Rotary Club of Navarre 2017 Scholarship Application Form

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1 Rotary Club of Navarre 2017 Scholarship Application Form Eligibility: Description: Criteria: All graduating Navarre High School Seniors for the academic year ending in May We are offering five (5) $1,000 college scholarships Three scholarships are available to all qualified applicants from the graduating population; one scholarship is for top Interact Club Member applicant and one is for top applicant that is pursuing a career in veterinary or animal sciences. Scholarships will be awarded based the applicants academic performance, financial need, extracurricular activities, recommendations and essay. One scholarship requires you be a member of the Interact Club and the Pat Quinn Veterinary Science Scholarship requires that the applicant is pursuing a degree in Veterinary or Animal Sciences in college. Use of Information: The information provided with this application will be used exclusively by Rotary Club of Navarre to evaluate the applicant s relative suitability for scholarship awards. Disclosure: All information provided with this application is voluntarily being provided by applicant and parent/guardian for evaluation for one of the available scholarships. We require all information be completed fully to be considered for a scholarship. Application Check List Check When Completed Section I: Personal Information Section II: Academic Info (Transcript Attached) Section III: Recommendation Letters Attached Section IV: Leadership Essay Attached Section V: Financial Information Section VI: Signatures Once all information is completed, please return this application to your Navarre High School Guidance Counselor s Office. Deadline for this application is May 4, Rotary Club of Navarre 2017 Scholarship Application Due May 4,

2 Section I Personal Information Applicant Name: Home Address: (Last) (First) (Middle) (Number/Street) (City) (State) (Zipcode) Date of Birth: Place of Birth: (Month/Day/Year) (City) (State) Telephone Number: Address: Father s Name: Occupation: Home Address: Mother s Name: Occupation: Home Address: Number of Siblings: Sibling s Ages: Other immediate family members in college presently: Section II Academic Information Have you graduated/will you graduate during the Academic Year? What colleges have you applied to? What colleges have you been accepted to? What is your anticipated college start date? What is your planned Course of Study: Are you planning to be a Veterinarian or pursue a career in animal sciences? Rotary Club of Navarre 2017 Scholarship Application Due May 4,

3 GPA: Class Standing: / Numerical ranking/total Number of Students Please include a copy of your high school transcript with this application. Academic Honors Honors/Achievements Inclusive Dates Extracurricular Activities/Honors Activities/Achievements Inclusive Dates Have you been a member of the Navarre High School Interact Club this school year? Rotary Club of Navarre 2017 Scholarship Application Due May 4,

4 Employment Experience Employer: Nature of Work: Inclusive Dates: Achievement/Participation Not Previously Recognized: Activity Description Inclusive Dates: Section IV Recommendation Letters Please include two letters of recommendations with this application. One letter must be from a teacher, coach or school official who has provided mentorship or support to you during high school years and the second letter from a non-family member who has known you at least 5 years. The letters should speak to your character and leadership qualities. Section V Leadership Essay On a separate piece of paper, please provide an essay of 100 words or less that demonstrates how you have provided exceptional leadership and service to your community. Rotary Club of Navarre 2017 Scholarship Application Due May 4,

5 Section VI Financial Information Have you applied for Federal Student Financial Aid? In addition to this scholarship, what other scholarships, grants, and/or other financial aid have you applied for? Have you received notification of award of any other financial aid/scholarships, and if so, from whom/amount of award? Awarded by: Awarded by: Awarded by: $ Amount $ Amount $ Amount Circle the range of income most approximating your total family household income. Please include all parental income/student income contributions: $0-$40,000 $40,001-$80,000 $80,001-$125,000 $125,001 & Up Please briefly describe how you intend to fund your education: Rotary Club of Navarre 2017 Scholarship Application Due May 4,

6 Please include any additional information you believe will be beneficial in assisting the Scholarship Committee in making their determination. Add continuation sheets to this application if you feel it is necessary to elaborate any of the items on this application. CERTIFICATION: I certify that the information submitted with this application is correct to the best of my knowledge and belief. Applicant s Signature Date Parent/Guardian Signature Date ***PLEASE RETURN COMPLETED APPLICATION TO YOUR SCHOOL GUIDANCE COUNSELOR PRIOR TO THE MAY 4, 2017 DEADLINE. Rotary Club of Navarre 2017 Scholarship Application Due May 4,

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