Hawaii Rotary Youth Foundation Scholarship Program

Transcription

1 Hawaii Rotary Youth Foundation Scholarship Program The Hawaii Rotary Youth Foundation (hereafter referred as HRYF) was chartered as a non-profit charitable corporation in 1976 when Maurice J. Sullivan was the Rotary District Governor in Hawaii. One of its objectives is to provide scholarships for Hawaii s youth to further their education. HRYF administers a scholarship aid program for Hawaii high school students who will be attending a 4-year university or college in Hawaii or on the U.S. mainland. Scholarship funds are derived from investment income, gifts, donors, Rotarians and the Harry & Jeanette Weinberg Foundation, Inc. Eligibility Criteria: 1. Must be sponsored by a District 5000 Rotary Club. 2. Must be a graduating Hawaii high school senior who will be attending, as a full-time student, an accredited 4-year college or university in Hawaii or on the U.S. mainland to earn a baccalaureate degree. A full-time student is defined as taking a minimum of twelve (12) credit hours per semester or equivalent. 3. Must be a U.S. citizen and legal resident of Hawaii prior to submittal of application. 4. In the interest of providing as many scholarships as possible to students in Hawaii, ineligible are: a) Rotarians or their spouse, children, grandchildren, stepchildren, brothers or sisters. b) Anyone entering a U.S. Military Service Academy. c) Anyone receiving a multi-year scholarship or a full tuition scholarship. d) Anyone attending a university or college outside the United States. Criteria for Selection: 1. Academic achievement, scholarship merit and financial need. 2. Personal involvement in campus, community activities and employment experience. Scholarships Available: 1. $5,000 scholarship to attend an accredited 4-year Hawaii or U.S. mainland university or college or 2. One (1) Maurice J. Sullivan Scholarship Award of $10,000 to attend a university or college on the U.S. mainland or 3. One (1) Joanna L. Sullivan Scholarship Award of $10,000 to attend a university or college in Hawaii. The scholarship is non-transferable, cannot be deferred, and is a one-year grant that need not be repaid. Enrollment must be in the Fall of the calendar year the scholarship is awarded. Scholarships will be disbursed directly to the applicant s college or university. The HRYF and Weinberg Scholarship programs are administered without regard to race, creed, color, age, religion, sex, national origin or physical disability.

2 Scholarship Calendar: 11/1/2016 Application forms available 1/31/2017 Application Submittal due date 2/25/2017 Rotary Club interviews complete 3/18/2017 Area interviews complete for selected applicants 3/27/2017 Final HRYF Selections announced 4/17/2017 Applicant s deadline for accepting scholarship award 7/15/2017 Funds disbursed to colleges and universities Scholarship Application Procedure: 1. Scholarship forms are available through your high school counselor, Rotary club in your area or our website at a) Save the fillable Scholarship Application Form file onto a computer. b) Enter all the required information into the fillable Scholarship Application Form. c) Print the completed Scholarship Application Form. d) Sign the printed hardcopy Scholarship Application Form. 2. Contact and submit your completed Scholarship Application package to only one (1) Rotary club where you live or where you attend high school to sponsor your application. (Refer to the List of Rotary Club Contacts.) The application package shall consist of the following documents: a. Completed and signed hardcopy of the Scholarship Application Form. b. Signed hardcopy of the Recommendation for Scholarship from an unrelated present faculty member and completed form. c. Signed hardcopy of the Recommendation for Scholarship from an unrelated member of the community who has known the applicant for over 2 years and completed form. d. A copy of the applicant s high school transcript. e. A copy of the applicant s SAT and/or ACT scores. f. A copy of the Student Aid Report (SAR) with Effective Family Contribution (EFC) ora copy of all pages of the Free Application for Federal Student Aid (FAFSA) form with EFC that was sent to the mainland for processing. g. Applicant s Personal Statement. h. Applicant s Academic Achievements Statement. i. Applicant s Campus, Community and Employment Activities Statement. j. Completed Financial Aid Data. Application Due Date: The applicant s completed Scholarship Application package, including all required enclosures, must be postmarked or received by a District 5000 Rotary Club by the Application Due Date specified at the top of the first page of the Scholarship Application Form. 3. Participate in a Rotary Club interview. 4. If applicant is selected by the sponsoring Rotary Club, participate in an Area interview.

