2013 KINGMAN ROTARY CLUB SCHOLARSHIP APPLICATION
The following criteria must be met to be considered for this scholarship
(1) Graduate in the 2012-2013 school year from KUSD, KAOL, or home-schooled and living within the Kingman Unified School District.
(2) Answer all questions.
(3) Students must attend a two or four year college in the fall of 2013.
(4) Application must be received by May 1, 2013.  Applications may be turned in to the Guidance Office of your school, mailed to the Kingman Rotary Club, PO Box 421, Kingman, AZ 86402, or e-mailed to thecarlisles@citlink.net.
 

SECTION 1 (G

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)