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 2019 KINGMAN ROTARY CLUB SCHOLARSHIP APPLICATION
 
 
The following criteria must be met to be considered for this scholarship
 
(1) Recipient of High School Diploma by May 2019
(2) Include recent grade point average and class rank
(3) Answer all questions
(4) Student must attend a two or four-year college in the Fall of 2019
(5) Application must be returned to guidance office by April 5, 2019
 
 
 
SECTION I (GENERAL INFORMATION)
 
 
Name:                    ______________________________
               
Mailing
Address:                                ______________________________
 
Telephone#:         ______________________________
 
Father/Guardian
Name:                    ______________________________
 
Mother/Guardian
Name:                    ______________________________
 
College(s) you plan to attend in Fall 2019:
 
                                ______________________________
 
                                ______________________________
 
                                ______________________________
 
 
 
 
Current G.P.A. ________________________________
 
Class Rank____________________________________
 
Counselor Signature ____________________________
 
 
 
DUE April 05, 2019 TO GUIDANCE OFFICE
SECTION II (SHORT ANSWER QUESTIONS)
 
Please answer all questions.  Use an additional piece of paper if more space is needed.
 
 
 
1.             Have any other members in your family attended and graduated from college?  If yes, what type of degree(s) did he/she receive?
 
 
 
 
 
 
 
2.             Will any other members of your immediate family be attending college next year (Fall 2018)?  If yes, who will be attending and what is that person(s) year in school?
 
 
 
 
 
 
 
3.             What types of financial aid, scholarships, and loans will you receive?
 
 
 
 
 
4.             What type of degree/major/career do you plan on pursuing after graduation from high school?
 
 
 
 
 
 
5.             What is your greatest accomplishment/achievement you have gained in high school?
 
 
 
 
 
 
 
6.             What is your biggest disappointment/mistake in high school?  How did you learn from that experience?
 
 
 
 
 
 
 
 
 
SECTION III (ESSAY)
 
Please include a one-page essay (you may use this sheet or attach your own sheet). 
 
Essay Question:  If you were a member of the Kingman Rotary Club, what service project would you implement that would have the best benefit to our community?  Explain how you would implement, fund, and gain support for the project. 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
SECTION IV (EXTRACURRICULAR ACTIVITIES AND AWARDS)
 
 
Please include a 1-page list (in the order described) of:
 
                                a.             Honors and Awards (state nature of honor or award)
                                b.             Offices and Leadership (name of organization, position, year)
                                c.             Other School Activities
                                d.             Volunteer Service
                                e.             Work Experience
 
 
 
 
 
 
 
 
 
 
SECTION V (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 to receive this scholarship.  If for some reason, the above criteria are not met, I will contact the Kingman Rotary Club immediately, so another qualified recipient may be selected.
 
 
 
___________________                                                                                                    ___________________
(printed name)                                                                                                                    (signature) (date)