3 List of Rotary Club Contacts Hawaii Rotary Youth Foundation Scholarship An application must be received by only ONE Rotary Club, which is located near your school or where you live. CLUBS CONTACT NAME ADDRESS CITY & ZIP CODE PHONE NO. Hawaii Island Clubs (9) Hilo Mitchell Dodo 199 Wainaku Street Hilo, HI Hilo Bay Richard Cunningham 794 Piilani St. Hilo, HI Kona Scott Unger Kenika Pl. Kailua-Kona, HI Kona Mauka Christian Leinenweber Lalo Kawena Pl. Kailua-Kona, HI Kona Sunrise Ann Goody c/o P.O. Box 2343 Kailua-Kona, HI North Hawaii Agnes Carlos P.O. Box Waikoloa, HI Pahoa Sunset Holly Johnson Makamae Street Pahoa, HI South Hilo Keith Marrack 99 Aupuni St., #106 Hilo, HI Volcano Kevin LeBordais PO Box HI Natl Park, HI Kauai Clubs ((5) Hanalei Bay Christena Southwick 3930 Namakeha Loop Princeville, HI Kapaa Terry Raddi 5088 Kahana St. Kapaa, HI Kauai Brennan Carroll 4473 Pahee St. Suite N Lihue, HI Poipu Beach Christopher Young P.O. Box 117 Koloa, HI West Kauai Tom Gerrard P.O. Box 951 Kalaheo, HI Maui Clubs (10) Kahului Joel Rand 3225 Pikai Way Kihei, HI Kihei-Wailea Carol Perry 1215 South Kihei Road, #0-248 Kihei, HI Lahaina Rick Nava c/o P.O. Box Lahaina, HI Lahaina Sunrise Bonnie West PO Box 913 Lahaina, HI Lahaina Sunset Joanne Laird 250 Hau'oli St. #220 Wailuku, HI Lanai Ingrida Couto PO Box Lanai City, HI Maui Jim Vitale 45 Welina Place Pukalani, HI Upcountry Maui Kit Okazaki 81 Makawao Avenue, #105 Makawao, HI Valley Isle Sunset Wendy Acosta 843 Maikai Street Makawao, HI Wailuku Alfred Arensdorf 33 Keoneloa Street Wailuku, HI Oahu Clubs (24) Ala Moana Gerald Shintaku 2611 Kilihau St. Honolulu, HI Diamond Head Cindy Perkins 1313 S. Beretania St., #100 Honolulu, HI Downtown Hon. Rodney Lee 580 Lunalilo Home Rd. #342 Honolulu, HI East Honolulu Kathleen Shiramizu 3626 Alohea Avenue Honolulu, HI Hawaii Kai Oahu Judy Jakobovits 441 Anolani Street Honolulu, HI Honolulu c/o Martha German 705 Queen St. Honolulu, HI Honolulu Pau Hana Sam Wolff 2871A Booth Rd. Honolulu, HI Honolulu Sunrise Ryan Char 925 Bethel St., 5th Floor Honolulu, HI Honolulu Sunset Steven Mazur 3218 Francis Street Honolulu, HI Kahala Sunrise Jules Guerrero 820 W. Hind Dr. Suite 127 Honolulu, HI Kaneohe Pete Seymour Kuaua Way Kaneohe, HI Kapolei Monique Wall Hookaahea St. Ewa Beach, HI Kapolei Sunset Charlene Gearing Olani St., Apt 1 Kapolei, HI Metro. Hon. Beverly Marica 835 Kainui Place Kailua, HI Mililani Sunrise Linda Conboy Kuauli St. #195 Mililani, HI Pearl Harbor Steve Dyer 1322-A Moanalualani Court Honolulu, HI Pearlridge Eric Fujimoto 1585 Kapiolani Bld. #1100 Honolulu, HI Wahiawa-Waialua Geoffrey Horvath Lokihi Street Mililani, HI Wai'anae Coast Marcelina Silvester-Thomas Hakeakea Street Waianae, HI Waikiki Denny Meyer c/o PO Box 8622 Honolulu, HI West Honolulu Jared Au 1088 Bishop St., #1503 Honolulu, HI West Pearl Harbor Waipahu Richard Ito 130 Puiwa Road Honolulu, HI Windward Oahu Dudley W. Foster 1104 Mokulua Dr. Kailua, HI Windward Sunrise Katy Villiers PO Box 1094 Kaneohe, HI (10/31/16)

