Scholarship Application
Rotary Club of Ignacio

Applications must be received no later than June 20th at Noon PST to Barbara@properlyinsured.com 

$2500 Rotary Club of lgnacio Presidential Scholarship for Graduating High School Senior from Novato High School, Marin Oaks, Nova, San Marin High, or College of Marin Student who is continuing their education at COM/IVC or transferring to a College/University in CA.

Qualifying Candidates show they will use their degree toward benefiting the Environment (does not have to major in environmental studies. This could be any degree – music, art, English, Engineering, etc. Show your creativity and involvement to save our environment). Do the following
•	Write a story of your involvement in a Project, internship or Service that has benefitted the Environment on your Application
•	Complete the following Rotary Club of lgnacio Scholarship Application
•	Email to Barbara@properlyinsured.com by noon Pacific Time June 20.

PM

 

 	Applicant Information	

Name: Address:

Street Address

Age:

Apartment/Unit #

  

Phone:

City	State	ZIP Code
Email:

Father’s Name: Mother’s Name:

Father’s occupation: Mother’s occupation:

 	Continuing Education Information	
YES	NO

Trade School:

2 year College:

4 year College – 1st Choice:

4 year College – 2nd Choice:

What occupation do you plan as your life’s work?:

 	
YES	NO
 	
YES	NO
Accepted:
YES	NO
Accepted:

List hobbies:

 	Jobs and Volunteer Experience in Past Three Years	
Work Experience (include type of work, hours per week and employer):
Write a paragraph or more concerning your goals and aspirations (1 year, 5 years & life):

List school and community service activities. Include honors, awards and student community involvement program hours.
Have you been active in community service beyond the minimum graduation requirement for all students? Yes	No
If yes, please describe below your community service interests or activities. Please include in your discussion any plans for involvement in community service activities while in school and/or in your professional future.
Have you had a situation that required you to overcome adversity?	Yes	No
If yes, describe the situation where you overcame adversity to help meet your educational goals:

Are you planning to pursue a career in the medical or healthcare profession? Yes	No
If yes, please describe your area of interest:

Are you planning a career in law or government service?	Yes	No
If yes, describe how you have made a positive humanitarian contribution displaying a commitment to equal justice and diversity

Candidates cannot be related by blood or marriage to a member of the Rotary Club of Ignacio.
The scholarship committee will review all applications, and reserves the right to limit the number of applicants for interview.

Write a paragraph describing Rotary:

 	Financial Information	

Number of brothers and sisters living at home:
Number of brothers and sisters attending college:
Have you applied for FAFSA? Yes	No
If yes, what is your FAFSA "Expected Family Contribution": Approximately how much do you expect your education to cost per year?: How do you expect to pay for it?:

 	Additional Questions	

GPA:

What high school do you attend?:
What is your cumulative weighted
What sports or extra curricula activities did you participate in?:
List any sport awards or special recognition that you have received:

Are you a member of a Rotary Interact club? Yes	No
Do you plan on pursuing a career in police, fire or other public service? Yes	No

 	References	
Submit 2 letters of recommendation. One from a teacher or counselor, one from someone other than a teacher/counselor.

Teacher/Counselor:
Name of other reference:
Submit a copy of your high school transcript and a photo.

Subject:
Relationship:

List any loans or scholarships previously received or expected, and amounts:

 	Signature	
I certify that my answers are true and complete to the best of my knowledge and I am not related by blood or marriage to a member of the Rotary Club of Ignacio.
Signature:	Date:

Candidates cannot be related by blood or marriage to a member of the Rotary Club of Ignacio.
he scholarship committee will review all applications, and reserves the right to limit the number of applicants for interview.