Rockland Hanson Rotary Club Scholarship Award

66 ROCKLAND HANSON ROTARY CLUB SCHOLARSHIP AWARD $750.00-Whitman Student (In Honor of Robert Schmitt) $750.00-Hanson Student (In Memory of Carolyn Ready)

The Rockland Hanson Rotary Scholarship program supports the mission of Rotary International, advocating service to the local, national, and worldwide community. Successful applicants will demonstrate active involvement in helping others, reflecting Rotary’s Motto of Service Above Self. Please Fill This Form Completely. Type or Write Neatly in Black Ink.

PLEASE INCLUDE A TRANSCRIPT.

Full Name:

Home Address:

Phone Number: Email Address:

High School Attending : (Circle) Girl/Boy

Please Describe And Explain How/Why You Have Chosen The Vocation Or Career You Plan on Pursuing For Your Future: (Please Feel Free To Use An Additional Page If You Need More Space.)

Post-Secondary Schools to Which You Have Applied:

Post-Secondary Schools to Which You Have Been Accepted :

Colleges to Which You Have Been Accepted:

1st College Choice: Tuition;

2nd College Choice: Tuition ;

List All Scholarships, Grants, and Financial Aid Which You Have Been Awarded:

How Will You Use This Scholarship? Tuition or Tools/Equipment/Supplies

Estimated Parental Contribution:

Estimated Student Contribution:

Anticipated Financial Needs:

Do You Own A Car? Will You Commute to School?

CONT’D ON PAGE 2 PAGE -2- Personal Information

Name of Father or Guardian:

Address:

Father’s Occupation:

Employed By:

Name of Mother or Guardian:

Address

Mother’s Occupation:

Employed By:

Total Number of Persons Dependent on Parents (include Self & Parents):

Names (Ages) Of Family Members Currently Attending College:

Work Experience

List Any Paid Work Experience You Have Had

Service Based Selection Essay(An Oral Interview Can Be Substituted By Student Request and Guidance Endorsement)*

Criteria For Scholarship Selection:

1. How Closely A Candidate Demonstrates Qualities That Reflect Rotary’s Motto Of Service Above Self. 2. Financial Need

Attach a One Page Typed Essay telling about you and explaining how your achievements and goals demonstrate the principles upon which the Rockland Hanson Rotary Club Scholarship will be based. Be sure to include a description of any School, Organization and Community Volunteer Activities, Honors, Prizes, or Offices you have held. Additionally, please include any significant challenges you may have encountered and the impact it has had on you.

Statement of Applicant Support: I Attest That I Believe This Applicant Is Deserving Of Consideration For The Rockland Hanson Rotary Club Scholarship.

Parent/Guardian Signature:

School Faculty/Staff Signature: Title:

Please Be Aware: INCOMPLETE APPLICATIONS CANNOT BE CONSIDERED.

Guidance Counselors must speak to their Rotary Club contact person to arrange for oral interviews Before April 1, 2016.