4 THE HAWAII ROTARY YOUTH FOUNDATION 2017 Scholarship Application Form APPLICATION DUE DATE: JANUARY 31, 2017 Area Rank GPA SAT/ACT EFC The completed application must be postmarked and/or received by only one (1) sponsoring Rotary Club no later than the application due date above. Applications that have not been approved and submitted by a District 5000 (Hawaii) Rotary Club will not be accepted. No exceptions will be made. Applicant s Name Last First M.I. Last 4 digits of Soc Sec Date of Birth [ ] Male Phone [ ] Female Cell Mailing Address City State ZIP Address High School Graduation Date Award Ceremony Date List College/University you plan to attend (1 st, 2 nd, 3 rd choice) 1. x if accepted 2. [ ] 3. [ ] I hereby authorize the Hawaii Rotary Youth Foundation Scholarship Committee to release information relative to this application for publicity purposes. I further understand and agree, should I be granted this scholarship, I will attend such Rotary functions as may be deemed necessary by the President of the Hawaii Rotary Youth Foundation pursuant to granting this scholarship. Applicant Signature FOR USE BY SPONSORING ROTARY CLUB ONLY We certify that (a) the applicant has been interviewed, (b) the application form is complete, (c) the certified transcript is attached and (d) the 2 Letters of Recommendation and (e) all required documents are included. This Rotary Club wishes to sponsor the applicant and certifies that the following three (3) Rotary Club members have interviewed the candidate and the candidate has met all the requirements. Signatures: Date [ ] Rotary Club of Area Area Signature: Interview Date FOR USE BY AREA SELECTION COMMITTEE ONLY Interview Date Page 1

5 Financial Aid Data: Father/Guardian Hawaii Rotary Youth Foundation Scholarship Application Page 2 REQUIRED INFORMATION Letters of Recommendation: Letter of Recommendation by an unrelated current Faculty Member. Attach Recommendation for Scholarship typewritten statements, maximum 1 page, 10 point font, and completed form. Letter of Recommendation by an unrelated Community Member who has known the applicant for over 2 years. Attach Recommendation for Scholarship typewritten statements, maximum 1 page, 10 point font, and completed form. High School Transcript SAT and/or ACT Scores SAR with EFC or FAFSA with EFC Personal Statement: Please indicate the area of study you expect to pursue and what it would mean to you and to Hawaii, if you were to receive this scholarship. Attach your typewritten statement, maximum 1 page, 10 point font. Academic Achievements Statement: Please summarize your academic achievements while in high school. Attach your typewritten academic achievement statement, maximum 1 page, 10 point font. Campus, Community and Employment Activities Statement: Please summarize your campus, community and employment activities while in high school. Attach your typewritten activities statement, maximum 1 page, 10 point font. Mother/Guardian Name: Name: Home Address: Home Address: Home City, State Zip Home City, State Zip Phone: Phone: Name of Employer: Name of Employer: Address of Employer: Address of Employer: Employer City, State Zip: Employer City, State Zip: Employer Phone: Employer Phone: Nature of Business: Nature of Business: Position Held: Position Held: Years with Employer: Years with Employer: List names of children starting with the applicant, attach additional sheets as required. Age X Below if dependent for income tax purposes X Below if living with family Name of school or occupation X appropriate Box Public Private College

