren of Putnam Rotary Club Members are NOT eligible.

April 30th, 2021 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 actual scholarship will be given out upon validation of successful enrollment in a post-graduate academic institution by the end of November 2021.
STUDENT INFORMATION
Name *

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email Address *
example@example.com
Phone Number *

Area Code Phone Number (000-0000)
School presently attending *
Other children in your family
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 services
List any Community Service Activities, you participated in while in High School
What does Community Service mean to you?
How will your education affect your efforts to provide community service?
Additional Information

Any additional information that you would like to share. 0/100
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 *

Month Day Year
Date Hour Minutes AM/PM Option
Signature of Applicant *

Clear
Date *

Month Day Year
Date Hour Minutes AM/PM Option
Signature of Parent/Guardian *

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

2021 Putnam Rotary Club Scholarship Application

STUDENT INFORMATION