ROTARY CLUB OF BELPRE 2014

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ROTARY CLUB OF BELPRE 2014 Rotary Make A Difference Scholarship & Rotary Make a Difference Dick Thomas Scholarship" Belpre High School Student Information Sheet ABOUT THE SCHOLARSHIP Purpose: To provide assistance to high school seniors at Belpre High School who in the judgment of the Rotary Selection Committee, possesses the qualities honored by Rotary in Service Above Self and demonstrates the ability and desire to make a difference in their community. There are two scholarships that will be awarded to Seniors of Belpre High School, Rotary Make a Difference Scholarship and Rotary Make a Difference Dick Thomas Scholarship. The Rotary Club of Belpre will award a one thousand dollar ($1,000) Tuition Scholarship to two Belpre High School Seniors to any college of their choice for the Fall Term 2014. REQUIREMENTS FOR APPLYING Minimum GPA of 3.0 during last two years of high school. Provide one completed copy of the Rotary Scholarship Application form to your Guidance Office by 8 a.m. on April 15, 2014. Obtain a copy of current Transcript from your Guidance Office Complete an interview with the Rotary Scholarship Selection Committee. (Arranged and scheduled through the high school Guidance Office.) Must enroll in a four-year college program. INTERVIEWERS WILL BE EVALUATING Civic Responsibility, Character, Initiative Applicants must have demonstrated leadership in community-based organizations/projects, school, and/or church activities. Sustaining community service is a major consideration throughout all four years of high school. Applications need to show commitment to personal growth and development through active participation in curricular and extracurricular programs and events in high school. Applicants need to demonstrate ability to communicate effectively. PROCESS Your Guidance Office will receive your application and schedule interview times with the Rotary Contact. The Application is available at the Rotary WebsSite (www.belprerotary.org) Rotary Contact: Mary Ann Laughery, 685 Timberline Drive, Vincent, OH 45784 (Phone 740-678-7128 or Cell Phone 740-525-6437). Belpre Rotary E-Mail Address is: info@belprerotary.org

ROTARY SCHOLARSHIP STUDENT INTERVIEW QUESTIONS (Rotary Make-A-Difference Scholarship) FOLLOWING ARE SUGGESTED QUESTIONS FOR THE INTERVIEW: COMMUNITY SERVICE QUESTIONS: Tell me about what you have done in the community. How many years have you been involved in community service? What was your most challenging community project? Why? What have you learned from your community service projects? What talents or qualities do you have that will assist you in becoming a Civic Leader? Describe your shortcomings or areas that need improvement? What have you done to overcome these shortcomings? After your college education, what kind of civic activities could you see yourself participating in? What are your long-term goals? What influenced you in your choice of major? Tell us about your hobbies. How did you select the people to write your letters of recommendations? GENERAL QUESTIONS (See if the student can think on their feet and communicate what they are thinking.) Tell us about other scholarships you have received or will receive. Did you apply for federal Aid? What were you awarded? What is your definition of success? How do you prioritize your life? What is your impression of the Golden Rule? Do you see the Golden Rule applied? What is your definition of Diversity? What would your friends tell us if we were to ask them about you? Tell us about a time that there was a problem and what did you do to fix it? Or, tell us about a stressful situation that you worked through. What is the hardest project or assignment that you have worked on? Or, what was the most difficult task you have completed? What is the most creative thing you have ever done? Not talking about art work. Describe a project that you have managed from start to finish. Have you registered to vote? FINAL QUESTIONS: What one question that we did not ask that you would have liked us to ask you? Let the student answer that question. What do you believe makes you the best candidate for the Rotary Make-A-Difference Scholarships? Do you have any questions for us?

CONFIDENTIAL ROTARY MAKE A DIFFERENCE SCHOLARHIP APPLICATION Belpre High School Senior Warren High School Senior Scholarship(s) Applying for: (Belpre Seniors) Belpre Rotary Make a Difference Scholarship Belpre Make a Difference Dick Thomas Scholarship Scholarship(s) Applying for: (Warren Seniors) Warren Rotary Make A Difference Scholarship Warren Rotary Make a Difference Ray Gessel Scholarship PERSONAL INFORMATION: Name: Address: City, State, Zip: Telephone: FINANCIAL RESOURCES: Mother (Stepmother): Employer: Father (Stepfather): Employer: Where is your Primary Home (with whom do you live?) Both Parents: Mother Only Father Only: Mother/Stepfather: Father/Stepmother: Guardian: Ages of Family Dependent Children: Number of Family Dependent Children currently in College: What is your Family Income? Under $30,000 $30,000-$50,000 $50,000-$75,000 $75,000-$100,000 Over $100,000

EMPLOYMENT: If you have held any employment the past four years, please list the Type of Work, the Employer, and Dates employed: COLLEGE PLANS: List your major field of study: List colleges that you have been accepted: List any scholarships, grants, or other assistance and their value that you have received: COMMUNITY SERVICE: List community activities (church, organization, volunteer work, etc.) in which you have been involved. Freshman Year: Sophomore Year:

Junior Year: Senior Year: HIGH SCHOOL ACTIVITIES: List high school activities in which you have been involved and include any significant contributions you made to the school: Freshman Year: Sophomore Year: Junior Year: Senior Year: HONORS AND AWARDS: List any honors and awards you have won either from school or the community:

EDUCATIONAL AND CAREER GOALS: Please write a short statement regarding your educational and career goals: SAT SCORE ACT SCORE GRADE P0INT AVERAGE WEIGHTED GRADE POINT AVERAGE I certify that all statements contained in this application are true and correct, and I believe myself eligible for the Rotary Make a Difference Scholarship(s) listed above. Signature: Date: (Attach three letters of recommendation and a copy of your transcript from your school.) It is the policy of the Rotary Club of Belpre to provide equal opportunity for students seeking high education. No applicant will be discriminated against on the basis of race, color, creed, disability, religion, gender, ancestry, national origin, social background or place of residence within the school district.