6 Hawaii Rotary Youth Foundation Scholarship Application Page 3 Applicant Checklist of REQUIRED Information Yes [ ] No [ ] 1. Is application form complete in every respect and signed by the applicant? Yes [ ] No [ ] 2. Letter of Recommendation by an unrelated current Faculty Member attached? Yes [ ] No [ ] 3. Letter of Recommendation by an unrelated Community Member who has known the applicant for over 2 years attached? Yes [ ] No [ ] 4. Copy of High School Transcript attached? Yes [ ] No [ ] 5. Copy of SAT and/or ACT scores attached? Yes [ ] No [ ] 6. Copy of SAR with EFC or FAFSA with EFC attached? Yes [ ] No [ ] 7. Personal Statement attached? Yes [ ] No [ ] 8. Academic Achievements Statement attached? Yes [ ] No [ ] 9. Campus, Community and Employment Activities Statement attached? Yes [ ] No [ ] 10. Financial Aid Data attached? Scholarships Available: The Hawaii Rotary Youth Foundation Scholarship is a $5,000 scholarship granted to graduating Hawaii high school senior students who will be attending an accredited 4-year university or college in the United States on a full-time basis. There are two (2) additional $10,000 Special Award Scholarships which may be granted: 1. Maurice J. Sullivan Scholarship for students attending a university or college on the U.S. Mainland, and 2. Joanna L. Sullivan Scholarship for a student attending a university or college in Hawaii. The scholarships are non-transferable and are a one-year grant mailed directly to the university or college in July of the year they are awarded. The scholarship cannot be deferred for future use. No student can receive more than one scholarship from the Hawaii Rotary Youth Foundation. The scholarship need not be repaid. Eligibility Criteria: 1. Must be sponsored by a District 5000 Rotary Club in the State of Hawaii. 2. Must be a graduating Hawaii high school senior who will be attending, as a full-time student, an accredited 4- year college or university in the United States to earn a baccalaureate degree. A full-time student is defined as taking a minimum of twelve (12) credit hours per semester. 3. Must be a U.S. citizen and legal resident of Hawaii. 4. Ineligible are: a. Rotarians or their spouse, children, grandchildren, stepchildren, brothers or sisters, b. Anyone entering a U.S. military service academy, c. Anyone receiving a multi-year scholarship or a full tuition scholarship. d. Anyone attending a university or college outside the United States. Additional Information: Additional information is available at or by calling the HRYF office at

7 Hawaii Rotary Youth Foundation RECOMMENDATION FOR SCHOLARSHIP Directions: The applicant must submit recommendations from two (2) adult individuals: one (1) from an unrelated present faculty member and one (1) from an unrelated member of the community that has known the applicant longer than 2 years (not a student). Please return this completed form and attachments to the applicant to send in with their scholarship application. Name of Applicant: Proposed field of study: Name of Recommendation Preparer: Title: Address/Institution: 1. In comparison with other students whom you have known at a comparative age, how would you rate the applicant in the following areas? Place an X in the appropriate column. If you are unable to evaluate an area, please leave it blank. Excellent Very Good Average Below Average Leadership Initiative Enthusiasm Adaptability Maturity Emotional stability Public speaking Please attach a separate typewritten sheet, maximum 1 page, 10 point font for the following: 2. Please cite some specific examples of how, in your association with the applicant, he or she has demonstrated the above qualities. 3. How well, how long, and in what capacity have you known the applicant? 4. How firm is the applicant s commitment to his/her proposed field of study? Prepared by Signature: Title/Position/Relationship: Date Faculty [ ] Community [ ]