NORTH STOCKTON ROTARY CLUB

P O Box 7184~Stockton, California 95267

 

APPLICATION FOR NORTH STOCKTON ROTARY CLUB SCHOLARSHIP 2012

 PLEASE CHECK THE APPROPRIATE BOX

                                   CLIFF DOCHTERMAN SCHOLARSHIP ($1,000)

            (For students planning to attend or attending the University of the Pacific only)

                    SCHOLARSHIP FOR ANY COLLEGE / UNIVERSITY ($1,000)  (Three available)

 

  • SCHOLARSHIPS IN THE AMOUNT OF $1,000 WILL BE AWARDED BY NORTH STOCKTON ROTARY CLUB
    FOR THE PURPOSE OF ASSISTING QUALIFIED INDIVIDUALS TO CONTINUE THEIR EDUCATION. 
  • TO QUALIFY FOR THESE SCHOLARSHIPS, APPLICANTS MUST ATTEND A STOCKTON HIGH SCHOOL. 
  • CONSIDERATION FOR THE AWARDS IS BASED UPON DEMONSTRATION OF COMMUNITY SERVICE,
    EXTRACURRICULAR ACTIVITIES,   SUPPORT OF THE IDEALS OF ROTARY, AND A SENSE OF RESPONSIBILITY TOWARD EDUCATION    .
  •  THE AWARDS ARE GRANTED WITHOUT REGARD TO GENDER, RACE, RELIGION, CREED, OR NATIONALITY.
  •  APPLICANTS MAY BE REQUIRED TO ATTEND AN INTERVIEW SESSION.
  • IMMEDIATE FAMILY MEMBERS OF ROTARIANS ARE NOT ELIGIBLE.

 

NOTE:  THE APPLICATION IS TO BE COMPLETED IN FULL.  THE APPLICATION MUST ALSO BE ACCOMPANIED BY AN ESSAY,
COPY OF TRANSCRIPT, AND TWO LETTERS OF RECOMMENDATION.  THE APPLICATION AND OTHER REQUIRED INFORMATION
SHALL BE RETURNED TO THE ADVISOR OR COUNSELOR WHO PROVIDED THE APPLICATION.  IF NOT APPLYING THROUGH
A COUNSELOR, PLEASE RETURN THE APPLICATION, ESSAY, AND LETTERS OF RECOMMENDATION TO THE NORTH STOCKTON
ROTARY ADDRESS ABOVE.    

DEADLINE:    MARCH 15, 2012.

ESSAY: PLEASE ATTACH A SHORT ESSAY ON THE TOPIC: “HOW I PLAN TO USE MY EDUCATION TO SERVE OTHERS”. 
YOU MAY ALSO INCLUDE YOUR LONG RANGE GOALS, OBJECTIVES, AND REASONS FOR CONTINUING YOUR EDUCATION.

REFERENCES: PLEASE PROVIDE TWO LETTERS OF RECOMMENDATION.  THESE MAY BE FROM ADVISORS, COUNSELORS,
TEACHERS, CLERGY, OR COMMUNITY LEADERS.

 

NAME OF REFERENCE_________________________________________________________

ADDRESS_________________________________City/State/Zip________________________

PHONE NUMBER__________________________

 

NAME OF REFERENCE_________________________________________________________

ADDRESS_________________________________City/State/Zip________________________

PHONE NUMBER__________________________

 

 

 

APPLICATION FOR

NORTH STOCKTON ROTARY CLUB SCHOLARSHIP 2011

 

 

NAME OF APPLICANT_________________________________________________________

 

HOME ADDRESS _____________________________________________________________

CITY/STATE/ZIP __________________________________TELEPHONE ________________

E-MAIL  ________________________

 

NAME OF CURRENT SCHOOL________________________________

DATE OF ANTICIPATED GRADUATION___________

 

PLEASE LIST ANY OTHER SCHOOLS ATTENDED_________________________________

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WHICH COLLEGE OR UNIVERSITY ARE YOU PLANNING TO ATTEND?

______________________________________________________________________________

 

OCCUPATIONAL GOAL________________________________________________________

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DESCRIBE ANY WORK EXPERIENCE____________________________________________

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LIST ANY EXTRACURRICULAR OR COMMUNITY SERVICE ACTIVITIES ?

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NOTE: PLEASE INCLUDE YOUR ESSAY, TRANSCRIPT, AND LETTERS OF RECOMMENDATION.

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