Ardmore Rotary Scholarship Application By

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1 Ardmore Rotary Scholarship Application By Rotary Club of Ardmore (Dornick Hills) The purpose of the Ardmore Rotary Scholarship is for the Rotary Club of Ardmore (Dornick Hills) to recognize and reward local students who embody the high standards of the Rotary International motto, SERVICE ABOVE SELF. A. Eligibility Requirements for Academic or Vocational Scholarship 1. Applicant must be a graduating senior. 2. An applicant and their parent(s) or legal guardian(s) must reside in Carter County. The applicant must be a high school senior attending one of the following schools: Ardmore High School or Plainview High School. 3. For vocational scholarship application, applicants must be accepted for enrollment in a vocational school that offers certification or degree upon graduation. Documented proof from the institution of enrollment is required. 4. For academic scholarship applications, applicants must have applied to and/or been accepted for enrollment as a full-time undergraduate at an accredited college or other approved institution in the United States. Documented proof from the institution of the full time enrollment is required 5. All Applicants must demonstrate Service above Self through a history of school and/or community service. B. Procedures 1. The deadline for submitting applications is April 1 st. 2. Required documents: i. Copies of applicant s most recent high school transcript. ii. Two (2) letters of recommendations attesting to the applicant s character and community service. iii. This scholarship can be used for any educational expense (not only tuition) which will be paid directly to the school of preference. iv. The winner must attend at least one Rotary Club meeting during the first year of having received the scholarship. v. Submit all application by mail or to one of the following: Attn: Deana Evans or deana.evans@yw8team.org Scholarship Application 909 W. Main Ardmore, Ok 73401

2 ONLY COMPLETELY FILLED OUT APPLICATIONS WITH REQUIRED SUPPORTING DOCUMENTS WILL BE CONSIDERED. Ardmore Rotary Service above Self Scholarship Application Checklist Please initial all and include this checklist with application. I meet all the qualifying conditions for the scholarship. I have attached two letters of recommendation. I have included a copy of the most recent high school transcript I have to the best of my knowledge filled out the form completely and honestly. If awarded the scholarship I will attend a meeting during the year and speak about my academic/vocational experience. Name (please print) Signature Date:

3 Please note to be considered as an applicant all items above must be initialed. Rotary Club of Ardmore (Dornick Hills) Service above Self Scholarship Application Form Submit application to: Attn: Deana Evans or Scholarship Application 909 W. Main Ardmore, Ok Please check one: Academic Vocational Only fully completed applications with required supporting documents will be considered. Please note, checklist must be signed and submitted with the application. Part I. Name: (Last, First, Middle) Date: Mailing Street Address Mailing City State Zip Date of Birth Telephone Number: ( ) Address Colleges/institutions/vocational schools you have applied to: (indicate which have accepted you) Major Field of Study:

4 List other Financial Assistance you have applied for or received: Source Amount Part II. List all of your academic achievement and extracurricular activities during the past four years. Include honors and advanced placement classes; student government; clubs and other school projects. Also include hobbies or other personal interests. List all of your community service activities including church, school and/or community volunteer activities. Also indicate any awards, or honors you have received relevant to community service activities. Have you had any paying jobs while attending High School? Y N

5 If so, please give a brief description of your responsibilities as well as hours/week worked: List any Rotary projects/events you have participated in: Why did you choose the college/vocational school to which you are applying/ Other Items of Interest: Please identify any other items of interest you think might be relevant to you being selected to receive this scholarship.

6 Part III. In 250 words or less, state how you have demonstrated Rotary s Motto, Service above Self in your life.

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