2013-2014 Scholarship Info
SECTION 1 (GENERAL INFORMATION)
Name: _____________________________________
Mailing Address: _________________________________________________________
Telephone #: ____________________ e-mail: _____________________________
Father/Guardian Name: _______________________________
Mother/Guardian Name: _______________________________
College(s) you plan to attend in Fall 2013: _______________________________
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Current school: KHS KAOL Home-schooled
Cumulative G.P.A. ______________________ Class Rank_____________________
Counselor Signature_______________________________
SECTION 2 (SHORT ANSWER QUESTIONS)
Please answer all questions on the sheet provided.
1. What has been your best accomplishment during your high school career?
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2. What has been your biggest disappointment during your high school career?
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3. What other types of financial aid/scholarships/grants will you be receiving? How will this Rotary scholarship help you while attending college?
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SECTION 3 (EXTRACIRRICULAR ACTIVITIES AND AWARDS)
A. Honors and awards (state nature of honor or award)
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B. Offices and Leadership (name of organization, position, year)
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C. Other School Activities
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D. Volunteer Experience
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E. Work Experience
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SECTION 4 (SIGNATURE)
All statements in my application are true to the best of my knowledge. I understand that I must attend a two or four year college in the fall of 2013 to receive this scholarship. If for some reason, the above criteria is not met, I will contact the Kingman Rotary Club immediately, so another qualified recipient may be selected.
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(printed name)