2018 RICHARDSON ROTARY FOUNDATION SCHOLARSHIP APPLICATION
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1 2018 RICHARDSON ROTARY FOUNDATION SCHOLARSHIP APPLICATION To: Scholarship Applicants The Richardson Rotary Club and the Richardson Rotary Foundation will award a $10,000 scholarship to two graduating seniors from Berkner, Pearce or Richardson High Schools. The scholarships, paid out over four years, are intended to make a significant financial contribution to worthy applicants who have the potential to be a good college student and good representative of the Richardson Rotary Club. In order to qualify, you must plan to attend and be able to meet entrance requirements for a fouryear State of Texas public supported school (university or college). A list of eligible institutions is available in your counselor s office. These scholarships are not offered to students planning to attend a private or out-of-state school. To apply, complete the application and attach the following: 1. A certified transcript of your high school grades 2. Copy of your SAT and/or ACT test scores 3. FAFSA SAR (Student Aid Report). Selection Criteria (by order of importance): 4. Teacher or Personal References During the latter part of April, the Selection Committee will conduct personal interviews of finalists. Invitations to interview will be extended by phone or in mid-april. PLEASE NOTE: Illegible or incomplete applications will not be considered. Return to your High School Counselor no later than Monday, April 16, 2017
2 2018 Richardson Rotary Foundation Scholarship Application (please write legibly) Your High School Transcript attached Yes No Last Name First Middle Nickname Cell Phone Home Phone Street or Mailing address City ZIP Father s Name Phone # Street or Mailing address City ZIP Father s Occupation Employer Mother s Name Phone # Street or Mailing address City ZIP Mother s Occupation Employer Brothers and Sisters (names and ages) School References Name Position Phone Adult, other than a family member, that knows you best (minister, mentor, etc.) Last Name First Relationship Phone # Your Employment History Current Employer Dates Employed Supervisor Name Supervisor Phone Previous Employer Dates employed Supervisor Name Supervisor Phone
3 Academic GPA Class Rank SAT or ACT Score (Circle which) Honors/Awards Extracurricular/Leisure Activities Hobbies Will you be applying for/receiving any other scholarships? If so, please detail: FAFSA SAR Attached (required for consideration) Yes No College Preferences (See list of qualifying schools) Planned College Major Anticipated Annual College Costs Please provide an essay covering the following points: 1. Why the scholarship is needed and how it will help you financially? 2. Why you selected your college major? 3. If selected, how can your objective help your community? 4. Your goals in life? Applicants Signature / Date Counselor s Signature / Date
4 Personal or Teacher Reference #1 Applicant Name School Reference Name Relationship Reference Phone Relationship Length of time you have known applicant Selections for the Richardson Rotary Foundation $10,000 scholarship is based on the following six factors (in order of importance) 4. Recommendations The scholarship is intended to make a significant financial contribution to a graduating senior from Berkner, Pearce or Richardson High School one who has the potential to be a good college student and representative of the Richardson Rotary Club. Realizing that we limit these scholarships to only two students each year, why do you feel that this applicant should receive this scholarship? Please rate the applicant on a scale of 1 5 based on the following criteria (5 being the highest/best score and 1 being the lowest). Sense of responsibility or Not sure Ability to work with others or Not sure Reliability or Not sure Moral support from family or Not sure Honesty and integrity or Not sure Ability to overcome obstacles or Not sure Reference Signature Date
5 Personal or Teacher Reference #2 Applicant Name School Reference Name Relationship Reference Phone Relationship Length of time you have known applicant Selections for the Richardson Rotary Foundation $10,000 scholarship is based on the following six factors (in order of importance) 4. Recommendations The scholarship is intended to make a significant financial contribution to a graduating senior from Berkner, Pearce or Richardson High School one who has the potential to be a good college student and representative of the Richardson Rotary Club. Realizing that we limit these scholarships to only two students each year, why do you feel that this applicant should receive this scholarship? Please rate the applicant on a scale of 1 5 based on the following criteria (5 being the highest/best score and 1 being the lowest). Sense of responsibility or Not sure Ability to work with others or Not sure Reliability or Not sure Moral support from family or Not sure Honesty and integrity or Not sure Ability to overcome obstacles or Not sure Reference Signature Date
6 Personal or Teacher Reference #3 Applicant Name School Reference Name Relationship Reference Phone Relationship Length of time you have known applicant Selections for the Richardson Rotary Foundation $10,000 scholarship is based on the following six factors (in order of importance) 4. Recommendations The scholarship is intended to make a significant financial contribution to a graduating senior from Berkner, Pearce or Richardson High School one who has the potential to be a good college student and representative of the Richardson Rotary Club. Realizing that we limit these scholarships to only two students each year, why do you feel that this applicant should receive this scholarship? Please rate the applicant on a scale of 1 5 based on the following criteria (5 being the highest/best score and 1 being the lowest). Sense of responsibility or Not sure Ability to work with others or Not sure Reliability or Not sure Moral support from family or Not sure Honesty and integrity or Not sure Ability to overcome obstacles or Not sure Reference Signature Date
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