MARION ROTARY SCHOLARSHIP APPLICATION

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Shannon West
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1 2015 MARION ROTARY SCHOLARSHIP APPLICATION HOW TO APPLY: 1. PICK UP HARD COPY FROM HIGH SCHOOL COUNSELOR 2. GO TO MARION ROTARY CLUB WEBSITE ( Click on "forms & documents". 3. GO TO ROTARY FACEBOOK PAGE. There is a link to go directly to the PDF of the application so you can download and complete it. APPLICATION DEADLINE IS WEDNESDAY APRIL 15, 2015

2 Scholarship Application THE ROTARY CLUB OF MARION OHIO P.O. BOX 1091 MARION, OH SCHOLARSHIP APPLICATION CRITERIA AND RULES SCHOOL YEAR ) To be eligible, you must be a Marion County resident, and be a graduating senior from a Marion County high school. 2) Children and grandchildren of Marion Rotary Club members are not eligible. 3) Please print or type. Print one sided copies of transcripts, etc. 4) Complete the FAFSA process early. Your guidance counselor can assist you in completing FAFSA online. You must attach a copy of the Student Aid Report to your application. 5) Give your guidance counselor sufficient time to complete the evaluation form, which is included on the last page of this document. 6) Note that the deadline for submitting your application, including the Student Aid Report, to your guidance counselor is Wednesday, April 15, ) To assist the Rotary Club in judging the applications, please do not fold or staple your completed application pages. Use a paper clip and a large envelope to lay the pages flat in submitting your information to your counselor. 8) Applications will be reviewed between April 27th and May 15th, by the Rotary Club Scholarship Committee, and selections made on that date. The scholarship recipients will be honored at the Rotary Club luncheon on Tuesday, May 26, ) If you have any questions that your counselor cannot answer, please contact Teresa Ballinger, Rotary Scholarship Committee, at

3 SCHOLARSHIP APPLICATION SCHOOL YEAR 2015 NAME IN FULL (Last) (First) (Middle) HOME STREET ADDRESS CITY AND ZIP CODE PHONE HIGH SCHOOL BIRTH DATE GRADUATION DATE (Month/DayAear) CUMULATIVE GPA CLASS RANK OUT OF (Must have one of two) SAT SCORE. ACT SCORE OTHER HIGH SCHOOLS ATTENDED School Name City, State Years Attended" School Name City, State Years Attended From: Mo/Yr To: Mo/Yr WORK EXPERIENCE INCLUDING PRESENT EMPLOYMENT Employer Position Hrs/Wk Wages/Hour DESCRIBE EXTRA CURRICULAR ACTIVITIES IN SCHOOL, CHURCH, COMMUNITY (For example: Sports, Debate, Music, Publications, Organizations, Honor Society, Awards, etc.] (Continue on a separate page if necessary)

4 PERSONAL STATEMENT Give any information about your ambitions, goals, background, and financial need which you feel will assist the Rotary Scholarship Committee in judging your eligibility for this scholarship. If appropriate, describe any unusual circumstances that affect you or your parents' financial situation. Do not restate information previously given on this application. SIGNATURE OF APPLICANT DATE

5 ESTIMATED EXPENSES AND FINANCIAL AID FOR YOUR FRESHMAN ACADEMIC YEAR College (1st choice) Field of Study College (2nd choice) Fieid of Study ESTIMATED YEARLY EXPENSES Tuition & Fees ESTIMATED YEARLY EXPENSES Tuition & Fees Room & Board S Room & Board S Books & Supplies Travel Expenses Books & Supplies Travel Expenses Other Expenses 5 If over 50, itemize)... 5 s Other Expenses (If over 50, itemize) S TOTAL EXPENSES S 0'00 TOTAL EXPENSES - List financial aid you know you are receiving to attend this college. Grants Loans Scholarships Other (List! List financial aid you hope to receive to attend this college: List financial aid you know you are receiving to attend this college. Grants Loans Scholarships Other (List) List financial aid you hope to receive to attend this college:

6 CONFIDENTIAL 2015 SCHOLARSHIP APPLICATION GUIDANCE COUNSELOR FORM Name of Applicant: To Applicant: Please give this confidential form to your guidance counselor to complete and submit with your completed application. To Guidance Counselor: Please complete this confidential form. Include it with a copy of the student's high school transcript (one sided copies please) that will be added to the student's completed application package, that should be returned to you by Wednesday, April 15,2015. Your Rotary Club contact will pick up all the applications submitted to you a day or so thereafter and return them to the Club. They will be judged by the Club's Scholarship Committee between April 27 and May 15. The recognition program to honor the scholarship recipients will be at the Rotary Club luncheon on Tuesday, May 26,2015. If you should have any questions, please contact Teresa Ballinger, Rotary Scholarship Committee, To aid the Club in reproducing each application package for members of the Committee, please do not fold or staple any of the material included in the package. One sided copies please. Use paper clips where appropriate. On a separate page, please give your evaluation of the applicant's academic abilities, college potential, community/school service, effort and motivation, and financial needs. Your concise evaluation is of critical importance to us. Please paper clip the separate page to this evaluation. CUMULATIVE GPA: GRADE POINT SCALE: AS OF: EQUIVALENT ON A 4.0 SCALE: CLASS RANK: NUMBER IN CLASS _^ SIGNED: TITLE DATE:

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