INFORMATION TO APPLICANT EATON ROTARY CLUB SCHOLARSHIP
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1 INFORMATION TO APPLICANT EATON ROTARY CLUB SCHOLARSHIP 1. Type of Scholarship 2. Who may apply? One year scholarship in the amount of $ Any senior boy or girl in attendance in any of the Preble County Schools ranking in the top 20% of their class. 3. What are the requirements? A. Interest - Applicant must be interested in advancing their education. B. Selection of College or University - The College, University, or Technical College selected by the recipient of the scholarship must be an accredited institution. C. Financial Need - Applicant shall be in need of supplementary funds to finance their education. E. Attitudes and Activities - Applicant shall have demonstrated by participation in extra-curricular activities, church and community affairs that he or she possesses the personal, physical, and mental qualifications and attitudes that are requisite to becoming a success. 4. Application Blank It is important that you supply all the requested information promptly, neatly, accurately, and honestly. And, in addition to filling out this form, the attached recommendation forms must be filled out by two persons who know you and returned directly to the Guidance Office at your high school no later than February 24, The $ Scholarship will be sent directly to the Bursar of the College of student s choice and credited to their account. 6. The Scholarship selection committee shall be made up of a representative group from the Rotary Club.
2 APPLICATION This form, completely filled in, and two letters of recommendation must be filed in the Guidance Office by February 24, Please answer all questions with careful and accurate detail. Have your high school guidance counselor insert your rank in class and sign the attached sheet. NAME IN FULL ADDRESS (Street) (City) (State) (Zip) AGE LAST BIRTHDAY DATE OF BIRTH PLACE OF BIRTH Is your health good? If you have any physical handicaps, explain briefly: I will be a graduate of High School. Have you had any special recognitions or have you the abilities or talents in any particular fields such as: Music, Dramatics, Writing, etc.? Please attach additional sheets as needed. Explain: Describe all important activities, honors, prizes, scholarship ratings, or any other recognitions received in high school, in your community, or your church. Please attach additional sheets as needed. Recommendation Forms given to: Name Name Class Rank / GPA Name of applicant A.C.T. Scores composite S.A.T. Scores V M Signature of High School Guidance Counselor PLEASE ATTACH A TRANSCRIPT
3 FINANCIAL DATA NAME OF PARENT(S) OR GUARDIAN ADDRESS OF PARENT(S) OR GUARDIAN (if applicable) Living Occupation Father yes no Mother yes no Guardian yes no Number of older brothers older sisters younger brothers younger sisters How many persons are dependent upon your parents or guardian for support? (Include all persons in your household) How much financial aid during the next year do you expect to receive from your parents or guardian? Explain FULLY. Any special financial needs? Name any other sources from whom you expect financial aid during the next year (indicate approximate amounts) _ College/University/Technical College you will be attending? Have you been accepted? College Major (area of study) College Minor (area of study) The above statements are correct and true to the best of my knowledge and belief, and I hereby agree that, if I become the recipient of this scholarship, I shall abide by the regulations and provisions under which the same are granted. Applicant
4 RECOMMENDATION FOR SCHOLARSHIP NAME OF APPLICANT Your knowledge of this applicant will assist the Scholarship Committee in considering his or her qualifications for scholarship aid. May we have your recommendation, from either records or personal knowledge, on the following four points. Your statement will be given considerable weight by the Committee and will be held strictly confidential. 1. Why is the applicant the type of person you would recommend for a scholarship? 2. Personal qualifications. What do you consider the applicant s outstanding traits which qualify him/her for a scholarship, e.g. diligence, emotional maturity, character, etc. 3. What do you know of the applicant s financial needs? 4. Additional remarks: I am not related to the above named applicant. Signature Title or Occupation PLEASE RETURN THIS FORM DIRECTLY TO THE HIGH SCHOOL GUIDANCE COUNSELOR FEBRUARY 24, 2014.
5 RECOMMENDATION FOR SCHOLARSHIP NAME OF APPLICANT Your knowledge of this applicant will assist the Scholarship Committee in considering his or her qualifications for scholarship aid. May we have your recommendation, from either records or personal knowledge, on the following four points. Your statement will be given considerable weight by the Committee and will be held strictly confidential. 1. Why is the applicant the type of person you would recommend for a scholarship? 2. Personal qualifications. What do you consider the applicant s outstanding traits which qualify him/her for a scholarship, e.g. diligence, emotional maturity, character, etc. 3. What do you know of the applicant s financial needs? 4. Additional remarks: I am not related to the above named applicant. Signature Title or Occupation PLEASE RETURN THIS FORM DIRECTLY TO THE HIGH SCHOOL GUIDANCE COUNSELOR BY FEBRUARY 24, 2014.
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